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COMMUNITY CARE ALLIANCE 401k Plan overview

Plan NameCOMMUNITY CARE ALLIANCE
Plan identification number 501

COMMUNITY CARE ALLIANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

COMMUNITY CARE ALLIANCE has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY CARE ALLIANCE
Employer identification number (EIN):050312278
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about COMMUNITY CARE ALLIANCE

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2015-11-03
Company Identification Number: 603557042
Legal Registered Office Address: 2240 214TH PL SW

BRIER
United States of America (USA)
980368913

More information about COMMUNITY CARE ALLIANCE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY CARE ALLIANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01RITA GANDHI2024-10-09

Plan Statistics for COMMUNITY CARE ALLIANCE

401k plan membership statisitcs for COMMUNITY CARE ALLIANCE

Measure Date Value
2023: COMMUNITY CARE ALLIANCE 2023 401k membership
Total participants, beginning-of-year2023-01-01221
Total number of active participants reported on line 7a of the Form 55002023-01-01243
Number of retired or separated participants receiving benefits2023-01-012
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01245
Number of employers contributing to the scheme2023-01-010

Form 5500 Responses for COMMUNITY CARE ALLIANCE

2023: COMMUNITY CARE ALLIANCE 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 53473 )
Policy contract number0001D378
Policy instance 1
Insurance contract or identification number0001D378
Number of Individuals Covered1003
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $115,232
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,902,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number6938_1
Policy instance 2
Insurance contract or identification number6938_1
Number of Individuals Covered419
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,131
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $177,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30101752 ET ALL
Policy instance 3
Insurance contract or identification number30101752 ET ALL
Number of Individuals Covered502
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $2,333
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number10265010
Policy instance 4
Insurance contract or identification number10265010
Number of Individuals Covered906
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $11,988
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $282,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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