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| Plan Name | SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS |
| Employer identification number (EIN): | 660289157 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2021-01-01 | ||||
| 504 | 2020-01-01 | ||||
| 504 | 2019-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 529 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 522 |
| Total of all active and inactive participants | 2021-01-01 | 522 |
| Total participants | 2021-01-01 | 522 |
| 2020: SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 590 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 553 |
| Total of all active and inactive participants | 2020-01-01 | 553 |
| Total participants | 2020-01-01 | 553 |
| 2019: SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 585 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 590 |
| Total of all active and inactive participants | 2019-01-01 | 590 |
| Total participants | 2019-01-01 | 590 |
| 2021: SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS- EMPLOYEE ASSISTANCE PROGRAM 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| LUCY LOPEZ ROIG EAP, INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | N/A | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LUCY LOPEZ ROIG EAP, INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | N/A | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LUCY LOPEZ ROIG EAP, INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | N/A | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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