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AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameAMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN
Plan identification number 506

AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

AMERICAN HEALTH STAFFING GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN HEALTH STAFFING GROUP, INC.
Employer identification number (EIN):813839913
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062019-01-01TONYA THOMPSON2020-10-14

Plan Statistics for AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN

Measure Date Value
2019: AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01101
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010

Form 5500 Responses for AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN

2019: AMERICAN HEALTH STAFFING GROUP, INC SHORT TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305898
Policy instance 1
Insurance contract or identification number305898
Number of Individuals Covered292
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $795
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $795
Amount paid for insurance broker fees0
Insurance broker organization code?3

Potentially related plans

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