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SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 401k Plan overview

Plan NameSACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH
Plan identification number 502

SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH Benefits

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

401k Sponsoring company profile

SACRED HEART REHABILITATION CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:SACRED HEART REHABILITATION CENTER, INC.
Employer identification number (EIN):381880385
NAIC Classification:621330
NAIC Description:Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01
5022020-07-01
5022019-07-01
5022018-07-01
5022017-07-01PAULA NELSON
5022016-07-01PAULA NELSON
5022015-07-01PAULA NELSON
5022015-07-01PAULA NELSON2017-04-25
5022015-07-01PAULA NELSON2017-04-25

Plan Statistics for SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH

401k plan membership statisitcs for SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH

Measure Date Value
2021: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2021 401k membership
Total participants, beginning-of-year2021-07-01178
Total number of active participants reported on line 7a of the Form 55002021-07-01172
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01172
2020: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2020 401k membership
Total participants, beginning-of-year2020-07-01176
Total number of active participants reported on line 7a of the Form 55002020-07-01178
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01178
2019: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2019 401k membership
Total participants, beginning-of-year2019-07-01187
Total number of active participants reported on line 7a of the Form 55002019-07-01176
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01176
2018: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2018 401k membership
Total participants, beginning-of-year2018-07-01179
Total number of active participants reported on line 7a of the Form 55002018-07-01187
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01187
2017: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2017 401k membership
Total participants, beginning-of-year2017-07-01170
Total number of active participants reported on line 7a of the Form 55002017-07-01179
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01179
2016: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2016 401k membership
Total participants, beginning-of-year2016-07-01141
Total number of active participants reported on line 7a of the Form 55002016-07-01170
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01170
2015: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2015 401k membership
Total participants, beginning-of-year2015-07-01124
Total number of active participants reported on line 7a of the Form 55002015-07-01141
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01141

Form 5500 Responses for SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH

2021: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: SACRED HEART REHABILITATION CENTER WELFARE BENEFIT PLAN - HEALTH 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Submission has been amendedYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number796348
Policy instance 1
Insurance contract or identification number796348
Number of Individuals Covered172
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $40,047
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,319,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,047
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00216267
Policy instance 1
Insurance contract or identification number00216267
Number of Individuals Covered178
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $31,889
Total amount of fees paid to insurance companyUSD $852
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,080
Insurance broker organization code?3
Amount paid for insurance broker fees852
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00216267
Policy instance 1
Insurance contract or identification number00216267
Number of Individuals Covered176
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $31,445
Total amount of fees paid to insurance companyUSD $900
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,445
Insurance broker organization code?3
Amount paid for insurance broker fees900
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00216267
Policy instance 1
Insurance contract or identification number00216267
Number of Individuals Covered187
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $35,702
Total amount of fees paid to insurance companyUSD $1,824
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,520
Insurance broker organization code?3
Amount paid for insurance broker fees1824
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00216267
Policy instance 1
Insurance contract or identification number00216267
Number of Individuals Covered179
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $67,673
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,014
Insurance broker organization code?3
Insurance broker nameACTION BENEFITS COMPANY

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