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ST CAMILLUS GROUP HEALTH INSURANCE 401k Plan overview

Plan NameST CAMILLUS GROUP HEALTH INSURANCE
Plan identification number 502

ST CAMILLUS GROUP HEALTH INSURANCE Benefits

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

401k Sponsoring company profile

THE CENTERS AT ST CAMILLUS has sponsored the creation of one or more 401k plans.

Company Name:THE CENTERS AT ST CAMILLUS
Employer identification number (EIN):161085780
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST CAMILLUS GROUP HEALTH INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022018-11-01CARIN PREDMORE2020-08-14
5022017-11-01CARIN PREDMORE2019-08-15
5022016-11-01
5022015-11-01
5022014-11-01
5022013-11-01MICHAEL ZINGARO
5022012-11-01MICHAEL ZINGARO
5022011-11-01MICHAEL ZINGARO
5022009-11-01ESTHER HODGE
5022009-11-01ESTHER HODGE
5022009-11-01MICHAEL ZINGARO
5022008-11-01MICHAEL ZINGARO

Plan Statistics for ST CAMILLUS GROUP HEALTH INSURANCE

401k plan membership statisitcs for ST CAMILLUS GROUP HEALTH INSURANCE

Measure Date Value
2018: ST CAMILLUS GROUP HEALTH INSURANCE 2018 401k membership
Total participants, beginning-of-year2018-11-01249
Total number of active participants reported on line 7a of the Form 55002018-11-01213
Number of retired or separated participants receiving benefits2018-11-011
Total of all active and inactive participants2018-11-01214
2017: ST CAMILLUS GROUP HEALTH INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-11-01284
Total number of active participants reported on line 7a of the Form 55002017-11-01247
Number of retired or separated participants receiving benefits2017-11-012
Total of all active and inactive participants2017-11-01249
2016: ST CAMILLUS GROUP HEALTH INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-11-01298
Total number of active participants reported on line 7a of the Form 55002016-11-01280
Number of retired or separated participants receiving benefits2016-11-014
Total of all active and inactive participants2016-11-01284
2015: ST CAMILLUS GROUP HEALTH INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-11-01308
Total number of active participants reported on line 7a of the Form 55002015-11-01294
Number of retired or separated participants receiving benefits2015-11-014
Total of all active and inactive participants2015-11-01298
2014: ST CAMILLUS GROUP HEALTH INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-11-01307
Total number of active participants reported on line 7a of the Form 55002014-11-01304
Number of retired or separated participants receiving benefits2014-11-014
Total of all active and inactive participants2014-11-01308
2013: ST CAMILLUS GROUP HEALTH INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-11-01305
Total number of active participants reported on line 7a of the Form 55002013-11-01300
Number of retired or separated participants receiving benefits2013-11-017
Total of all active and inactive participants2013-11-01307
2012: ST CAMILLUS GROUP HEALTH INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-11-01303
Total number of active participants reported on line 7a of the Form 55002012-11-01297
Number of retired or separated participants receiving benefits2012-11-018
Total of all active and inactive participants2012-11-01305
2011: ST CAMILLUS GROUP HEALTH INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-11-01306
Total number of active participants reported on line 7a of the Form 55002011-11-01296
Number of retired or separated participants receiving benefits2011-11-017
Total of all active and inactive participants2011-11-01303
2009: ST CAMILLUS GROUP HEALTH INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-11-01305
Total number of active participants reported on line 7a of the Form 55002009-11-01292
Number of retired or separated participants receiving benefits2009-11-0110
Total of all active and inactive participants2009-11-01302
2008: ST CAMILLUS GROUP HEALTH INSURANCE 2008 401k membership
Total participants, beginning-of-year2008-11-01299
Total number of active participants reported on line 7a of the Form 55002008-11-01298
Number of retired or separated participants receiving benefits2008-11-017
Total of all active and inactive participants2008-11-01305

Form 5500 Responses for ST CAMILLUS GROUP HEALTH INSURANCE

2018: ST CAMILLUS GROUP HEALTH INSURANCE 2018 form 5500 responses
2018-11-01Type of plan entityMulitple employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: ST CAMILLUS GROUP HEALTH INSURANCE 2017 form 5500 responses
2017-11-01Type of plan entityMulitple employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: ST CAMILLUS GROUP HEALTH INSURANCE 2016 form 5500 responses
2016-11-01Type of plan entityMulitple employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: ST CAMILLUS GROUP HEALTH INSURANCE 2015 form 5500 responses
2015-11-01Type of plan entityMulitple employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: ST CAMILLUS GROUP HEALTH INSURANCE 2014 form 5500 responses
2014-11-01Type of plan entityMulitple employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: ST CAMILLUS GROUP HEALTH INSURANCE 2013 form 5500 responses
2013-11-01Type of plan entityMulitple employer plan
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: ST CAMILLUS GROUP HEALTH INSURANCE 2012 form 5500 responses
2012-11-01Type of plan entityMulitple employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: ST CAMILLUS GROUP HEALTH INSURANCE 2011 form 5500 responses
2011-11-01Type of plan entityMulitple employer plan
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes
2009: ST CAMILLUS GROUP HEALTH INSURANCE 2009 form 5500 responses
2009-11-01Type of plan entityMulitple employer plan
2009-11-01Submission has been amendedYes
2009-11-01This submission is the final filingNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes
2008: ST CAMILLUS GROUP HEALTH INSURANCE 2008 form 5500 responses
2008-11-01Type of plan entityMulti-employer plan
2008-11-01This submission is the final filingNo
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract numberCLPALLMRP03544
Policy instance 1
Insurance contract or identification numberCLPALLMRP03544
Number of Individuals Covered214
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $79,409
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,055
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract numberCLPALLMRP03544
Policy instance 1
Insurance contract or identification numberCLPALLMRP03544
Number of Individuals Covered249
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $86,341
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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