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A SECOND CHANCE, INC. HEALTH/VISION PLAN 401k Plan overview

Plan NameA SECOND CHANCE, INC. HEALTH/VISION PLAN
Plan identification number 501

A SECOND CHANCE, INC. HEALTH/VISION PLAN Benefits

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

401k Sponsoring company profile

A SECOND CHANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name:A SECOND CHANCE, INC.
Employer identification number (EIN):251729710
NAIC Classification:921000

Additional information about A SECOND CHANCE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2016-06-27
Company Identification Number: 0802495414
Legal Registered Office Address: 8350 FRANKSTOWN AVE

PITTSBURGH
United States of America (USA)
15221

More information about A SECOND CHANCE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A SECOND CHANCE, INC. HEALTH/VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01LINDSEY WHITE2023-05-10 LINDSEY WHITE2023-05-10
5012020-08-01LINDSEY WHITE2022-05-04 LINDSEY WHITE2022-05-04
5012019-08-01LINDSEY WHITE2021-04-01 LINDSEY WHITE2021-04-01
5012018-08-01LINDSEY WHITE2020-05-15 LINDSEY WHITE2020-05-15
5012017-08-01JASON MILLER2019-05-02 DR. SHARON MCDANIEL2019-05-02
5012016-08-01
5012015-08-01
5012014-08-01BRYAN ULISHNEY
5012013-08-01
5012012-08-01BRYAN ULISHNEY
5012011-08-01BRYAN ULISHNEY
5012009-08-01BRYAN ULISHNEY

Plan Statistics for A SECOND CHANCE, INC. HEALTH/VISION PLAN

401k plan membership statisitcs for A SECOND CHANCE, INC. HEALTH/VISION PLAN

Measure Date Value
2021: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01161
Total number of active participants reported on line 7a of the Form 55002021-08-01200
Total of all active and inactive participants2021-08-01200
2020: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01196
Total number of active participants reported on line 7a of the Form 55002020-08-01161
Total of all active and inactive participants2020-08-01161
2019: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01164
Total number of active participants reported on line 7a of the Form 55002019-08-01196
Total of all active and inactive participants2019-08-01196
2018: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01164
Total number of active participants reported on line 7a of the Form 55002018-08-01164
Total of all active and inactive participants2018-08-01164
2017: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01150
Total number of active participants reported on line 7a of the Form 55002017-08-01164
Total of all active and inactive participants2017-08-01164
2016: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01132
Total number of active participants reported on line 7a of the Form 55002016-08-01150
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01150
2015: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01132
Total number of active participants reported on line 7a of the Form 55002015-08-01132
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01132
2014: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01151
Total number of active participants reported on line 7a of the Form 55002014-08-01147
Number of retired or separated participants receiving benefits2014-08-013
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01150
2013: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01131
Total number of active participants reported on line 7a of the Form 55002013-08-01143
Number of retired or separated participants receiving benefits2013-08-010
Total of all active and inactive participants2013-08-01143
2012: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01112
Total number of active participants reported on line 7a of the Form 55002012-08-01122
Number of retired or separated participants receiving benefits2012-08-011
Total of all active and inactive participants2012-08-01123
2011: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01124
Total number of active participants reported on line 7a of the Form 55002011-08-01123
Total of all active and inactive participants2011-08-01123
2009: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01139
Total number of active participants reported on line 7a of the Form 55002009-08-01143
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-01143
Total participants2009-08-01143

Form 5500 Responses for A SECOND CHANCE, INC. HEALTH/VISION PLAN

2021: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2009: A SECOND CHANCE, INC. HEALTH/VISION PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2494
Policy instance 2
Insurance contract or identification number2494
Number of Individuals Covered152
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $796
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $796
Insurance broker organization code?3
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number104133-91
Policy instance 1
Insurance contract or identification number104133-91
Number of Individuals Covered200
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $51,451
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,429,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,451
Insurance broker organization code?3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2494
Policy instance 2
Insurance contract or identification number2494
Number of Individuals Covered175
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $441
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $441
Insurance broker organization code?3
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number104133-91
Policy instance 1
Insurance contract or identification number104133-91
Number of Individuals Covered234
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $55,908
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,367,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,331
Insurance broker organization code?3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2494
Policy instance 2
Insurance contract or identification number2494
Number of Individuals Covered196
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $886
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $886
Insurance broker organization code?3
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number104133-91
Policy instance 1
Insurance contract or identification number104133-91
Number of Individuals Covered250
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $60,380
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,665,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,380
Insurance broker organization code?3
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01761695
Policy instance 1
Insurance contract or identification number01761695
Number of Individuals Covered228
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $57,052
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,534,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61
Insurance broker organization code?3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2494
Policy instance 2
Insurance contract or identification number2494
Number of Individuals Covered184
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $488
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $488
Insurance broker organization code?3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2494
Policy instance 2
Insurance contract or identification number2494
Number of Individuals Covered164
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $771
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number01761695
Policy instance 1
Insurance contract or identification number01761695
Number of Individuals Covered223
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $39,924
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,343,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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