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CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN 401k Plan overview

Plan NameCROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN
Plan identification number 501

CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN Benefits

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

401k Sponsoring company profile

CROWN OF LIFE CARE NY, LLC has sponsored the creation of one or more 401k plans.

Company Name:CROWN OF LIFE CARE NY, LLC
Employer identification number (EIN):463942588
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about CROWN OF LIFE CARE NY, LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2013-10-23
Company Identification Number: 4476709
Legal Registered Office Address: 1368 60TH ST.
Kings
BROOKLYN
United States of America (USA)
11219

More information about CROWN OF LIFE CARE NY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-04-01
5012019-04-01
5012018-04-01
5012017-04-01CHRISTIAN TENEN
5012016-04-01CHRISTIAN TENEN
5012016-02-01CHRISTIAN TENEN

Form 5500 Responses for CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN

2020: CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01This submission is the final filingYes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: CROWN OF LIFE CARE NY, LLC PREVENTIVE CARE MEDICAL PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2016-02-01Type of plan entitySingle employer plan
2016-02-01First time form 5500 has been submittedYes
2016-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-02-01Plan funding arrangement – General assets of the sponsorYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000007 03
Policy instance 1
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000007 03
Policy instance 1
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000007 02
Policy instance 1
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000007 01
Policy instance 1
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000033 02
Policy instance 2

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