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NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN 401k Plan overview

Plan NameNORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN
Plan identification number 501

NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

NORTH CENTRAL VETERINARY EMERGENCY CENTER, LLC has sponsored the creation of one or more 401k plans.

Company Name:NORTH CENTRAL VETERINARY EMERGENCY CENTER, LLC
Employer identification number (EIN):352139886
NAIC Classification:541940
NAIC Description:Veterinary Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01JACQUELINE BARRY2024-08-29

Plan Statistics for NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN

401k plan membership statisitcs for NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN

Measure Date Value
2023: NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01109
Total number of active participants reported on line 7a of the Form 55002023-01-01148
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 participants2023-01-01148
Number of employers contributing to the scheme2023-01-010

Form 5500 Responses for NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN

2023: NORTH CENTRAL VETERINARY EMERGENCY CENTER, A PURDUE AFFILIATED SPECIALTY HOSPITAL, LLC HEALTH & WELFARE BENEFITS PLAN 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberD23919
Policy instance 1
Insurance contract or identification numberD23919
Number of Individuals Covered109
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $23,532
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $701,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1165528
Policy instance 2
Insurance contract or identification number1165528
Number of Individuals Covered183
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $11,552
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $89,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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