401k Plan data: APALACHEE CENTER PREMIUM ONLY PLAN plan

APALACHEE CENTER PREMIUM ONLY PLAN 401k Plan overview

Plan Name	APALACHEE CENTER PREMIUM ONLY PLAN
Plan identification number	501

APALACHEE CENTER PREMIUM ONLY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental

401k Sponsoring company profile

APALACHEE CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: APALACHEE CENTER, INC.

Employer identification number (EIN): 591162148

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APALACHEE CENTER PREMIUM ONLY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-08-01 DEAN HILTON
501 2022-08-01
501 2022-08-01 DEAN HILTON
501 2021-08-01
501 2021-08-01 DEAN HILTON
501 2020-08-01
501 2019-08-01
501 2017-08-01 DEAN HILTON DEAN HILTON 2019-02-11
501 2016-08-01 VIRGINIA KELLY VIRGINIA KELLY 2018-01-05
501 2015-08-01 VIRGINIA KELLY VIRGINIA KELLY 2017-05-04
501 2014-08-01 VIRGINIA KELLY VIRGINIA KELLY 2015-12-30
501 2013-08-01 VIRGINIA KELLY VIRGINIA KELLY 2015-02-03
501 2012-08-01 VIRGINIA KELLY VIRGINIA KELLY 2015-02-03
501 2011-08-01 VIRGINIA KELLY VIRGINIA KELLY 2013-01-31
501 2010-08-01 VIRGINIA KELLY VIRGINIA KELLY 2012-05-02
501 2009-08-01 VIRGINIA KELLY VIRGINIA KELLY 2011-02-07

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2023-08-01	DEAN HILTON
501	2022-08-01
501	2022-08-01	DEAN HILTON
501	2021-08-01
501	2021-08-01	DEAN HILTON
501	2020-08-01
501	2019-08-01
501	2017-08-01	DEAN HILTON	DEAN HILTON	2019-02-11
501	2016-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2018-01-05
501	2015-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2017-05-04
501	2014-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2015-12-30
501	2013-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2015-02-03
501	2012-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2015-02-03
501	2011-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2013-01-31
501	2010-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2012-05-02
501	2009-08-01	VIRGINIA KELLY	VIRGINIA KELLY	2011-02-07

Plan Statistics for APALACHEE CENTER PREMIUM ONLY PLAN

401k plan membership statisitcs for APALACHEE CENTER PREMIUM ONLY PLAN

Measure Date Value
2022: APALACHEE CENTER PREMIUM ONLY PLAN 2022 401k membership
Total participants, beginning-of-year 2022-08-01 415
Total number of active participants reported on line 7a of the Form 5500 2022-08-01 432
Number of retired or separated participants receiving benefits 2022-08-01 2
Number of other retired or separated participants entitled to future benefits 2022-08-01 0
Total of all active and inactive participants 2022-08-01 434
2021: APALACHEE CENTER PREMIUM ONLY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-08-01 415
Total number of active participants reported on line 7a of the Form 5500 2021-08-01 411
Number of retired or separated participants receiving benefits 2021-08-01 4
Number of other retired or separated participants entitled to future benefits 2021-08-01 0
Total of all active and inactive participants 2021-08-01 415
2020: APALACHEE CENTER PREMIUM ONLY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-08-01 380
Total number of active participants reported on line 7a of the Form 5500 2020-08-01 411
Number of retired or separated participants receiving benefits 2020-08-01 4
Number of other retired or separated participants entitled to future benefits 2020-08-01 0
Total of all active and inactive participants 2020-08-01 415
2019: APALACHEE CENTER PREMIUM ONLY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-08-01 372
Total number of active participants reported on line 7a of the Form 5500 2019-08-01 372
Number of retired or separated participants receiving benefits 2019-08-01 8
Number of other retired or separated participants entitled to future benefits 2019-08-01 0
Total of all active and inactive participants 2019-08-01 380
2017: APALACHEE CENTER PREMIUM ONLY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 248
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 314
Number of retired or separated participants receiving benefits 2017-08-01 5
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 319
2016: APALACHEE CENTER PREMIUM ONLY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 263
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 242
Number of retired or separated participants receiving benefits 2016-08-01 6
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 248
2015: APALACHEE CENTER PREMIUM ONLY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 277
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 258
Number of retired or separated participants receiving benefits 2015-08-01 5
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 263
2014: APALACHEE CENTER PREMIUM ONLY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 269
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 268
Number of retired or separated participants receiving benefits 2014-08-01 9
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 277
2013: APALACHEE CENTER PREMIUM ONLY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 245
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 263
Number of retired or separated participants receiving benefits 2013-08-01 6
Total of all active and inactive participants 2013-08-01 269
2012: APALACHEE CENTER PREMIUM ONLY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-08-01 259
Total number of active participants reported on line 7a of the Form 5500 2012-08-01 238
Number of retired or separated participants receiving benefits 2012-08-01 7
Total of all active and inactive participants 2012-08-01 245
2011: APALACHEE CENTER PREMIUM ONLY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-08-01 234
Total number of active participants reported on line 7a of the Form 5500 2011-08-01 259
Number of retired or separated participants receiving benefits 2011-08-01 12
Total of all active and inactive participants 2011-08-01 271
2010: APALACHEE CENTER PREMIUM ONLY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-08-01 229
Total number of active participants reported on line 7a of the Form 5500 2010-08-01 234
Number of retired or separated participants receiving benefits 2010-08-01 8
Total of all active and inactive participants 2010-08-01 242
2009: APALACHEE CENTER PREMIUM ONLY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 224
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 220
Number of retired or separated participants receiving benefits 2009-08-01 9
Total of all active and inactive participants 2009-08-01 229

Measure	Date	Value
2022: APALACHEE CENTER PREMIUM ONLY PLAN 2022 401k membership
Total participants, beginning-of-year	2022-08-01	415
Total number of active participants reported on line 7a of the Form 5500	2022-08-01	432
Number of retired or separated participants receiving benefits	2022-08-01	2
Number of other retired or separated participants entitled to future benefits	2022-08-01	0
Total of all active and inactive participants	2022-08-01	434
2021: APALACHEE CENTER PREMIUM ONLY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-08-01	415
Total number of active participants reported on line 7a of the Form 5500	2021-08-01	411
Number of retired or separated participants receiving benefits	2021-08-01	4
Number of other retired or separated participants entitled to future benefits	2021-08-01	0
Total of all active and inactive participants	2021-08-01	415
2020: APALACHEE CENTER PREMIUM ONLY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-08-01	380
Total number of active participants reported on line 7a of the Form 5500	2020-08-01	411
Number of retired or separated participants receiving benefits	2020-08-01	4
Number of other retired or separated participants entitled to future benefits	2020-08-01	0
Total of all active and inactive participants	2020-08-01	415
2019: APALACHEE CENTER PREMIUM ONLY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-08-01	372
Total number of active participants reported on line 7a of the Form 5500	2019-08-01	372
Number of retired or separated participants receiving benefits	2019-08-01	8
Number of other retired or separated participants entitled to future benefits	2019-08-01	0
Total of all active and inactive participants	2019-08-01	380
2017: APALACHEE CENTER PREMIUM ONLY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	248
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	314
Number of retired or separated participants receiving benefits	2017-08-01	5
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	319
2016: APALACHEE CENTER PREMIUM ONLY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	263
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	242
Number of retired or separated participants receiving benefits	2016-08-01	6
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	248
2015: APALACHEE CENTER PREMIUM ONLY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	277
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	258
Number of retired or separated participants receiving benefits	2015-08-01	5
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	263
2014: APALACHEE CENTER PREMIUM ONLY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	269
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	268
Number of retired or separated participants receiving benefits	2014-08-01	9
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	277
2013: APALACHEE CENTER PREMIUM ONLY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	245
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	263
Number of retired or separated participants receiving benefits	2013-08-01	6
Total of all active and inactive participants	2013-08-01	269
2012: APALACHEE CENTER PREMIUM ONLY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-08-01	259
Total number of active participants reported on line 7a of the Form 5500	2012-08-01	238
Number of retired or separated participants receiving benefits	2012-08-01	7
Total of all active and inactive participants	2012-08-01	245
2011: APALACHEE CENTER PREMIUM ONLY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-08-01	234
Total number of active participants reported on line 7a of the Form 5500	2011-08-01	259
Number of retired or separated participants receiving benefits	2011-08-01	12
Total of all active and inactive participants	2011-08-01	271
2010: APALACHEE CENTER PREMIUM ONLY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-08-01	229
Total number of active participants reported on line 7a of the Form 5500	2010-08-01	234
Number of retired or separated participants receiving benefits	2010-08-01	8
Total of all active and inactive participants	2010-08-01	242
2009: APALACHEE CENTER PREMIUM ONLY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	224
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	220
Number of retired or separated participants receiving benefits	2009-08-01	9
Total of all active and inactive participants	2009-08-01	229

Form 5500 Responses for APALACHEE CENTER PREMIUM ONLY PLAN

2022: APALACHEE CENTER PREMIUM ONLY PLAN 2022 form 5500 responses
2022-08-01	Type of plan entity	Single employer plan
2022-08-01	Plan funding arrangement – Insurance	Yes
2022-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-08-01	Plan benefit arrangement – Insurance	Yes
2022-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: APALACHEE CENTER PREMIUM ONLY PLAN 2021 form 5500 responses
2021-08-01	Type of plan entity	Single employer plan
2021-08-01	Plan funding arrangement – Insurance	Yes
2021-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-08-01	Plan benefit arrangement – Insurance	Yes
2021-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: APALACHEE CENTER PREMIUM ONLY PLAN 2020 form 5500 responses
2020-08-01	Type of plan entity	Single employer plan
2020-08-01	Plan funding arrangement – Insurance	Yes
2020-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-08-01	Plan benefit arrangement – Insurance	Yes
2020-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: APALACHEE CENTER PREMIUM ONLY PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Single employer plan
2019-08-01	Plan funding arrangement – Insurance	Yes
2019-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-08-01	Plan benefit arrangement – Insurance	Yes
2019-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: APALACHEE CENTER PREMIUM ONLY PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: APALACHEE CENTER PREMIUM ONLY PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: APALACHEE CENTER PREMIUM ONLY PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: APALACHEE CENTER PREMIUM ONLY PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: APALACHEE CENTER PREMIUM ONLY PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: APALACHEE CENTER PREMIUM ONLY PLAN 2012 form 5500 responses
2012-08-01	Type of plan entity	Single employer plan
2012-08-01	Plan funding arrangement – Insurance	Yes
2012-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-08-01	Plan benefit arrangement – Insurance	Yes
2012-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: APALACHEE CENTER PREMIUM ONLY PLAN 2011 form 5500 responses
2011-08-01	Type of plan entity	Single employer plan
2011-08-01	Plan funding arrangement – Insurance	Yes
2011-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-08-01	Plan benefit arrangement – Insurance	Yes
2011-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: APALACHEE CENTER PREMIUM ONLY PLAN 2010 form 5500 responses
2010-08-01	Type of plan entity	Single employer plan
2010-08-01	Plan funding arrangement – Insurance	Yes
2010-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-08-01	Plan benefit arrangement – Insurance	Yes
2010-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: APALACHEE CENTER PREMIUM ONLY PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	941150
Policy instance	2
CAPITAL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95112 )
Policy contract number	00252
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	941150
Policy instance	2
CAPITAL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95112 )
Policy contract number	00252
Policy instance	1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number	941150
Policy instance	2
CAPITAL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95112 )
Policy contract number	00252
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00550727
Policy instance	2
CAPITAL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95112 )
Policy contract number	00252
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5471909
Policy instance	2
CAPITAL HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95112 )
Policy contract number	00252
Policy instance	1

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Company Name:	APALACHEE CENTER, INC.
Employer identification number (EIN):	591162148
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)