KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHAB AND NURSING has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN
401k plan membership statisitcs for KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2023: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 140 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 140 |
| Total of all active and inactive participants | 2023-01-01 | 140 |
| 2022: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 136 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 140 |
| Total of all active and inactive participants | 2022-01-01 | 140 |
| 2021: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 136 |
| Total of all active and inactive participants | 2021-01-01 | 136 |
| 2020: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 124 |
| Total of all active and inactive participants | 2020-01-01 | 124 |
| 2023: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: KENNEDY PAVILION RH LLC DBA PAVILION AT QUEENS REHABILITATION AND NURSING MEDICAL PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Submission has been amended | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 520807803 |
| Policy instance | 2 |
| Insurance contract or identification number | 520807803 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $54,365 | | Total amount of fees paid to insurance company | USD $2,725 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $302,787 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 000JPV834 |
| Policy instance | 1 |
| Insurance contract or identification number | 000JPV834 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of fees paid to insurance company | USD $152,127 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 520807803 |
| Policy instance | 2 |
| Insurance contract or identification number | 520807803 | | Number of Individuals Covered | 140 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $54,095 | | Total amount of fees paid to insurance company | USD $1,901 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $268,163 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 000JPV834 |
| Policy instance | 1 |
| Insurance contract or identification number | 000JPV834 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of fees paid to insurance company | USD $155,912 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 000JPV834 |
| Policy instance | 1 |
| AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 520807803 |
| Policy instance | 2 |
| AMERICAN FAMILY LIFE INSURANCE COMPANY OF COLUMBUS (National Association of Insurance Commissioners NAIC id number: 60380 ) |
| Policy contract number | 520807803 |
| Policy instance | 4 |
| WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 ) |
| Policy contract number | ESL110006303 |
| Policy instance | 3 |
| WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 ) |
| Policy contract number | ESL600001203 |
| Policy instance | 2 |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 000JPV834 |
| Policy instance | 1 |
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