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EASTER SEALS NEVADA HEALTH PLAN 401k Plan overview

Plan NameEASTER SEALS NEVADA HEALTH PLAN
Plan identification number 501

EASTER SEALS NEVADA HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

CAPABILITY HEALTH AND HUMAN SERVICES has sponsored the creation of one or more 401k plans.

Company Name:CAPABILITY HEALTH AND HUMAN SERVICES
Employer identification number (EIN):942815686
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about CAPABILITY HEALTH AND HUMAN SERVICES

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 1127091

More information about CAPABILITY HEALTH AND HUMAN SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EASTER SEALS NEVADA HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-03-01KRISTA FROEMMING2019-08-27
5012017-03-01
5012016-03-01CHANTAL LUGO2018-11-08

Plan Statistics for EASTER SEALS NEVADA HEALTH PLAN

401k plan membership statisitcs for EASTER SEALS NEVADA HEALTH PLAN

Measure Date Value
2018: EASTER SEALS NEVADA HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01160
Total number of active participants reported on line 7a of the Form 55002018-03-01144
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01144
Number of employers contributing to the scheme2018-03-010
2017: EASTER SEALS NEVADA HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01111
Total number of active participants reported on line 7a of the Form 55002017-03-01160
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01160
2016: EASTER SEALS NEVADA HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01101
Total number of active participants reported on line 7a of the Form 55002016-03-01111
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01111

Form 5500 Responses for EASTER SEALS NEVADA HEALTH PLAN

2018: EASTER SEALS NEVADA HEALTH PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: EASTER SEALS NEVADA HEALTH PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: EASTER SEALS NEVADA HEALTH PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01First time form 5500 has been submittedYes
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1062707
Policy instance 1
Insurance contract or identification number1062707
Number of Individuals Covered183
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $8,919
Total amount of fees paid to insurance companyUSD $480
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,919
Amount paid for insurance broker fees480
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1062707
Policy instance 1
Insurance contract or identification number1062707
Number of Individuals Covered215
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $9,022
Total amount of fees paid to insurance companyUSD $2,352
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $60,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,022
Amount paid for insurance broker fees2352
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES LLC

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