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TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

TEAM SELECT HOLDING, LLC has sponsored the creation of one or more 401k plans.

Company Name:TEAM SELECT HOLDING, LLC
Employer identification number (EIN):201407867
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-12-01JENNIFER FRANKITO2020-05-29
5012017-12-01JENNIFER FRANKITO2019-06-28
5012016-12-01RICHARD EDEN
5012015-12-01JENNIFER FRANKITO

Plan Statistics for TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2018: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01272
Total number of active participants reported on line 7a of the Form 55002018-12-01504
Number of retired or separated participants receiving benefits2018-12-014
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01508
Number of employers contributing to the scheme2018-12-010
2017: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01264
Total number of active participants reported on line 7a of the Form 55002017-12-01393
Number of retired or separated participants receiving benefits2017-12-017
Number of other retired or separated participants entitled to future benefits2017-12-017
Total of all active and inactive participants2017-12-01407
Number of employers contributing to the scheme2017-12-010
2016: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01305
Total number of active participants reported on line 7a of the Form 55002016-12-01264
Number of retired or separated participants receiving benefits2016-12-018
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01272
2015: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01488
Total number of active participants reported on line 7a of the Form 55002015-12-01305
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01305

Form 5500 Responses for TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN

2018: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: TEAM SELECT HOME CARE HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01First time form 5500 has been submittedYes
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BANKERS FIDELITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61239 )
Policy contract numberW5175
Policy instance 1
Insurance contract or identification numberW5175
Number of Individuals Covered203
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $34,410
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $72,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,410
Amount paid for insurance broker fees0
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX968755
Policy instance 2
Insurance contract or identification numberFLX968755
Number of Individuals Covered504
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $12,480
Total amount of fees paid to insurance companyUSD $4,056
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $83,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,480
Amount paid for insurance broker fees4056
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5478298
Policy instance 1
Insurance contract or identification number5478298
Number of Individuals Covered268
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $17,259
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $140,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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