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21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN 401k Plan overview

Plan Name21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN
Plan identification number 503

21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

21ST CENTURY HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name:21ST CENTURY HEALTHCARE, INC.
Employer identification number (EIN):860733416
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-09-01JACQUELINE BISH JACQUELINE BISH2017-04-17

Plan Statistics for 21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN

401k plan membership statisitcs for 21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN

Measure Date Value
2015: 21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01111
Total number of active participants reported on line 7a of the Form 55002015-09-010
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-010

Form 5500 Responses for 21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN

2015: 21ST CENTURY HEALTHCARE, INC. GROUP VISION INSURANCE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01First time form 5500 has been submittedYes
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingYes
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ADVANTICA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number15090101
Policy instance 1
Insurance contract or identification number15090101
Number of Individuals Covered234
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $1,189
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,189
Insurance broker organization code?3
Insurance broker nameMJ INSURANCE

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