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SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 401k Plan overview

Plan NameSCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN
Plan identification number 501

SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

FOURSQUARE HEALTHCARE,LTD. (FKA SCC HEALTHCARE GROUP, LTD.) has sponsored the creation of one or more 401k plans.

Company Name:FOURSQUARE HEALTHCARE,LTD. (FKA SCC HEALTHCARE GROUP, LTD.)
Employer identification number (EIN):264219383
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01KOLBY CLARK2024-02-22 KOLBY CLARK2024-02-22
5012021-06-01ADOLFO QUIROZ2023-02-08
5012020-06-01ADOLFO QUIROZ2022-03-14 ADOLFO QUIROZ2022-03-14
5012019-06-01ADOLFO QUIROZ2021-03-10 ADOLFO QUIROZ2021-03-10
5012017-06-01
5012016-06-01PAIGE BUBLIK PAIGE BUBLIK2018-01-03
5012015-06-01PAIGE BUBLIK PAIGE BUBLIK2017-01-31
5012014-06-01ADOLFO QUIROZ ADOLFO QUIROZ2016-01-28
5012013-06-01ADOLFO QUIROZ ADOLFO QUIROZ2015-01-15
5012013-01-01ADOLFO QUIROZ ADOLFO QUIROZ2014-03-07
5012012-01-01ADOLFO QUIROZ ADOLFO QUIROZ2013-07-03
5012011-01-01ADOLFO QUIROZ ADOLFO QUIROZ2012-08-15
5012010-01-01ADOLFO QUIROZ ADOLFO QUIROZ2011-10-05

Plan Statistics for SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN

401k plan membership statisitcs for SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN

Measure Date Value
2022: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01350
Total number of active participants reported on line 7a of the Form 55002022-06-01751
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01751
2021: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01410
Total number of active participants reported on line 7a of the Form 55002021-06-01350
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01350
2020: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01424
Total number of active participants reported on line 7a of the Form 55002020-06-01410
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01410
2019: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01289
Total number of active participants reported on line 7a of the Form 55002019-06-01424
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01424
2017: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-01263
Total number of active participants reported on line 7a of the Form 55002017-06-01266
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01266
2016: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01296
Total number of active participants reported on line 7a of the Form 55002016-06-01263
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01263
2015: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01199
Total number of active participants reported on line 7a of the Form 55002015-06-01296
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01296
2014: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01271
Total number of active participants reported on line 7a of the Form 55002014-06-01349
Total of all active and inactive participants2014-06-01349
2013: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01239
Total number of active participants reported on line 7a of the Form 55002013-06-01271
Total of all active and inactive participants2013-06-01271
Total participants, beginning-of-year2013-01-01247
Total number of active participants reported on line 7a of the Form 55002013-01-01239
Total of all active and inactive participants2013-01-01239
2012: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01214
Total number of active participants reported on line 7a of the Form 55002012-01-01247
Total of all active and inactive participants2012-01-01247
2011: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01252
Total number of active participants reported on line 7a of the Form 55002011-01-01214
Total of all active and inactive participants2011-01-01214
2010: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01219
Total number of active participants reported on line 7a of the Form 55002010-01-01252
Total of all active and inactive participants2010-01-01252

Form 5500 Responses for SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN

2022: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes
2021: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – General assets of the sponsorYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – General assets of the sponsorYes
2020: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2019: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – General assets of the sponsorYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – General assets of the sponsorYes
2013-01-01Type of plan entitySingle employer plan
2013-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: SCC HEALTHCARE GROUP LTD. HEALTH BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962132
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962133
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968872
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967354
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967354
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968872
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962133
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962132
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962132
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962133
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968872
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967354
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX967354
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968872
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962133
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT962132
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 5
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01846
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01846
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01846
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01846
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01846
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number01846
Policy instance 1

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