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SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 401k Plan overview

Plan NameSALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN
Plan identification number 501

SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

SALUS HEALTHCARE LLC has sponsored the creation of one or more 401k plans.

Company Name:SALUS HEALTHCARE LLC
Employer identification number (EIN):320117305
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about SALUS HEALTHCARE LLC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: 200414310125

More information about SALUS HEALTHCARE LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01MARK MORTENSEN2023-01-03
5012020-08-01MARK MORTENSEN2021-12-06
5012019-08-01MARK MORTENSEN2020-12-14
5012018-08-01MARK MORTENSEN2020-01-31
5012017-08-01
5012016-08-01

Plan Statistics for SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN

401k plan membership statisitcs for SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN

Measure Date Value
2021: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01135
Total number of active participants reported on line 7a of the Form 55002021-08-01106
Number of retired or separated participants receiving benefits2021-08-011
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01107
Number of employers contributing to the scheme2021-08-010
2020: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01135
Total number of active participants reported on line 7a of the Form 55002020-08-01134
Number of retired or separated participants receiving benefits2020-08-011
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01135
Number of employers contributing to the scheme2020-08-010
2019: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01136
Total number of active participants reported on line 7a of the Form 55002019-08-01133
Number of retired or separated participants receiving benefits2019-08-012
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01135
Number of employers contributing to the scheme2019-08-010
2018: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01116
Total number of active participants reported on line 7a of the Form 55002018-08-01129
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01129
Number of employers contributing to the scheme2018-08-010
2017: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01123
Total number of active participants reported on line 7a of the Form 55002017-08-01136
Number of retired or separated participants receiving benefits2017-08-012
Number of other retired or separated participants entitled to future benefits2017-08-012
Total of all active and inactive participants2017-08-01140
Number of employers contributing to the scheme2017-08-010
2016: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01108
Total number of active participants reported on line 7a of the Form 55002016-08-01123
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 participants2016-08-01123

Form 5500 Responses for SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN

2021: SALUS HEALTHCARE, LLC WELFARE BENEFITS 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: SALUS HEALTHCARE, LLC WELFARE BENEFITS 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: SALUS HEALTHCARE, LLC WELFARE BENEFITS 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: SALUS HEALTHCARE, LLC WELFARE BENEFITS 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: SALUS HEALTHCARE, LLC WELFARE BENEFITS 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: SALUS HEALTHCARE, LLC WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number271252
Policy instance 2
Insurance contract or identification number271252
Number of Individuals Covered27
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $6,156
Total amount of fees paid to insurance companyUSD $44
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $100,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,156
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number281853
Policy instance 1
Insurance contract or identification number281853
Number of Individuals Covered203
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $63,446
Total amount of fees paid to insurance companyUSD $2,721
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,061,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,446
Amount paid for insurance broker fees2721
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number271252
Policy instance 2
Insurance contract or identification number271252
Number of Individuals Covered27
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $4,808
Total amount of fees paid to insurance companyUSD $207
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,808
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number281853
Policy instance 1
Insurance contract or identification number281853
Number of Individuals Covered215
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $77,342
Total amount of fees paid to insurance companyUSD $8,504
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,446,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,342
Amount paid for insurance broker fees8504
Insurance broker organization code?3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number281853
Policy instance 1
Insurance contract or identification number281853
Number of Individuals Covered106
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $55,452
Total amount of fees paid to insurance companyUSD $2,039
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,238,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,452
Amount paid for insurance broker fees2039
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number551626
Policy instance 2
Insurance contract or identification number551626
Number of Individuals Covered143
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $12,877
Total amount of fees paid to insurance companyUSD $2,249
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,877
Amount paid for insurance broker fees2249
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number271252
Policy instance 3
Insurance contract or identification number271252
Number of Individuals Covered23
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $5,354
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,354
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number551626
Policy instance 2
Insurance contract or identification number551626
Number of Individuals Covered143
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $12,021
Total amount of fees paid to insurance companyUSD $3,037
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,021
Amount paid for insurance broker fees3037
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number281853
Policy instance 1
Insurance contract or identification number281853
Number of Individuals Covered194
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $50,523
Total amount of fees paid to insurance companyUSD $2,330
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,098,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,523
Amount paid for insurance broker fees2330
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908900
Policy instance 1
Insurance contract or identification number908900
Number of Individuals Covered271
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $58,470
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,106,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,277
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC

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