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EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 401k Plan overview

Plan NameEMPLOYEE SAFETY PROGRAM BENEFIT PLAN
Plan identification number 501

EMPLOYEE SAFETY PROGRAM BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HERITAGE CONVALESCENT CENTER has sponsored the creation of one or more 401k plans.

Company Name:HERITAGE CONVALESCENT CENTER
Employer identification number (EIN):752058623
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01VICKY DICLEMENTE
5012015-01-01VICKY DICLEMENTE
5012014-01-15VICKY DICLEMENTE
5012012-08-01R. KENT STEBBINS
5012011-08-01KENT STEBBINS
5012009-08-01 KENT STEBBINS2011-05-11
5012009-08-01KENT STEBBINS

Financial Data on EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

Measure Date Value
2013 : EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-07-31$210,408
Expenses. Total of all expenses incurred2013-07-31$209,988
Benefits paid (including direct rollovers)2013-07-31$188,288
Total plan assets at end of year2013-07-31$12,095
Total plan assets at beginning of year2013-07-31$11,674
Net income (gross income less expenses)2013-07-31$420
Net plan assets at end of year (total assets less liabilities)2013-07-31$12,095
Net plan assets at beginning of year (total assets less liabilities)2013-07-31$11,674
Total contributions received or receivable from employer(s)2013-07-31$210,408
Expenses. Administrative service providers (salaries,fees and commissions)2013-07-31$21,700
2012 : EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-07-31$225,501
Expenses. Total of all expenses incurred2012-07-31$224,700
Benefits paid (including direct rollovers)2012-07-31$189,387
Total plan assets at end of year2012-07-31$11,674
Total plan assets at beginning of year2012-07-31$10,873
Expenses. Other expenses not covered elsewhere2012-07-31$6,770
Net income (gross income less expenses)2012-07-31$801
Net plan assets at end of year (total assets less liabilities)2012-07-31$11,674
Net plan assets at beginning of year (total assets less liabilities)2012-07-31$10,873
Total contributions received or receivable from employer(s)2012-07-31$225,501
Expenses. Administrative service providers (salaries,fees and commissions)2012-07-31$28,543
2011 : EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-07-31$5,014
Total income from all sources2011-07-31$267,145
Expenses. Total of all expenses incurred2011-07-31$261,381
Benefits paid (including direct rollovers)2011-07-31$230,459
Total plan assets at end of year2011-07-31$10,873
Total plan assets at beginning of year2011-07-31$10,122
Expenses. Other expenses not covered elsewhere2011-07-31$6,266
Net income (gross income less expenses)2011-07-31$5,764
Net plan assets at end of year (total assets less liabilities)2011-07-31$10,873
Net plan assets at beginning of year (total assets less liabilities)2011-07-31$5,108
Total contributions received or receivable from employer(s)2011-07-31$267,145
Expenses. Administrative service providers (salaries,fees and commissions)2011-07-31$24,656

Form 5500 Responses for EMPLOYEE SAFETY PROGRAM BENEFIT PLAN

2016: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2014 form 5500 responses
2014-01-15Type of plan entitySingle employer plan
2014-01-15Submission has been amendedNo
2014-01-15This submission is the final filingNo
2014-01-15This return/report is a short plan year return/report (less than 12 months)Yes
2014-01-15Plan is a collectively bargained planNo
2014-01-15Plan funding arrangement – General assets of the sponsorYes
2014-01-15Plan benefit arrangement – General assets of the sponsorYes
2012: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – TrustYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – TrustYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement - TrustYes
2009: EMPLOYEE SAFETY PROGRAM BENEFIT PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number40-18-998
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number575844
Policy instance 2
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number40-18-998
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number575844
Policy instance 2
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract number40-18-998
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number575844
Policy instance 2

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