| Plan Name | 21ST CENTURY HEALTHCARE, INC. LONG-TERM DISABILITY INSURANCE PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | 21ST CENTURY HEALTHCARE, INC. |
| Employer identification number (EIN): | 860733416 |
| NAIC Classification: | 311900 |
| NAIC Description: | Other Food Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2015-09-01 | JACQUELINE BISH | JACQUELINE BISH | 2017-04-17 |
| 2015: 21ST CENTURY HEALTHCARE, INC. LONG-TERM DISABILITY INSURANCE PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | First time form 5500 has been submitted | Yes |
| 2015-09-01 | Submission has been amended | No |
| 2015-09-01 | This submission is the final filing | Yes |
| 2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-09-01 | Plan is a collectively bargained plan | No |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |