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FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameFAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN
Plan identification number 501

FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

FAMILIES TOGETHER OF ORANGE COUNTY has sponsored the creation of one or more 401k plans.

Company Name:FAMILIES TOGETHER OF ORANGE COUNTY
Employer identification number (EIN):200310654
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Additional information about FAMILIES TOGETHER OF ORANGE COUNTY

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C2563012

More information about FAMILIES TOGETHER OF ORANGE COUNTY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01MANUEL CABRERA2024-04-08

Plan Statistics for FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN

401k plan membership statisitcs for FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN

Measure Date Value
2022: FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01110
Total number of active participants reported on line 7a of the Form 55002022-07-01142
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01142
Number of employers contributing to the scheme2022-07-010

Form 5500 Responses for FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN

2022: FAMILIES TOGETHER OF ORANGE COUNTY HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01First time form 5500 has been submittedYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0099624
Policy instance 1
Insurance contract or identification numberW0099624
Number of Individuals Covered145
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $12,917
Total amount of fees paid to insurance companyUSD $38,749
Health Insurance Welfare BenefitYes
Other welfare benefits providedTELEHEALTH
Welfare Benefit Premiums Paid to CarrierUSD $607,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees38749
Additional information about fees paid to insurance brokerPRODUCER SERVICE FEES
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5953186
Policy instance 2
Insurance contract or identification number5953186
Number of Individuals Covered196
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $10,825
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $104,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,523
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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