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401k Plan overview

Plan NameFIRST ATLANTIC CORPORATION HEALTH PLAN TRUST
Plan identification number 502

FIRST ATLANTIC CORPORATION HEALTH PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

FIRST ATLANTIC CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:FIRST ATLANTIC CORPORATION
Employer identification number (EIN):010407925
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about FIRST ATLANTIC CORPORATION

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1988-11-01
Company Identification Number: 1303133
Legal Registered Office Address: C/O S. SCHLEICHER
111 KINNE ROAD, #426
DEWITT
United States of America (USA)
13214

More information about FIRST ATLANTIC CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST ATLANTIC CORPORATION HEALTH PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-01-01
5022014-01-01WANDA PELKEY WANDA PELKEY2015-10-14

Plan Statistics for FIRST ATLANTIC CORPORATION HEALTH PLAN TRUST

401k plan membership statisitcs for FIRST ATLANTIC CORPORATION HEALTH PLAN TRUST

Measure Date Value
Total participants, beginning-of-year2015-01-01961
Total number of active participants reported on line 7a of the Form 55002015-01-011,045
Total of all active and inactive participants2015-01-011,045
Total participants, beginning-of-year2014-01-011,045
Total number of active participants reported on line 7a of the Form 55002014-01-011,028
Total of all active and inactive participants2014-01-011,028

Form 5500 Responses

2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number083970
Policy instance 6
Number of Individuals Covered253
Total amount of commissions paid to insurance brokerUSD $21,147
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $921,690
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCL2533
Policy instance 1
Number of Individuals Covered690
Total amount of commissions paid to insurance brokerUSD $3,698
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $22,471
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010050292
Policy instance 2
Number of Individuals Covered46
Total amount of commissions paid to insurance brokerUSD $1,771
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $11,807
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Long Term Disability Insurance Welfare BenefitYes
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number021855
Policy instance 3
Number of Individuals Covered240
Total amount of commissions paid to insurance brokerUSD $35,601
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,550,338
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040968
Policy instance 4
Number of Individuals Covered1559
Total amount of commissions paid to insurance brokerUSD $4,772
Total amount of fees paid to insurance companyUSD $6,916
Welfare Benefit Premiums Paid to CarrierUSD $322,041
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
Policy contract number021857
Policy instance 5
Number of Individuals Covered337
Total amount of commissions paid to insurance brokerUSD $46,693
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,889,382
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040968
Policy instance 4
Number of Individuals Covered1513
Total amount of commissions paid to insurance brokerUSD $3,573
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $130,247
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number021855
Policy instance 3
Number of Individuals Covered188
Total amount of commissions paid to insurance brokerUSD $34,484
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,428,405
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Health Insurance Welfare BenefitYes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010050292
Policy instance 2
Number of Individuals Covered40
Total amount of commissions paid to insurance brokerUSD $1,600
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $10,665
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Long Term Disability Insurance Welfare BenefitYes
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCL2533
Policy instance 1
Number of Individuals Covered637
Total amount of commissions paid to insurance brokerUSD $1,751
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $17,949
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCL2533
Policy instance 1
Number of Individuals Covered534
Total amount of commissions paid to insurance brokerUSD $1,966
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $17,097
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Life Insurance Welfare BenefitYes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010050292
Policy instance 2
Number of Individuals Covered39
Total amount of commissions paid to insurance brokerUSD $1,404
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $9,358
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Long Term Disability Insurance Welfare BenefitYes
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number021855
Policy instance 3
Number of Individuals Covered151
Total amount of commissions paid to insurance brokerUSD $24,708
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $961,582
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05984380
Policy instance 4
Number of Individuals Covered1446
Total amount of commissions paid to insurance brokerUSD $6,472
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $293,565
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberCL2533
Policy instance 1
Number of Individuals Covered562
Total amount of commissions paid to insurance brokerUSD $2,048
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $20,070
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010050292
Policy instance 2
Number of Individuals Covered38
Total amount of commissions paid to insurance brokerUSD $1,263
Total amount of fees paid to insurance companyUSD $177
Welfare Benefit Premiums Paid to CarrierUSD $8,421
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Long Term Disability Insurance Welfare BenefitYes
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number021855
Policy instance 3
Number of Individuals Covered153
Total amount of commissions paid to insurance brokerUSD $20,978
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $828,745
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number021856
Policy instance 4
Number of Individuals Covered98
Total amount of commissions paid to insurance brokerUSD $24,179
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $910,829
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 )
Policy contract number021857
Policy instance 5
Number of Individuals Covered221
Total amount of commissions paid to insurance brokerUSD $31,877
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,250,075
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05984380
Policy instance 6
Number of Individuals Covered1398
Total amount of commissions paid to insurance brokerUSD $6,402
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $282,441
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes

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