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JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 401k Plan overview

Plan NameJEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME
Plan identification number 510

JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME Benefits

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

401k Sponsoring company profile

THE ARC JEFFERSON - ST. LAWRENCE has sponsored the creation of one or more 401k plans.

Company Name:THE ARC JEFFERSON - ST. LAWRENCE
Employer identification number (EIN):161134631
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about THE ARC JEFFERSON - ST. LAWRENCE

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1979-10-16
Company Identification Number: 587668
Legal Registered Office Address: GAFFNEY DR
Jefferson
WATERTOWN
United States of America (USA)
13601

More information about THE ARC JEFFERSON - ST. LAWRENCE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102022-01-01
5102021-01-01
5102020-01-01
5102019-01-01
5102018-01-01
5102017-01-01JILL A. ALLEN JILL A. ALLEN2018-10-02
5102016-01-01JILL A. ALLEN JILL A. ALLEN2017-10-11
5102015-01-01JILL A. ALLEN JILL A. ALLEN2016-10-11
5102014-01-01JILL A. ALLEN JILL A. ALLEN2015-10-07
5102013-01-01JILL A. ALLEN JILL A. ALLEN2014-08-07
5102012-01-01JILL A. ALLEN JILL A. ALLEN2013-10-11
5102011-01-01HOWARD W. GANTER HOWARD W. GANTER2012-10-15
5102010-01-01HOWARD W. GANTER HOWARD W. GANTER2011-10-07

Plan Statistics for JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME

401k plan membership statisitcs for JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME

Measure Date Value
2022: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2022 401k membership
Total participants, beginning-of-year2022-01-01391
Total number of active participants reported on line 7a of the Form 55002022-01-01472
Total of all active and inactive participants2022-01-01472
2021: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2021 401k membership
Total participants, beginning-of-year2021-01-01439
Total number of active participants reported on line 7a of the Form 55002021-01-01391
Total of all active and inactive participants2021-01-01391
2020: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2020 401k membership
Total participants, beginning-of-year2020-01-01471
Total number of active participants reported on line 7a of the Form 55002020-01-01439
Total of all active and inactive participants2020-01-01439
2019: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2019 401k membership
Total participants, beginning-of-year2019-01-01471
Total number of active participants reported on line 7a of the Form 55002019-01-01490
Total of all active and inactive participants2019-01-01490
2018: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2018 401k membership
Total participants, beginning-of-year2018-01-01423
Total number of active participants reported on line 7a of the Form 55002018-01-01471
Total of all active and inactive participants2018-01-01471
2017: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2017 401k membership
Total participants, beginning-of-year2017-01-01418
Total number of active participants reported on line 7a of the Form 55002017-01-01423
Total of all active and inactive participants2017-01-01423
2016: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2016 401k membership
Total participants, beginning-of-year2016-01-01554
Total number of active participants reported on line 7a of the Form 55002016-01-01418
Total of all active and inactive participants2016-01-01418
2015: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2015 401k membership
Total participants, beginning-of-year2015-01-01587
Total number of active participants reported on line 7a of the Form 55002015-01-01554
Total of all active and inactive participants2015-01-01554
2014: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2014 401k membership
Total participants, beginning-of-year2014-01-01413
Total number of active participants reported on line 7a of the Form 55002014-01-01587
Total of all active and inactive participants2014-01-01587
2013: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2013 401k membership
Total participants, beginning-of-year2013-01-01428
Total number of active participants reported on line 7a of the Form 55002013-01-01413
Total of all active and inactive participants2013-01-01413
2012: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2012 401k membership
Total participants, beginning-of-year2012-01-01503
Total number of active participants reported on line 7a of the Form 55002012-01-01432
Total of all active and inactive participants2012-01-01432
2011: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2011 401k membership
Total participants, beginning-of-year2011-01-01434
Total number of active participants reported on line 7a of the Form 55002011-01-01355
Total of all active and inactive participants2011-01-01355
2010: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2010 401k membership
Total participants, beginning-of-year2010-01-01497
Total number of active participants reported on line 7a of the Form 55002010-01-01518
Total of all active and inactive participants2010-01-01518

Form 5500 Responses for JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME

2022: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: JEFFERSON REHABILITATION CENTER HEALTH REIMBURSEME 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract numberHRA
Policy instance 1
Insurance contract or identification numberHRA
Number of Individuals Covered471
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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