401k Plan data: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN plan

EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 401k Plan overview

Plan Name	EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN
Plan identification number	502

EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Severance pay Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

EMBLEMHEALTH SERVICES COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: EMBLEMHEALTH SERVICES COMPANY, LLC

Employer identification number (EIN): 261330097

NAIC Classification: 524140

Additional information about EMBLEMHEALTH SERVICES COMPANY, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4311666

More information about EMBLEMHEALTH SERVICES COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2022-01-01 BILL WHITE 2023-07-18
502 2021-01-01 BILL WHITE 2022-07-29
502 2020-01-01 WILLIAM WHITE 2021-07-23
502 2019-01-01 BILL WHITE 2020-07-20
502 2018-01-01 BILL WHITE 2019-08-22
502 2017-01-01 BILL WHITE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2022-01-01	BILL WHITE	2023-07-18
502	2021-01-01	BILL WHITE	2022-07-29
502	2020-01-01	WILLIAM WHITE	2021-07-23
502	2019-01-01	BILL WHITE	2020-07-20
502	2018-01-01	BILL WHITE	2019-08-22
502	2017-01-01	BILL WHITE

Plan Statistics for EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN

401k plan membership statisitcs for EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN

Measure Date Value
2022: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 37
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 37
Number of employers contributing to the scheme 2022-01-01 0
2021: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 233
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 233
Number of employers contributing to the scheme 2021-01-01 0
2020: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,221
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 99
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 99
Number of employers contributing to the scheme 2020-01-01 0
2019: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,221
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,221
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 1,221
Number of employers contributing to the scheme 2019-01-01 0
2018: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,387
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,221
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 1,221
Number of employers contributing to the scheme 2018-01-01 0
2017: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,311
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,221
Number of retired or separated participants receiving benefits 2017-01-01 166
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 1,387

Measure	Date	Value
2022: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	37
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	37
Number of employers contributing to the scheme	2022-01-01	0
2021: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	233
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	233
Number of employers contributing to the scheme	2021-01-01	0
2020: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,221
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	99
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	99
Number of employers contributing to the scheme	2020-01-01	0
2019: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,221
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,221
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	1,221
Number of employers contributing to the scheme	2019-01-01	0
2018: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,387
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,221
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	1,221
Number of employers contributing to the scheme	2018-01-01	0
2017: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,311
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,221
Number of retired or separated participants receiving benefits	2017-01-01	166
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	1,387

Form 5500 Responses for EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN

2022: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: EMBLEMHEALTH SERVICES COMPANY, LLC SEVERANCE PAY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	EMBLEMHEALTH SERVICES COMPANY, LLC
Employer identification number (EIN):	261330097
NAIC Classification:	524140

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4311666