401k Plan data: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN plan

CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 401k Plan overview

Plan Name	CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN
Plan identification number	501

CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE 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 Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CARE CENTERS MANAGEMENT CONSULTING, INC. has sponsored the creation of one or more 401k plans.

Company Name: CARE CENTERS MANAGEMENT CONSULTING, INC.

Employer identification number (EIN): 621366831

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 EDITH CARMACK 2024-06-28 ANITA WEST 2024-06-28
501 2022-01-01 EDITH CARMACK 2023-07-20 ANITA WEST 2023-07-20
501 2021-01-01 EDITH CARMACK 2022-07-11 ANITA WEST 2022-07-11
501 2021-01-01
501 2021-01-01 ANITA WEST
501 2020-01-01 CHERYL STEWART 2021-07-13 ANITA WEST 2021-07-13
501 2019-01-01 CHERYL STEWART 2020-06-10 ANITA WEST 2020-06-10
501 2018-01-01
501 2017-01-01
501 2016-01-01
501 2015-02-01
501 2014-02-01
501 2013-02-01
501 2012-02-01
501 2011-02-01
501 2010-02-01
501 2009-02-01
501 2008-02-01
501 2007-02-01
501 2006-02-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	EDITH CARMACK	2024-06-28	ANITA WEST	2024-06-28
501	2022-01-01	EDITH CARMACK	2023-07-20	ANITA WEST	2023-07-20
501	2021-01-01	EDITH CARMACK	2022-07-11	ANITA WEST	2022-07-11
501	2021-01-01
501	2021-01-01	ANITA WEST
501	2020-01-01	CHERYL STEWART	2021-07-13	ANITA WEST	2021-07-13
501	2019-01-01	CHERYL STEWART	2020-06-10	ANITA WEST	2020-06-10
501	2018-01-01
501	2017-01-01
501	2016-01-01
501	2015-02-01
501	2014-02-01
501	2013-02-01
501	2012-02-01
501	2011-02-01
501	2010-02-01
501	2009-02-01
501	2008-02-01
501	2007-02-01
501	2006-02-01

Form 5500 Responses for CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN

2023: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE 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: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE 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: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2015 form 5500 responses
2015-02-01	Type of plan entity	Mulitple employer plan
2015-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-02-01	Plan funding arrangement – Insurance	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes
2014: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2014 form 5500 responses
2014-02-01	Type of plan entity	Mulitple employer plan
2014-02-01	Plan funding arrangement – Insurance	Yes
2014-02-01	Plan benefit arrangement – Insurance	Yes
2013: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2013 form 5500 responses
2013-02-01	Type of plan entity	Mulitple employer plan
2013-02-01	Submission has been amended	No
2013-02-01	This submission is the final filing	No
2013-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-02-01	Plan is a collectively bargained plan	No
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2012: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2012 form 5500 responses
2012-02-01	Type of plan entity	Mulitple employer plan
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2011: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Mulitple employer plan
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2010: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2010 form 5500 responses
2010-02-01	Type of plan entity	Mulitple employer plan
2010-02-01	Plan funding arrangement – Insurance	Yes
2010-02-01	Plan benefit arrangement – Insurance	Yes
2009: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2009 form 5500 responses
2009-02-01	Type of plan entity	Mulitple employer plan
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes
2008: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2008 form 5500 responses
2008-02-01	Type of plan entity	Mulitple employer plan
2008-02-01	Plan funding arrangement – Insurance	Yes
2008-02-01	Plan benefit arrangement – Insurance	Yes
2007: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2007 form 5500 responses
2007-02-01	Type of plan entity	Mulitple employer plan
2007-02-01	Plan funding arrangement – Insurance	Yes
2007-02-01	Plan benefit arrangement – Insurance	Yes
2006: CARE CENTERS MANAGEMENT CONSULTING, INC. WELFARE PLAN 2006 form 5500 responses
2006-02-01	Type of plan entity	Mulitple employer plan
2006-02-01	First time form 5500 has been submitted	Yes
2006-02-01	Plan funding arrangement – Insurance	Yes
2006-02-01	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

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	361
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $21,032
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $152,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

Insurance contract or identification number	103338
Number of Individuals Covered	355
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $72,444
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $25,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VARIOUS

Policy instance

Insurance contract or identification number	VARIOUS
Number of Individuals Covered	336
Insurance policy start date	2022-05-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $22,355
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $149,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

Insurance contract or identification number	103338
Number of Individuals Covered	376
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $73,939
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

0901

Policy instance

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

65498

Policy instance

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

65498

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

549802

Policy instance

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

549802

Policy instance

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

549802

Policy instance

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-017303-00

Policy instance

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

103338

Policy instance

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Company Name:	CARE CENTERS MANAGEMENT CONSULTING, INC.
Employer identification number (EIN):	621366831
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities