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KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 401k Plan overview

Plan NameKENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN
Plan identification number 502

KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN Benefits

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

401k Sponsoring company profile

KENNEBEC BEHAVIORAL HEALTH has sponsored the creation of one or more 401k plans.

Company Name:KENNEBEC BEHAVIORAL HEALTH
Employer identification number (EIN):010265559
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-02-01JEFFREY M. RAAB2024-06-05
5022022-02-01JEFFREY M. RAAB2023-05-31
5022021-02-01JEFFREY M. RAAB2022-06-21
5022020-02-01JEFFREY M. RAAB2021-06-09
5022019-02-01CLAUDINE CHAPUT2020-09-30
5022018-02-01
5022017-02-01
5022016-02-01
5022015-02-01
5022014-02-01
5022013-02-01
5022012-02-01MICHAEL J. WALSH
5022011-02-01MICHAEL J. WALSH
5022010-02-01MICHAEL J. WALSH
5022009-02-01MICHAEL J. WALSH

Plan Statistics for KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN

401k plan membership statisitcs for KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN

Measure Date Value
2023: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-02-01263
Total number of active participants reported on line 7a of the Form 55002023-02-01286
Number of retired or separated participants receiving benefits2023-02-010
Number of other retired or separated participants entitled to future benefits2023-02-010
Total of all active and inactive participants2023-02-01286
2022: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-01263
Total number of active participants reported on line 7a of the Form 55002022-02-01263
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-01263
2021: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01245
Total number of active participants reported on line 7a of the Form 55002021-02-01243
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01243
2020: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01251
Total number of active participants reported on line 7a of the Form 55002020-02-01245
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01245
2019: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01256
Total number of active participants reported on line 7a of the Form 55002019-02-01251
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01251
2018: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01272
Total number of active participants reported on line 7a of the Form 55002018-02-01256
Total of all active and inactive participants2018-02-01256
2017: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01242
Total number of active participants reported on line 7a of the Form 55002017-02-01272
Total of all active and inactive participants2017-02-01272
2016: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01225
Total number of active participants reported on line 7a of the Form 55002016-02-01242
Total of all active and inactive participants2016-02-01242
2015: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01221
Total number of active participants reported on line 7a of the Form 55002015-02-01225
Total of all active and inactive participants2015-02-01225
2014: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01214
Total number of active participants reported on line 7a of the Form 55002014-02-01221
Total of all active and inactive participants2014-02-01221
2013: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01205
Total number of active participants reported on line 7a of the Form 55002013-02-01214
Total of all active and inactive participants2013-02-01214
2012: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01191
Total number of active participants reported on line 7a of the Form 55002012-02-01205
Total of all active and inactive participants2012-02-01205
2011: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01186
Total number of active participants reported on line 7a of the Form 55002011-02-01191
Total of all active and inactive participants2011-02-01191
2010: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01200
Total number of active participants reported on line 7a of the Form 55002010-02-01186
Total of all active and inactive participants2010-02-01186
2009: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01191
Total number of active participants reported on line 7a of the Form 55002009-02-01200
Total of all active and inactive participants2009-02-01200

Form 5500 Responses for KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN

2023: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2023 form 5500 responses
2023-02-01Type of plan entitySingle employer plan
2023-02-01Plan funding arrangement – InsuranceYes
2023-02-01Plan funding arrangement – General assets of the sponsorYes
2023-02-01Plan benefit arrangement – InsuranceYes
2023-02-01Plan benefit arrangement – General assets of the sponsorYes
2022: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – General assets of the sponsorYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – General assets of the sponsorYes
2021: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – General assets of the sponsorYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – General assets of the sponsorYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes
2010: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – General assets of the sponsorYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: KENNEBEC BEHAVIORAL HEALTH MEDICAL PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – General assets of the sponsorYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

RED TREE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 13646 )
Policy contract number000963321
Policy instance 2
Insurance contract or identification number000963321
Number of Individuals Covered523
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $2,439
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202735
Policy instance 1
Insurance contract or identification numberUNI-202735
Number of Individuals Covered286
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
Total amount of commissions paid to insurance brokerUSD $191,018
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,273,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RED TREE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 13646 )
Policy contract number000963321
Policy instance 2
Insurance contract or identification number000963321
Number of Individuals Covered476
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $2,200
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202735
Policy instance 1
Insurance contract or identification numberUNI-202735
Number of Individuals Covered263
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $148,469
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $989,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RED TREE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 13646 )
Policy contract number000963321
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202735
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202735
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202735
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202735
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19473
Policy instance 1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19473
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19473
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL19473
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberUHIC-102846
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberUHIC-102846
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-029131
Policy instance 2

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