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401k Plan overview

Plan NameEMPLOYEE ASSISTANCE PROGRAM
Plan identification number 516

EMPLOYEE ASSISTANCE PROGRAM Benefits

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

401k Sponsoring company profile

COMMUNITY HEALTH AND COUNSELING SERVICES has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH AND COUNSELING SERVICES
Employer identification number (EIN):010211483
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about COMMUNITY HEALTH AND COUNSELING SERVICES

Jurisdiction of Incorporation: Maine Bureau of Corporations, Elections & Commissions
Incorporation Date:
Company Identification Number: 19490076ND

More information about COMMUNITY HEALTH AND COUNSELING SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE ASSISTANCE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5162017-04-01PAIGE ALLEN PAIGE ALLEN2018-03-30

Plan Statistics for EMPLOYEE ASSISTANCE PROGRAM

401k plan membership statisitcs for EMPLOYEE ASSISTANCE PROGRAM

Measure Date Value
2017
Total participants, beginning-of-year2017-04-01429
Total number of active participants reported on line 7a of the Form 55002017-04-010
Number of retired or separated participants receiving benefits2017-04-010
Total of all active and inactive participants2017-04-010
Total participants2017-04-010

Form 5500 Responses

2017
2017-04-01Type of plan entitySingle employer plan
2017-04-01First time form 5500 has been submittedYes
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingYes
2017-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number13817
Policy instance 1
Insurance contract or identification number13817
Number of Individuals Covered433
Insurance policy start date2017-04-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $78
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCROSS INSURANCE

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