401k Plan data: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN plan

CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 401k Plan overview

Plan Name	CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN
Plan identification number	502

CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name: CARE, INC.

Employer identification number (EIN): 721209716

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 MICHELLE PLAUCHE 2024-08-01
502 2022-01-01
502 2022-01-01 MICHELLE PLAUCHE 2024-08-01
502 2021-01-01 MICHELLE PLAUCHE 2022-07-12
502 2020-01-01 ALLISON HANSON 2020-06-22
502 2019-01-01 ALLISON HANSON 2020-10-07
502 2018-01-01
502 2017-01-01
502 2016-08-01
502 2015-08-01
502 2014-08-01
502 2013-08-01
502 2012-08-01
502 2011-08-01
502 2010-08-01
502 2009-08-01
502 2008-08-01
502 2007-08-01
502 2006-08-01

Form 5500 Responses for CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN

2023: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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 funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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 funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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 funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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 funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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 funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
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
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	This submission is the final filing	Yes
2016-08-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE 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
2008: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2008 form 5500 responses
2008-08-01	Type of plan entity	Single employer plan
2008-08-01	Plan funding arrangement – Insurance	Yes
2008-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-08-01	Plan benefit arrangement – Insurance	Yes
2008-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2007 form 5500 responses
2007-08-01	Type of plan entity	Single employer plan
2007-08-01	Plan funding arrangement – Insurance	Yes
2007-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-08-01	Plan benefit arrangement – Insurance	Yes
2007-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: CARE, INC. DEARBORN AD&D AND LIFE INSURANCE PLAN 2006 form 5500 responses
2006-08-01	Type of plan entity	Single employer plan
2006-08-01	First time form 5500 has been submitted	Yes
2006-08-01	Plan funding arrangement – Insurance	Yes
2006-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-08-01	Plan benefit arrangement – Insurance	Yes
2006-08-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1137426

Policy instance

Insurance contract or identification number	1137426
Number of Individuals Covered	258
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $10,564
Total amount of fees paid to insurance company	USD $1,511
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $57,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1137426

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1137426

Policy instance

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

Policy contract number

000HY721

Policy instance

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

Policy contract number

000HY721

Policy instance

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

Policy contract number

000PF715

Policy instance

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

Policy contract number

000PF715

Policy instance

Potentially related plans

CARE, INC. CBWV BENEFIT PLAN [EIN = 300024930]

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Company Name:	CARE, INC.
Employer identification number (EIN):	721209716
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-01-01	MICHELLE PLAUCHE	2024-08-01
502	2022-01-01
502	2022-01-01	MICHELLE PLAUCHE	2024-08-01
502	2021-01-01	MICHELLE PLAUCHE	2022-07-12
502	2020-01-01	ALLISON HANSON	2020-06-22
502	2019-01-01	ALLISON HANSON	2020-10-07
502	2018-01-01
502	2017-01-01
502	2016-08-01
502	2015-08-01
502	2014-08-01
502	2013-08-01
502	2012-08-01
502	2011-08-01
502	2010-08-01
502	2009-08-01
502	2008-08-01
502	2007-08-01
502	2006-08-01