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AFFORDABLE HOME HEALTH DENTAL 401k Plan overview

Plan NameAFFORDABLE HOME HEALTH DENTAL
Plan identification number 502

AFFORDABLE HOME HEALTH DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

AFFORDABLE HOME HEALTH CARELLC has sponsored the creation of one or more 401k plans.

Company Name:AFFORDABLE HOME HEALTH CARELLC
Employer identification number (EIN):204300403
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AFFORDABLE HOME HEALTH DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01AARON ALBRECHT2024-06-26
5022022-01-01CYNTHIA H. MERCER2023-07-05
5022021-01-01DENNIS SWEARINGEN2022-10-04

Plan Statistics for AFFORDABLE HOME HEALTH DENTAL

401k plan membership statisitcs for AFFORDABLE HOME HEALTH DENTAL

Measure Date Value
2023: AFFORDABLE HOME HEALTH DENTAL 2023 401k membership
Total participants, beginning-of-year2023-01-01180
Total number of active participants reported on line 7a of the Form 55002023-01-01180
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01180
Number of employers contributing to the scheme2023-01-010
2022: AFFORDABLE HOME HEALTH DENTAL 2022 401k membership
Total participants, beginning-of-year2022-01-01137
Total number of active participants reported on line 7a of the Form 55002022-01-01180
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01180
Number of employers contributing to the scheme2022-01-010
2021: AFFORDABLE HOME HEALTH DENTAL 2021 401k membership
Total participants, beginning-of-year2021-01-01100
Total number of active participants reported on line 7a of the Form 55002021-01-01137
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01137
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for AFFORDABLE HOME HEALTH DENTAL

2023: AFFORDABLE HOME HEALTH DENTAL 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: AFFORDABLE HOME HEALTH DENTAL 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: AFFORDABLE HOME HEALTH DENTAL 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number10077
Policy instance 1
Insurance contract or identification number10077
Number of Individuals Covered422
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $10,764
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $142,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number10077
Policy instance 1
Insurance contract or identification number10077
Number of Individuals Covered423
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $11,306
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,306
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number10077
Policy instance 1
Insurance contract or identification number10077
Number of Individuals Covered322
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,800
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,800
Amount paid for insurance broker fees0
Insurance broker organization code?3

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