Plan Name | FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | FIRST CHOICE IN-HOME CARE |
Employer identification number (EIN): | 912152603 |
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 |
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501 | 2015-09-01 | JIM LORD | |||
501 | 2014-09-01 | JIM LORD | |||
501 | 2013-09-01 | JIM LORD |
Measure | Date | Value |
---|---|---|
2015: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-09-01 | 239 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 30 |
Total of all active and inactive participants | 2015-09-01 | 30 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-09-01 | 0 |
2014: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2014 401k membership | ||
Total participants, beginning-of-year | 2014-09-01 | 211 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 238 |
Number of retired or separated participants receiving benefits | 2014-09-01 | 1 |
Total of all active and inactive participants | 2014-09-01 | 239 |
2013: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2013 401k membership | ||
Total participants, beginning-of-year | 2013-09-01 | 108 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 211 |
Number of retired or separated participants receiving benefits | 2013-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-09-01 | 0 |
Total of all active and inactive participants | 2013-09-01 | 211 |
2015: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2015 form 5500 responses | ||
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2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | Submission has been amended | No |
2015-09-01 | This submission is the final filing | No |
2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-09-01 | Plan is a collectively bargained plan | No |
2015-09-01 | Plan funding arrangement – Insurance | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
2014: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2014 form 5500 responses | ||
2014-09-01 | Type of plan entity | Single employer plan |
2014-09-01 | Submission has been amended | No |
2014-09-01 | This submission is the final filing | No |
2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-09-01 | Plan is a collectively bargained plan | No |
2014-09-01 | Plan funding arrangement – Insurance | Yes |
2014-09-01 | Plan benefit arrangement – Insurance | Yes |
2013: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2013 form 5500 responses | ||
2013-09-01 | Type of plan entity | Single employer plan |
2013-09-01 | Submission has been amended | No |
2013-09-01 | This submission is the final filing | No |
2013-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-09-01 | Plan is a collectively bargained plan | No |
2013-09-01 | Plan funding arrangement – Insurance | Yes |
2013-09-01 | Plan benefit arrangement – Insurance | Yes |
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 1030862 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 74341 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 13061 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 6765900 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0001 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0001 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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