Plan Name | EMPLOYEE ASSISTANCE PLAN (EAP) |
Plan identification number | 506 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | HIGH WATCH RECOVERY CENTER |
Employer identification number (EIN): | 060674970 |
NAIC Classification: | 624200 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
506 | 2022-10-01 | DEREK TRANZILLO | 2024-05-23 | ||
506 | 2021-10-01 | DEREK TRANZILLO | 2023-02-13 |
Measure | Date | Value |
---|---|---|
2022: EMPLOYEE ASSISTANCE PLAN (EAP) 2022 401k membership | ||
Total participants, beginning-of-year | 2022-10-01 | 105 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 105 |
Number of retired or separated participants receiving benefits | 2022-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 0 |
Total of all active and inactive participants | 2022-10-01 | 105 |
Number of employers contributing to the scheme | 2022-10-01 | 0 |
2021: EMPLOYEE ASSISTANCE PLAN (EAP) 2021 401k membership | ||
Total participants, beginning-of-year | 2021-10-01 | 105 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 105 |
Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
Total of all active and inactive participants | 2021-10-01 | 105 |
Number of employers contributing to the scheme | 2021-10-01 | 0 |
2022: EMPLOYEE ASSISTANCE PLAN (EAP) 2022 form 5500 responses | ||
---|---|---|
2022-10-01 | Type of plan entity | Single employer plan |
2022-10-01 | Plan funding arrangement – Insurance | Yes |
2022-10-01 | Plan benefit arrangement – Insurance | Yes |
2021: EMPLOYEE ASSISTANCE PLAN (EAP) 2021 form 5500 responses | ||
2021-10-01 | Type of plan entity | Single employer plan |
2021-10-01 | First time form 5500 has been submitted | Yes |
2021-10-01 | Plan funding arrangement – Insurance | Yes |
2021-10-01 | Plan benefit arrangement – Insurance | Yes |
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
Policy contract number | GLTD0AXPB | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
Policy contract number | 16568 | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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