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LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 401k Plan overview

Plan NameLIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN
Plan identification number 503

LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH has sponsored the creation of one or more 401k plans.

Company Name:LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH
Employer identification number (EIN):200275830
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-04-01KAREN VAHLBERG2019-10-08
5032018-04-01
5032017-04-01
5032016-04-01

Plan Statistics for LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN

401k plan membership statisitcs for LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN

Measure Date Value
2018: LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01118
Total number of active participants reported on line 7a of the Form 55002018-04-01131
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-01131
Number of employers contributing to the scheme2018-04-010
2017: LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-0181
Total number of active participants reported on line 7a of the Form 55002017-04-01109
Number of retired or separated participants receiving benefits2017-04-011
Number of other retired or separated participants entitled to future benefits2017-04-018
Total of all active and inactive participants2017-04-01118
2016: LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01100
Total number of active participants reported on line 7a of the Form 55002016-04-0181
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-0181

Form 5500 Responses for LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN

2018: LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedYes
2018-04-01This submission is the final filingYes
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: LIFECARE OKLAHOMA, INC. DBA LIFESPRING HOME HEALTH VISION PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01First time form 5500 has been submittedYes
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05369216
Policy instance 1
Insurance contract or identification numberTS05369216
Number of Individuals Covered309
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,363
Total amount of fees paid to insurance companyUSD $921
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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 BenefitNo
Dental 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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees733
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05369216
Policy instance 1
Insurance contract or identification numberTS05369216
Number of Individuals Covered301
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,124
Total amount of fees paid to insurance companyUSD $906
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,124
Amount paid for insurance broker fees289
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameLIAZON BENEFITS, INC.

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