Plan Name | CREOKS BEHAVIORAL HEALTH SERVICES, INC. EAP PLAN |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CREOKS MENTAL HEALTH SERVICES, INC. |
Employer identification number (EIN): | 731108774 |
NAIC Classification: | 621420 |
NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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504 | 2021-01-01 | MIKE WISE | 2022-04-05 | ||
504 | 2021-01-01 | MIKE WISE | 2022-11-04 | ||
504 | 2020-05-01 | MIKE WISE | 2022-03-21 |
Measure | Date | Value |
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2021: CREOKS BEHAVIORAL HEALTH SERVICES, INC. EAP PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 340 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 340 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 340 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2020: CREOKS BEHAVIORAL HEALTH SERVICES, INC. EAP PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-05-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 340 |
Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
Total of all active and inactive participants | 2020-05-01 | 340 |
Number of employers contributing to the scheme | 2020-05-01 | 0 |
2021: CREOKS BEHAVIORAL HEALTH SERVICES, INC. EAP PLAN 2021 form 5500 responses | ||
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | Yes |
2021-01-01 | This submission is the final filing | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: CREOKS BEHAVIORAL HEALTH SERVICES, INC. EAP PLAN 2020 form 5500 responses | ||
2020-05-01 | Type of plan entity | Single employer plan |
2020-05-01 | First time form 5500 has been submitted | Yes |
2020-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2020-05-01 | Plan funding arrangement – Insurance | Yes |
2020-05-01 | Plan benefit arrangement – Insurance | Yes |
COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 1001 ) | |||||||||||||||||||
Policy contract number | EAP | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 1001 ) | |||||||||||||||||||
Policy contract number | CREOKS MENTAL | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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