401k Plan data: RUSKIN MIGRANT CENTER CAFETERIA PLAN plan

RUSKIN MIGRANT CENTER CAFETERIA PLAN 401k Plan overview

Plan Name	RUSKIN MIGRANT CENTER CAFETERIA PLAN
Plan identification number	501

RUSKIN MIGRANT CENTER CAFETERIA PLAN Benefits

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

401k Sponsoring company profile

SUNCOAST COMMUNITY HEALTH CENTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: SUNCOAST COMMUNITY HEALTH CENTERS, INC.

Employer identification number (EIN): 591741303

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RUSKIN MIGRANT CENTER CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-01-01
501 2016-01-01
501 2015-01-01
501 2014-01-01
501 2013-01-01
501 2012-09-01 ROBERT RODRIGUEZ
501 2011-09-01 ROBERT RODRIGUEZ
501 2009-09-01 ROBERT RODRIGUEZ

Plan Statistics for RUSKIN MIGRANT CENTER CAFETERIA PLAN

401k plan membership statisitcs for RUSKIN MIGRANT CENTER CAFETERIA PLAN

Measure Date Value
2017: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 262
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 336
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 336
2016: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 390
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 262
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 262
2015: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 296
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 390
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 390
2014: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 296
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 296
2013: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 268
Total of all active and inactive participants 2013-01-01 268
2012: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 200
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 264
Total of all active and inactive participants 2012-09-01 264
2011: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 297
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 200
Total of all active and inactive participants 2011-09-01 200
2009: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 297
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 308
Total of all active and inactive participants 2009-09-01 308

Measure	Date	Value
2017: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	262
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	336
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	336
2016: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	390
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	262
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	262
2015: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	296
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	390
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	390
2014: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	296
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	296
2013: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	268
Total of all active and inactive participants	2013-01-01	268
2012: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	200
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	264
Total of all active and inactive participants	2012-09-01	264
2011: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	297
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	200
Total of all active and inactive participants	2011-09-01	200
2009: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	297
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	308
Total of all active and inactive participants	2009-09-01	308

Form 5500 Responses for RUSKIN MIGRANT CENTER CAFETERIA PLAN

2017: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2009: RUSKIN MIGRANT CENTER CAFETERIA PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	This submission is the final filing	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number	15013501
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05987752
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05987752
Policy instance	1
ADVANTICA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number	15013501
Policy instance	2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05987752
Policy instance	1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	00607223
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05987752
Policy instance	2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	00607223
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05987752
Policy instance	2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	474256
Policy instance	1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	474256
Policy instance	2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	143640
Policy instance	3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	143640
Policy instance	4
AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 )
Policy contract number	US364316
Policy instance	1

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Company Name:	SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Employer identification number (EIN):	591741303
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers