401k Plan data: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC plan

WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 401k Plan overview

Plan Name	WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC
Plan identification number	501

WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC Benefits

401k Plan Type	Welfare 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 Signed Name of Company Sponsor Date Sponsor Signed
501 2022-12-01
501 2022-12-01 LIZER JOZEFOVIC
501 2021-12-01 LIZER JOZEFOVIC 2023-10-02
501 2020-12-01
501 2020-12-01 LIZER JOZEFOVIC
501 2019-12-01
501 2018-12-01
501 2016-12-01 LIZER JOZEFOVIC
501 2015-12-01 LIZER JOZEFOVIC
501 2014-12-01 LIZER JOZEFOVIC
501 2013-12-01 LIZER JOZEFOVIC
501 2013-12-01
501 2012-12-01 LIZER JOZEFOVIC
501 2011-12-01 LIZER JOZEFOVIC
501 2010-12-01 LIZER 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
2022: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2022 401k membership
Total participants, beginning-of-year 2022-12-01 65
Total number of active participants reported on line 7a of the Form 5500 2022-12-01 63
Total of all active and inactive participants 2022-12-01 63
Total participants 2022-12-01 63
2021: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2021 401k membership
Total participants, beginning-of-year 2021-12-01 63
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 65
Total of all active and inactive participants 2021-12-01 65
Total participants 2021-12-01 65
2020: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2020 401k membership
Total participants, beginning-of-year 2020-12-01 48
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 63
Total of all active and inactive participants 2020-12-01 63
Total participants 2020-12-01 63
2019: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2019 401k membership
Total participants, beginning-of-year 2019-12-01 63
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 48
Total of all active and inactive participants 2019-12-01 48
Total participants 2019-12-01 48
2018: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2018 401k membership
Total participants, beginning-of-year 2018-12-01 177
Total number of active participants reported on line 7a of the Form 5500 2018-12-01 63
Total of all active and inactive participants 2018-12-01 63
Total participants 2018-12-01 63
2016: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2016 401k membership
Total participants, beginning-of-year 2016-12-01 195
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 152
Total of all active and inactive participants 2016-12-01 152
Total participants 2016-12-01 152
2015: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2015 401k membership
Total participants, beginning-of-year 2015-12-01 114
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 195
Total of all active and inactive participants 2015-12-01 195
Total participants 2015-12-01 195
2014: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2014 401k membership
Total participants, beginning-of-year 2014-12-01 148
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 114
Total of all active and inactive participants 2014-12-01 114
Total participants 2014-12-01 114
2013: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2013 401k membership
Total participants, beginning-of-year 2013-12-01 157
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 148
Total of all active and inactive participants 2013-12-01 148
Total participants 2013-12-01 148
2012: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2012 401k membership
Total participants, beginning-of-year 2012-12-01 206
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 157
Total of all active and inactive participants 2012-12-01 157
Total participants 2012-12-01 157
2011: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2011 401k membership
Total participants, beginning-of-year 2011-12-01 187
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 206
Total of all active and inactive participants 2011-12-01 206
Total participants 2011-12-01 206
2010: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2010 401k membership
Total participants, beginning-of-year 2010-12-01 0
Total number of active participants reported on line 7a of the Form 5500 2010-12-01 187
Total of all active and inactive participants 2010-12-01 187
Total participants 2010-12-01 187

Measure	Date	Value
2022: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2022 401k membership
Total participants, beginning-of-year	2022-12-01	65
Total number of active participants reported on line 7a of the Form 5500	2022-12-01	63
Total of all active and inactive participants	2022-12-01	63
Total participants	2022-12-01	63
2021: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2021 401k membership
Total participants, beginning-of-year	2021-12-01	63
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	65
Total of all active and inactive participants	2021-12-01	65
Total participants	2021-12-01	65
2020: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2020 401k membership
Total participants, beginning-of-year	2020-12-01	48
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	63
Total of all active and inactive participants	2020-12-01	63
Total participants	2020-12-01	63
2019: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2019 401k membership
Total participants, beginning-of-year	2019-12-01	63
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	48
Total of all active and inactive participants	2019-12-01	48
Total participants	2019-12-01	48
2018: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2018 401k membership
Total participants, beginning-of-year	2018-12-01	177
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	63
Total of all active and inactive participants	2018-12-01	63
Total participants	2018-12-01	63
2016: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2016 401k membership
Total participants, beginning-of-year	2016-12-01	195
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	152
Total of all active and inactive participants	2016-12-01	152
Total participants	2016-12-01	152
2015: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2015 401k membership
Total participants, beginning-of-year	2015-12-01	114
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	195
Total of all active and inactive participants	2015-12-01	195
Total participants	2015-12-01	195
2014: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2014 401k membership
Total participants, beginning-of-year	2014-12-01	148
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	114
Total of all active and inactive participants	2014-12-01	114
Total participants	2014-12-01	114
2013: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2013 401k membership
Total participants, beginning-of-year	2013-12-01	157
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	148
Total of all active and inactive participants	2013-12-01	148
Total participants	2013-12-01	148
2012: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2012 401k membership
Total participants, beginning-of-year	2012-12-01	206
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	157
Total of all active and inactive participants	2012-12-01	157
Total participants	2012-12-01	157
2011: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2011 401k membership
Total participants, beginning-of-year	2011-12-01	187
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	206
Total of all active and inactive participants	2011-12-01	206
Total participants	2011-12-01	206
2010: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2010 401k membership
Total participants, beginning-of-year	2010-12-01	0
Total number of active participants reported on line 7a of the Form 5500	2010-12-01	187
Total of all active and inactive participants	2010-12-01	187
Total participants	2010-12-01	187

Form 5500 Responses for WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC

2022: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2022 form 5500 responses
2022-12-01	Type of plan entity	Single employer plan
2022-12-01	Plan funding arrangement – Insurance	Yes
2022-12-01	Plan benefit arrangement – Insurance	Yes
2021: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2020: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2019: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2018: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement – Insurance	Yes
2016: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes
2015: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2014: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2013: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	Yes
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2012: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	Yes
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2011: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	Yes
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2010: WATERVIEW HILLS REHABILITATION AND HEALTH CARE SEC 2010 form 5500 responses
2010-12-01	Type of plan entity	Single employer plan
2010-12-01	First time form 5500 has been submitted	Yes
2010-12-01	Plan funding arrangement – Insurance	Yes
2010-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

Number of Individuals Covered	3
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Health Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL 027330

Policy instance

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00420496

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL 027330

Policy instance

ALLSTATE LIFE INSURANCE CO. OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

NG470

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL 027330

Policy instance

ALLSTATE BENEFITS (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )

Policy contract number

GL 027330

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00420496

Policy instance

ALLSTATE LIFE INSURANCE CO. OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70874 )

Policy contract number

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00420496

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00420496

Policy instance

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 )

Policy contract number

WA9559

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

Policy instance

Potentially related plans

WATERVIEW HILLS & SALEM HILLS REHABILITATION & HEALTH CARE 401(K) PLAN [EIN = 132683227]

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

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-12-01
501	2022-12-01	LIZER JOZEFOVIC
501	2021-12-01	LIZER JOZEFOVIC	2023-10-02
501	2020-12-01
501	2020-12-01	LIZER JOZEFOVIC
501	2019-12-01
501	2018-12-01
501	2016-12-01	LIZER JOZEFOVIC
501	2015-12-01	LIZER JOZEFOVIC
501	2014-12-01	LIZER JOZEFOVIC
501	2013-12-01	LIZER JOZEFOVIC
501	2013-12-01
501	2012-12-01	LIZER JOZEFOVIC
501	2011-12-01	LIZER JOZEFOVIC
501	2010-12-01	LIZER JOZEFOVIC