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JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameJBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN
Plan identification number 502

JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

JBF HEALTHCARE MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:JBF HEALTHCARE MANAGEMENT, INC.
Employer identification number (EIN):465628454
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about JBF HEALTHCARE MANAGEMENT, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2014-04-28
Company Identification Number: P14000037622
Legal Registered Office Address: 1200 SOUTH PINE ISLAND ROAD

PLANTATION

33324

More information about JBF HEALTHCARE MANAGEMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-03-01JEFF BARNHILL2021-08-16
5022018-03-01JEFF BARNHILL2021-08-16
5022017-03-01JEFF BARNHILL2021-08-16
5022016-03-01
5022015-03-01

Plan Statistics for JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2019: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01110
Total number of active participants reported on line 7a of the Form 55002019-03-0181
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-0181
Number of employers contributing to the scheme2019-03-010
2018: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01116
Total number of active participants reported on line 7a of the Form 55002018-03-01122
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01122
Number of employers contributing to the scheme2018-03-010
2017: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01162
Total number of active participants reported on line 7a of the Form 55002017-03-01109
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01109
Number of employers contributing to the scheme2017-03-010
2016: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01165
Total number of active participants reported on line 7a of the Form 55002016-03-01162
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01162
2015: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01171
Total number of active participants reported on line 7a of the Form 55002015-03-01165
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01165

Form 5500 Responses for JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN

2019: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-03-01Type of plan entityMulitple employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan funding arrangement – General assets of the sponsorYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – General assets of the sponsorYes
2018: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-03-01Type of plan entityMulitple employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – General assets of the sponsorYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – General assets of the sponsorYes
2017: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-03-01Type of plan entityMulitple employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-03-01Type of plan entityMulitple employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: JBF HEALTHCARE MANAGEMENT, INC. HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-03-01Type of plan entityMulitple employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number3362 ET AL
Policy instance 1
Insurance contract or identification number3362 ET AL
Number of Individuals Covered113
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $3,020
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,920
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30013619
Policy instance 2
Insurance contract or identification number30013619
Number of Individuals Covered72
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $656
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $526
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number3362 ET AL
Policy instance 1
Insurance contract or identification number3362 ET AL
Number of Individuals Covered148
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $2,791
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,628
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30013619
Policy instance 2
Insurance contract or identification number30013619
Number of Individuals Covered89
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $755
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $515
Amount paid for insurance broker fees0
Insurance broker organization code?3
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number141230102033
Policy instance 1
Insurance contract or identification number141230102033
Number of Individuals Covered99
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $18,718
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $588,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,718
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL OF RHODE ISLAND (National Association of Insurance Commissioners NAIC id number: 55301 )
Policy contract number3362 ET AL
Policy instance 2
Insurance contract or identification number3362 ET AL
Number of Individuals Covered160
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $2,833
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,833
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30013619
Policy instance 3
Insurance contract or identification number30013619
Number of Individuals Covered97
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $792
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $792
Amount paid for insurance broker fees0
Insurance broker organization code?3
TUFTS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60117 )
Policy contract number141230102033
Policy instance 4
Insurance contract or identification number141230102033
Number of Individuals Covered23
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $6,278
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,278
Amount paid for insurance broker fees0
Insurance broker organization code?3

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