EVERGREEN HOMES, INC. has sponsored the creation of one or more 401k plans.
Additional information about EVERGREEN HOMES, INC.
Submission information for form 5500 for 401k plan EVERGREEN HOMES, INC. HEALTH PLAN
401k plan membership statisitcs for EVERGREEN HOMES, INC. HEALTH PLAN
| Measure | Date | Value |
|---|
| 2022: EVERGREEN HOMES, INC. HEALTH PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 135 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
| Total of all active and inactive participants | 2022-07-01 | 135 |
| 2021: EVERGREEN HOMES, INC. HEALTH PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-07-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 124 |
| Number of retired or separated participants receiving benefits | 2021-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
| Total of all active and inactive participants | 2021-07-01 | 124 |
| 2020: EVERGREEN HOMES, INC. HEALTH PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-07-01 | 119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 124 |
| Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
| Total of all active and inactive participants | 2020-07-01 | 124 |
| Measure | Date | Value |
|---|
| 2023 : EVERGREEN HOMES, INC. HEALTH PLAN 2023 401k financial data |
|---|
| Total income from all sources | 2023-06-30 | $0 |
| Total plan assets at end of year | 2023-06-30 | $0 |
| Total plan assets at beginning of year | 2023-06-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2023-06-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-06-30 | $0 |
| 2022 : EVERGREEN HOMES, INC. HEALTH PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-06-30 | $0 |
| Total plan assets at end of year | 2022-06-30 | $0 |
| Total plan assets at beginning of year | 2022-06-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2022-06-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-06-30 | $0 |
| 2021 : EVERGREEN HOMES, INC. HEALTH PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-06-30 | $0 |
| Total plan assets at end of year | 2021-06-30 | $0 |
| Total plan assets at beginning of year | 2021-06-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2021-06-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-06-30 | $0 |
| UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 ) |
| Policy contract number | 015175801 |
| Policy instance | 1 |
| Insurance contract or identification number | 015175801 | | Number of Individuals Covered | 135 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $32,254 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,089,167 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,254 | | Insurance broker organization code? | 3 |
|
| UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 ) |
| Policy contract number | 015175NN0 |
| Policy instance | 2 |
| Insurance contract or identification number | 015175NN0 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | Total amount of commissions paid to insurance broker | USD $4,303 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,748 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,303 | | Insurance broker organization code? | 3 |
|
| UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 ) |
| Policy contract number | 015175801 |
| Policy instance | 1 |
| Insurance contract or identification number | 015175801 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $30,247 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,010,322 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30,247 | | Insurance broker organization code? | 3 |
|
| UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 ) |
| Policy contract number | 015175NN0 |
| Policy instance | 2 |
| Insurance contract or identification number | 015175NN0 | | Number of Individuals Covered | 117 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $4,107 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $43,661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,107 | | Insurance broker organization code? | 3 |
|
| UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 ) |
| Policy contract number | 015175801 |
| Policy instance | 1 |
| Insurance contract or identification number | 015175801 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $29,014 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $970,182 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,398 | | Insurance broker organization code? | 3 |
|
| UPMC HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 11018 ) |
| Policy contract number | 015175NN0 |
| Policy instance | 2 |
| Insurance contract or identification number | 015175NN0 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $4,140 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $43,933 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,456 | | Insurance broker organization code? | 3 |
|
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