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WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 401k Plan overview

Plan NameWESTSIDE CHILDREN'S THERAPY HEALTH PLAN
Plan identification number 501

WESTSIDE CHILDREN'S THERAPY HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

WESTSIDE CHILDREN'S THERAPY has sponsored the creation of one or more 401k plans.

Company Name:WESTSIDE CHILDREN'S THERAPY
Employer identification number (EIN):261120223
NAIC Classification:621340
NAIC Description:Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTSIDE CHILDREN'S THERAPY HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01TIFFANY HASKI2024-05-28
5012022-04-01TIFFANY HASKI2023-10-17
5012021-04-01MARY SPREITZER2022-10-12

Plan Statistics for WESTSIDE CHILDREN'S THERAPY HEALTH PLAN

401k plan membership statisitcs for WESTSIDE CHILDREN'S THERAPY HEALTH PLAN

Measure Date Value
2023: WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-01303
Total number of active participants reported on line 7a of the Form 55002023-04-01369
Number of retired or separated participants receiving benefits2023-04-010
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-01369
Number of employers contributing to the scheme2023-04-010
2022: WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01470
Total number of active participants reported on line 7a of the Form 55002022-04-01595
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01595
Number of employers contributing to the scheme2022-04-010
2021: WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01127
Total number of active participants reported on line 7a of the Form 55002021-04-01134
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01134
Number of employers contributing to the scheme2021-04-010

Form 5500 Responses for WESTSIDE CHILDREN'S THERAPY HEALTH PLAN

2023: WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – InsuranceYes
2022: WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: WESTSIDE CHILDREN'S THERAPY HEALTH PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01First time form 5500 has been submittedYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number180200
Policy instance 1
Insurance contract or identification number180200
Number of Individuals Covered449
Insurance policy start date2023-04-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $86,454
Total amount of fees paid to insurance companyUSD $5,655
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,225,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberMC210
Policy instance 1
Insurance contract or identification numberMC210
Number of Individuals Covered338
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $98,010
Total amount of fees paid to insurance companyUSD $9,518
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,388,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,010
Amount paid for insurance broker fees9518
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberMC210
Policy instance 1
Insurance contract or identification numberMC210
Number of Individuals Covered315
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $55,072
Total amount of fees paid to insurance companyUSD $5,973
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $949,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $55,072
Amount paid for insurance broker fees5973
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3

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