401k Plan data: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN plan

INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 401k Plan overview

Plan Name	INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN
Plan identification number	501

INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover 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

INTRAHEALTH INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: INTRAHEALTH INTERNATIONAL, INC.

Employer identification number (EIN): 550825466

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-07-01
501 2019-07-01
501 2017-07-01 CHRISTINA MEEKER
501 2016-07-01 CHRISTINA MEEKER
501 2015-07-01 MARYLIN KEATING
501 2014-07-01 MARYLIN KEATING
501 2013-07-01 AMY RICE
501 2012-07-01 KAREN EDWARDS
501 2011-07-01 KAREN EDWARDS
501 2010-07-01 KAREN EDWARDS
501 2009-07-01 KAREN EDWARDS MARYLIN KEATING 2011-01-25

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2020-07-01
501	2019-07-01
501	2017-07-01	CHRISTINA MEEKER
501	2016-07-01	CHRISTINA MEEKER
501	2015-07-01	MARYLIN KEATING
501	2014-07-01	MARYLIN KEATING
501	2013-07-01	AMY RICE
501	2012-07-01	KAREN EDWARDS
501	2011-07-01	KAREN EDWARDS
501	2010-07-01	KAREN EDWARDS
501	2009-07-01	KAREN EDWARDS	MARYLIN KEATING	2011-01-25

Plan Statistics for INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN

401k plan membership statisitcs for INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN

Measure Date Value
2020: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 83
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 81
Number of retired or separated participants receiving benefits 2020-07-01 2
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 83
2017: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 90
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 86
Number of retired or separated participants receiving benefits 2017-07-01 3
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 89
2016: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 94
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 89
Number of retired or separated participants receiving benefits 2016-07-01 1
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 90
2015: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 107
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 93
Number of retired or separated participants receiving benefits 2015-07-01 1
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 94
2014: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 111
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 5
Total of all active and inactive participants 2014-07-01 116
2013: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 124
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 117
Number of retired or separated participants receiving benefits 2013-07-01 1
Number of other retired or separated participants entitled to future benefits 2013-07-01 1
Total of all active and inactive participants 2013-07-01 119
2012: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 129
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 116
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 116
2011: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 124
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 117
Number of retired or separated participants receiving benefits 2011-07-01 3
Number of other retired or separated participants entitled to future benefits 2011-07-01 3
Total of all active and inactive participants 2011-07-01 123
2010: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 140
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 122
Number of retired or separated participants receiving benefits 2010-07-01 3
Number of other retired or separated participants entitled to future benefits 2010-07-01 3
Total of all active and inactive participants 2010-07-01 128
2009: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 141
Number of retired or separated participants receiving benefits 2009-07-01 4
Number of other retired or separated participants entitled to future benefits 2009-07-01 4
Total of all active and inactive participants 2009-07-01 149

Measure	Date	Value
2020: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	83
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	81
Number of retired or separated participants receiving benefits	2020-07-01	2
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	83
2017: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	90
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	86
Number of retired or separated participants receiving benefits	2017-07-01	3
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	89
2016: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	94
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	89
Number of retired or separated participants receiving benefits	2016-07-01	1
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	90
2015: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	107
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	93
Number of retired or separated participants receiving benefits	2015-07-01	1
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	94
2014: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	111
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	5
Total of all active and inactive participants	2014-07-01	116
2013: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	124
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	117
Number of retired or separated participants receiving benefits	2013-07-01	1
Number of other retired or separated participants entitled to future benefits	2013-07-01	1
Total of all active and inactive participants	2013-07-01	119
2012: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	129
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	116
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	116
2011: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	124
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	117
Number of retired or separated participants receiving benefits	2011-07-01	3
Number of other retired or separated participants entitled to future benefits	2011-07-01	3
Total of all active and inactive participants	2011-07-01	123
2010: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	140
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	122
Number of retired or separated participants receiving benefits	2010-07-01	3
Number of other retired or separated participants entitled to future benefits	2010-07-01	3
Total of all active and inactive participants	2010-07-01	128
2009: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	141
Number of retired or separated participants receiving benefits	2009-07-01	4
Number of other retired or separated participants entitled to future benefits	2009-07-01	4
Total of all active and inactive participants	2009-07-01	149

Form 5500 Responses for INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN

2020: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Submission has been amended	No
2020-07-01	This submission is the final filing	No
2020-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-07-01	Plan is a collectively bargained plan	No
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: INTRAHEALTH INTERNATIONAL, INC. HEALTH PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SOK605386
Policy instance	9
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3308600
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0908564
Policy instance	3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	304680
Policy instance	4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SGD607826
Policy instance	5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SGD607827
Policy instance	6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SGM607448
Policy instance	7
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	SGM607449
Policy instance	8
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0908564
Policy instance	3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3308600
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3308600
Policy instance	1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3308600
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	3308600
Policy instance	1
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3308600
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3308600
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	30008095
Policy instance	3
CIGNA HEALTHCARE OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95132 )
Policy contract number	3308600
Policy instance	2
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number	3308600
Policy instance	1

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Company Name:	INTRAHEALTH INTERNATIONAL, INC.
Employer identification number (EIN):	550825466
NAIC Classification:	624100
NAIC Description:	Individual and Family Services