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| Plan Name | PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PENN ASIAN SENIOR SERVICES, INC. |
| Employer identification number (EIN): | 202643138 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-09-01 | ||||
| 501 | 2021-09-01 | ||||
| 501 | 2020-09-01 | ||||
| 501 | 2019-09-01 | KEN YANG | 2021-03-19 |
| Measure | Date | Value |
|---|---|---|
| 2022: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-09-01 | 154 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-09-01 | 154 |
| Total of all active and inactive participants | 2022-09-01 | 154 |
| Total participants | 2022-09-01 | 154 |
| 2021: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-09-01 | 249 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 249 |
| Number of retired or separated participants receiving benefits | 2021-09-01 | 0 |
| Total of all active and inactive participants | 2021-09-01 | 249 |
| Total participants | 2021-09-01 | 249 |
| 2020: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-09-01 | 218 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 218 |
| Number of retired or separated participants receiving benefits | 2020-09-01 | 0 |
| Total of all active and inactive participants | 2020-09-01 | 218 |
| Total participants | 2020-09-01 | 218 |
| 2019: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-09-01 | 284 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 284 |
| Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 284 |
| 2022: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Submission has been amended | No |
| 2022-09-01 | This submission is the final filing | No |
| 2022-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-09-01 | Plan is a collectively bargained plan | No |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2021 form 5500 responses | ||
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | Submission has been amended | No |
| 2021-09-01 | This submission is the final filing | No |
| 2021-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-09-01 | Plan is a collectively bargained plan | No |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2020 form 5500 responses | ||
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Submission has been amended | No |
| 2020-09-01 | This submission is the final filing | No |
| 2020-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-09-01 | Plan is a collectively bargained plan | No |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PENN ASIAN SENIOR SERVICES, INC. MEDICAL BENEFITS PLAN 2019 form 5500 responses | ||
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | First time form 5500 has been submitted | Yes |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | STE1050-2022R4 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | STE1055-2021R3 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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| EXCESS REINSURANCE (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | STE1068-2020R2 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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