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INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 401k Plan overview

Plan NameINNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN.
Plan identification number 501

INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. Benefits

401k Plan TypeWelfare 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)
  • Other welfare benefit cover

401k Sponsoring company profile

INNOVATIVE INTEGRATED HEALTH, INC has sponsored the creation of one or more 401k plans.

Company Name:INNOVATIVE INTEGRATED HEALTH, INC
Employer identification number (EIN):813220129
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01PAOLA LOPEZ2024-01-26
5012021-09-01TSULENG LYFOUNG2023-01-02
5012020-09-01DANIEL LONGORIA2021-11-10
5012019-09-01ABE MAROUF2021-03-10

Plan Statistics for INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN.

401k plan membership statisitcs for INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN.

Measure Date Value
2022: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2022 401k membership
Total participants, beginning-of-year2022-09-01493
Total number of active participants reported on line 7a of the Form 55002022-09-01500
Number of retired or separated participants receiving benefits2022-09-010
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-01500
Number of employers contributing to the scheme2022-09-010
2021: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2021 401k membership
Total participants, beginning-of-year2021-09-01268
Total number of active participants reported on line 7a of the Form 55002021-09-01373
Total of all active and inactive participants2021-09-01373
2020: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2020 401k membership
Total participants, beginning-of-year2020-09-01119
Total number of active participants reported on line 7a of the Form 55002020-09-01268
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01268
2019: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2019 401k membership
Total participants, beginning-of-year2019-09-0191
Total number of active participants reported on line 7a of the Form 55002019-09-01119
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01119

Form 5500 Responses for INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN.

2022: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – General assets of the sponsorYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – General assets of the sponsorYes
2021: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: INNOVATIVE INTEGRATED HEALTH, INC. HEALTH & WELFARE PLAN. 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01First time form 5500 has been submittedYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberL03532
Policy instance 1
Insurance contract or identification numberL03532
Number of Individuals Covered428
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $110,668
Total amount of fees paid to insurance companyUSD $45,309
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,173,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110,668
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number577349
Policy instance 2
Insurance contract or identification number577349
Number of Individuals Covered301
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $27,514
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $194,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,600
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract numberL03532
Policy instance 1
Insurance contract or identification numberL03532
Number of Individuals Covered384
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $81,632
Total amount of fees paid to insurance companyUSD $32,653
Welfare Benefit Premiums Paid to CarrierUSD $1,764,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,632
Insurance broker organization code?3
Amount paid for insurance broker fees32653
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION, TRAINING
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00577349
Policy instance 2
Insurance contract or identification number00577349
Number of Individuals Covered373
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $30,812
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $214,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,973
Insurance broker organization code?3
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: )
Policy contract number44131
Policy instance 1
Insurance contract or identification number44131
Number of Individuals Covered160
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $63,477
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,101,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,477
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00577349
Policy instance 2
Insurance contract or identification number00577349
Number of Individuals Covered270
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $4,453
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,969
Insurance broker organization code?3
CALIFORNIACHOICE (National Association of Insurance Commissioners NAIC id number: )
Policy contract number44131
Policy instance 1
Insurance contract or identification number44131
Number of Individuals Covered119
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $47,914
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $858,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,914
Insurance broker organization code?3

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