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PREFERRED HOME CARE WELFARE PLAN 401k Plan overview

Plan NamePREFERRED HOME CARE WELFARE PLAN
Plan identification number 501

PREFERRED HOME CARE WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

PREFERRED HOME CARE OF NEW YORK LLC has sponsored the creation of one or more 401k plans.

Company Name:PREFERRED HOME CARE OF NEW YORK LLC
Employer identification number (EIN):856352521
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREFERRED HOME CARE WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01
5012021-09-01
5012020-09-01

Plan Statistics for PREFERRED HOME CARE WELFARE PLAN

401k plan membership statisitcs for PREFERRED HOME CARE WELFARE PLAN

Measure Date Value
2022: PREFERRED HOME CARE WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-010
Total of all active and inactive participants2022-09-010
Total participants2022-09-010
2021: PREFERRED HOME CARE WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-015,178
Total of all active and inactive participants2021-09-010
Total participants2021-09-010
2020: PREFERRED HOME CARE WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-016,060
Total number of active participants reported on line 7a of the Form 55002020-09-015,178
Total of all active and inactive participants2020-09-015,178
Total participants2020-09-015,178

Financial Data on PREFERRED HOME CARE WELFARE PLAN

Measure Date Value
2022 : PREFERRED HOME CARE WELFARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-09-15$0
Total plan liabilities at beginning of year2022-09-15$386,405
Total income from all sources2022-09-15$8,992
Expenses. Total of all expenses incurred2022-09-15$330,750
Total plan assets at end of year2022-09-15$0
Total plan assets at beginning of year2022-09-15$708,163
Value of fidelity bond covering the plan2022-09-15$5,000,000
Net income (gross income less expenses)2022-09-15$-321,758
Net plan assets at end of year (total assets less liabilities)2022-09-15$0
Net plan assets at beginning of year (total assets less liabilities)2022-09-15$321,758
Total contributions received or receivable from employer(s)2022-09-15$8,992
Expenses. Administrative service providers (salaries,fees and commissions)2022-09-15$330,750
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$386,405
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$4,911,883
Total income from all sources (including contributions)2022-08-31$12,376,532
Total of all expenses incurred2022-08-31$12,684,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$10,328,552
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$12,375,734
Value of total assets at end of year2022-08-31$708,163
Value of total assets at beginning of year2022-08-31$5,541,142
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$2,355,481
Total interest from all sources2022-08-31$798
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Administrative expenses professional fees incurred2022-08-31$36,348
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$5,000,000
If this is an individual account plan, was there a blackout period2022-08-31No
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Administrative expenses (other) incurred2022-08-31$71,140
Liabilities. Value of operating payables at end of year2022-08-31$256,570
Total non interest bearing cash at end of year2022-08-31$707,631
Total non interest bearing cash at beginning of year2022-08-31$72,370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$-307,501
Value of net assets at end of year (total assets less liabilities)2022-08-31$321,758
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$629,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Value of interest in pooled separate accounts at end of year2022-08-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-08-31$310
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-08-31$1,363,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-08-31$1,363,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-08-31$798
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$3,726,887
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31No
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$12,375,734
Employer contributions (assets) at end of year2022-08-31$222
Employer contributions (assets) at beginning of year2022-08-31$4,105,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$6,601,665
Contract administrator fees2022-08-31$2,247,993
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-08-31No
Liabilities. Value of benefit claims payable at end of year2022-08-31$129,835
Liabilities. Value of benefit claims payable at beginning of year2022-08-31$4,911,883
Did the plan have assets held for investment2022-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2022-08-31472319109
2021 : PREFERRED HOME CARE WELFARE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$4,911,883
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$0
Total income from all sources (including contributions)2021-08-31$16,015,717
Total loss/gain on sale of assets2021-08-31$0
Total of all expenses incurred2021-08-31$15,386,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$13,199,795
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$16,007,224
Value of total assets at end of year2021-08-31$5,541,142
Value of total assets at beginning of year2021-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$2,186,663
Total interest from all sources2021-08-31$8,493
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$5,000,000
If this is an individual account plan, was there a blackout period2021-08-31No
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Administrative expenses (other) incurred2021-08-31$24,018
Total non interest bearing cash at end of year2021-08-31$72,370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$629,259
Value of net assets at end of year (total assets less liabilities)2021-08-31$629,259
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-08-31$1,363,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-31$8,493
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$2,884,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31No
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$16,007,224
Employer contributions (assets) at end of year2021-08-31$4,105,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$10,315,772
Contract administrator fees2021-08-31$2,039,432
Liabilities. Value of benefit claims payable at end of year2021-08-31$4,911,883
Did the plan have assets held for investment2021-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2021-08-31472319109

Form 5500 Responses for PREFERRED HOME CARE WELFARE PLAN

2022: PREFERRED HOME CARE WELFARE PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Submission has been amendedNo
2022-09-01This submission is the final filingYes
2022-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-09-01Plan is a collectively bargained planNo
2022-09-01Plan funding arrangement – TrustYes
2022-09-01Plan benefit arrangement - TrustYes
2021: PREFERRED HOME CARE WELFARE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: PREFERRED HOME CARE WELFARE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01First time form 5500 has been submittedYes
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number955886
Policy instance 1
Insurance contract or identification number955886
Number of Individuals Covered6374
Insurance policy start date2021-09-01
Insurance policy end date2022-06-01
Total amount of commissions paid to insurance brokerUSD $14,038
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $191,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,038
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGPA 0553624
Policy instance 2
Insurance contract or identification numberGPA 0553624
Number of Individuals Covered2300
Insurance policy start date2021-09-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $64,314
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $306,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,314
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGRH 0553625
Policy instance 3
Insurance contract or identification numberGRH 0553625
Number of Individuals Covered2300
Insurance policy start date2021-09-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $68,802
Other welfare benefits providedSPECIFIED DISEASE
Welfare Benefit Premiums Paid to CarrierUSD $327,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,802
Insurance broker organization code?3
NIAGARA LIFE & HEALTH INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 12285 )
Policy contract number70000
Policy instance 4
Insurance contract or identification number70000
Number of Individuals Covered6030
Insurance policy start date2022-02-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $109,066
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $981,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109,066
Insurance broker organization code?3
NIAGARA LIFE & HEALTH INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 12285 )
Policy contract number7800-GVRH2
Policy instance 5
Insurance contract or identification number7800-GVRH2
Number of Individuals Covered4485
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $260,711
Welfare Benefit Premiums Paid to CarrierUSD $2,482,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $248,296
Insurance broker organization code?3
NIAGARA LIFE & HEALTH INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 12285 )
Policy contract number7800-GVRH2
Policy instance 6
Insurance contract or identification number7800-GVRH2
Number of Individuals Covered4620
Insurance policy start date2022-01-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $201,589
Welfare Benefit Premiums Paid to CarrierUSD $1,062,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $106,275
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number955886
Policy instance 1
Insurance contract or identification number955886
Number of Individuals Covered2866
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $8,494
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $89,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGPA 0553624
Policy instance 2
Insurance contract or identification numberGPA 0553624
Number of Individuals Covered2300
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $111,302
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $530,009
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGPH 0553625
Policy instance 3
Insurance contract or identification numberGPH 0553625
Number of Individuals Covered2300
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $119,067
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedSPECIFIED DISEASE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $566,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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