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WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 401k Plan overview

Plan NameWATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC
Plan identification number 501

WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC Benefits

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

401k Sponsoring company profile

WATERVIEW HILLS REHABILITATION AND HEALTH CARE has sponsored the creation of one or more 401k plans.

Company Name:WATERVIEW HILLS REHABILITATION AND HEALTH CARE
Employer identification number (EIN):203497872
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01LIZER JOZEFOVIC2023-10-02
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01LIZER JOZEFOVIC
5012015-12-01LIZER JOZEFOVIC
5012014-12-01LIZER JOZEFOVIC
5012013-12-01LIZER JOZEFOVIC
5012013-12-01
5012012-12-01LIZER JOZEFOVIC
5012011-12-01LIZER JOZEFOVIC
5012010-12-01LIZER JOZEFOVIC

Plan Statistics for WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC

401k plan membership statisitcs for WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC

Measure Date Value
2021: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2021 401k membership
Total participants, beginning-of-year2021-12-0163
Total number of active participants reported on line 7a of the Form 55002021-12-0165
Total of all active and inactive participants2021-12-0165
Total participants2021-12-0165
2020: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2020 401k membership
Total participants, beginning-of-year2020-12-0148
Total number of active participants reported on line 7a of the Form 55002020-12-0163
Total of all active and inactive participants2020-12-0163
Total participants2020-12-0163
2019: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2019 401k membership
Total participants, beginning-of-year2019-12-0163
Total number of active participants reported on line 7a of the Form 55002019-12-0148
Total of all active and inactive participants2019-12-0148
Total participants2019-12-0148
2018: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2018 401k membership
Total participants, beginning-of-year2018-12-01177
Total number of active participants reported on line 7a of the Form 55002018-12-0163
Total of all active and inactive participants2018-12-0163
Total participants2018-12-0163
2017: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2017 401k membership
Total participants, beginning-of-year2017-12-01152
Total number of active participants reported on line 7a of the Form 55002017-12-01177
Total of all active and inactive participants2017-12-01177
Total participants2017-12-01177
2016: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2016 401k membership
Total participants, beginning-of-year2016-12-01195
Total number of active participants reported on line 7a of the Form 55002016-12-01152
Total of all active and inactive participants2016-12-01152
Total participants2016-12-01152
2015: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2015 401k membership
Total participants, beginning-of-year2015-12-01114
Total number of active participants reported on line 7a of the Form 55002015-12-01195
Total of all active and inactive participants2015-12-01195
Total participants2015-12-01195
2014: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2014 401k membership
Total participants, beginning-of-year2014-12-01148
Total number of active participants reported on line 7a of the Form 55002014-12-01114
Total of all active and inactive participants2014-12-01114
Total participants2014-12-01114
2013: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2013 401k membership
Total participants, beginning-of-year2013-12-01157
Total number of active participants reported on line 7a of the Form 55002013-12-01148
Total of all active and inactive participants2013-12-01148
Total participants2013-12-01148
2012: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2012 401k membership
Total participants, beginning-of-year2012-12-01206
Total number of active participants reported on line 7a of the Form 55002012-12-01157
Total of all active and inactive participants2012-12-01157
Total participants2012-12-01157
2011: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2011 401k membership
Total participants, beginning-of-year2011-12-01187
Total number of active participants reported on line 7a of the Form 55002011-12-01206
Total of all active and inactive participants2011-12-01206
Total participants2011-12-01206
2010: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2010 401k membership
Total participants, beginning-of-year2010-12-010
Total number of active participants reported on line 7a of the Form 55002010-12-01187
Total of all active and inactive participants2010-12-01187
Total participants2010-12-01187

Form 5500 Responses for WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC

2021: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedYes
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedYes
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedYes
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01First time form 5500 has been submittedYes
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Number of Individuals Covered3
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Number of Individuals Covered4
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $38
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,129
Commission paid to Insurance BrokerUSD $32
ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Total amount of commissions paid to insurance brokerUSD $253
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $157
ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Number of Individuals Covered17
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $526
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $365
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 027330
Policy instance 3
Insurance contract or identification numberGL 027330
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Number of Individuals Covered6
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $587
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,101
Commission paid to Insurance BrokerUSD $400
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 027330
Policy instance 3
Insurance contract or identification numberGL 027330
Number of Individuals Covered177
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $987
Total amount of fees paid to insurance companyUSD $826
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $27,408
Commission paid to Insurance BrokerUSD $987
Amount paid for insurance broker fees826
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00420496
Policy instance 5
Insurance contract or identification number00420496
Number of Individuals Covered157
Insurance policy start date2017-12-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $10,941
Total amount of fees paid to insurance companyUSD $3,784
Dental Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $10,941
Amount paid for insurance broker fees3784
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00420496
Policy instance 5
Insurance contract or identification number00420496
Number of Individuals Covered152
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $13,314
Total amount of fees paid to insurance companyUSD $3,888
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,947
Commission paid to Insurance BrokerUSD $13,314
Amount paid for insurance broker fees3888
Insurance broker namePROFESSIONAL GROUP PLANS
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 027330
Policy instance 3
Insurance contract or identification numberGL 027330
Number of Individuals Covered101
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $1,344
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $34,376
Commission paid to Insurance BrokerUSD $1,344
Insurance broker namePROFESSIONAL GROUP PLANS
ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Number of Individuals Covered2
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $4,850
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $449
Insurance broker nameEDDY A SLOSHOWER
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 027330
Policy instance 5
Insurance contract or identification numberGL 027330
Number of Individuals Covered79
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $180
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,797
Commission paid to Insurance BrokerUSD $180
Insurance broker namePROFESSIONAL GROUP PLANS INC
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 027330
Policy instance 4
Insurance contract or identification numberGL 027330
Number of Individuals Covered114
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $558
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $11,600
Commission paid to Insurance BrokerUSD $558
Insurance broker namePROFESSIONAL GROUP PLANS
ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 3
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $214
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,458
Commission paid to Insurance BrokerUSD $202
Insurance broker nameEDWARD TAYLOR
ALLSTATE LIFE INSURANCE CO. OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract numberNG470
Policy instance 1
Insurance contract or identification numberNG470
Number of Individuals Covered7
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $459
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,757
Commission paid to Insurance BrokerUSD $433
Insurance broker nameEDWARD TAYLOR
ALLSTATE LIFE INSURANCE CO. OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70874 )
Policy contract number
Policy instance 2
Number of Individuals Covered60
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,098
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,227
Commission paid to Insurance BrokerUSD $1,036
Insurance broker nameEDWARD TAYLOR
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00420496
Policy instance 1
Insurance contract or identification number00420496
Number of Individuals Covered148
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $11,141
Total amount of fees paid to insurance companyUSD $4,479
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,841
Commission paid to Insurance BrokerUSD $11,141
Amount paid for insurance broker fees4479
Insurance broker namePROFESSIONAL GROUP PLANS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00420496
Policy instance 1
Insurance contract or identification number00420496
Number of Individuals Covered157
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $12,872
Total amount of fees paid to insurance companyUSD $4,421
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,268
Commission paid to Insurance BrokerUSD $12,872
Amount paid for insurance broker fees4421
Insurance broker namePROFESSIONAL GROUP PLANS
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberWA9559
Policy instance 4
Insurance contract or identification numberWA9559
Number of Individuals Covered410
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $87,839
Total amount of fees paid to insurance companyUSD $30,016
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,381,234
Commission paid to Insurance BrokerUSD $87,839
Amount paid for insurance broker fees30016
Insurance broker nameZEV WYLER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00420496
Policy instance 1
Insurance contract or identification number00420496
Number of Individuals Covered153
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $10,826
Total amount of fees paid to insurance companyUSD $3,535
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,214
Commission paid to Insurance BrokerUSD $10,826
Amount paid for insurance broker fees3535
Insurance broker namePROFESSIONAL GROUP PLANS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number
Policy instance 1
Number of Individuals Covered142
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $9,951
Total amount of fees paid to insurance companyUSD $2,883
Welfare Benefit Premiums Paid to CarrierUSD $82,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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