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AFFORDABLE HOME HEALTH VISION 401k Plan overview

Plan NameAFFORDABLE HOME HEALTH VISION
Plan identification number 503

AFFORDABLE HOME HEALTH VISION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

AFFORDABLE HOME HEALTH CARELLC has sponsored the creation of one or more 401k plans.

Company Name:AFFORDABLE HOME HEALTH CARELLC
Employer identification number (EIN):204300403
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AFFORDABLE HOME HEALTH VISION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01AARON ALBRECHT2024-06-26
5032022-01-01CYNTHIA H. MERCER2023-07-05
5032021-01-01DENNIS SWEARINGEN2022-10-04

Plan Statistics for AFFORDABLE HOME HEALTH VISION

401k plan membership statisitcs for AFFORDABLE HOME HEALTH VISION

Measure Date Value
2023: AFFORDABLE HOME HEALTH VISION 2023 401k membership
Total participants, beginning-of-year2023-01-01194
Total number of active participants reported on line 7a of the Form 55002023-01-01186
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01186
Number of employers contributing to the scheme2023-01-010
2022: AFFORDABLE HOME HEALTH VISION 2022 401k membership
Total participants, beginning-of-year2022-01-01147
Total number of active participants reported on line 7a of the Form 55002022-01-01194
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01194
Number of employers contributing to the scheme2022-01-010
2021: AFFORDABLE HOME HEALTH VISION 2021 401k membership
Total participants, beginning-of-year2021-01-01100
Total number of active participants reported on line 7a of the Form 55002021-01-01147
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01147
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for AFFORDABLE HOME HEALTH VISION

2023: AFFORDABLE HOME HEALTH VISION 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: AFFORDABLE HOME HEALTH VISION 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: AFFORDABLE HOME HEALTH VISION 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLLV0C2MF
Policy instance 1
Insurance contract or identification numberGLLV0C2MF
Number of Individuals Covered186
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,817
Total amount of fees paid to insurance companyUSD $798
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLLV0C2MF
Policy instance 1
Insurance contract or identification numberGLLV0C2MF
Number of Individuals Covered194
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,698
Total amount of fees paid to insurance companyUSD $638
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,698
Amount paid for insurance broker fees638
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30095320
Policy instance 1
Insurance contract or identification number30095320
Number of Individuals Covered147
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $854
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $854
Amount paid for insurance broker fees0
Insurance broker organization code?3

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