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| Plan Name | BRIGHTSTAR CARE OF MARIETTA HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BRIGHTSTAR CARE OF MARIETTA |
| Employer identification number (EIN): | 862071056 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-03-01 |
| Measure | Date | Value |
|---|---|---|
| 2023: BRIGHTSTAR CARE OF MARIETTA HEALTH AND WELFARE PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-03-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 8 |
| Total of all active and inactive participants | 2023-03-01 | 8 |
| Measure | Date | Value |
|---|---|---|
| 2024 : BRIGHTSTAR CARE OF MARIETTA HEALTH AND WELFARE PLAN 2024 401k financial data | ||
| Transfers to/from the plan | 2024-02-29 | $0 |
| Total plan liabilities at end of year | 2024-02-29 | $0 |
| Total plan liabilities at beginning of year | 2024-02-29 | $0 |
| Total income from all sources | 2024-02-29 | $84,476 |
| Expenses. Total of all expenses incurred | 2024-02-29 | $84,476 |
| Benefits paid (including direct rollovers) | 2024-02-29 | $84,476 |
| Total plan assets at end of year | 2024-02-29 | $0 |
| Total plan assets at beginning of year | 2024-02-29 | $0 |
| Total contributions received or receivable from participants | 2024-02-29 | $42,238 |
| Expenses. Other expenses not covered elsewhere | 2024-02-29 | $0 |
| Contributions received from other sources (not participants or employers) | 2024-02-29 | $0 |
| Other income received | 2024-02-29 | $0 |
| Noncash contributions received | 2024-02-29 | $0 |
| Net income (gross income less expenses) | 2024-02-29 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2024-02-29 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-02-29 | $0 |
| Total contributions received or receivable from employer(s) | 2024-02-29 | $42,238 |
| Value of certain deemed distributions of participant loans | 2024-02-29 | $0 |
| Value of corrective distributions | 2024-02-29 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2024-02-29 | $0 |
| 2023: BRIGHTSTAR CARE OF MARIETTA HEALTH AND WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | First time form 5500 has been submitted | Yes |
| 2023-03-01 | Submission has been amended | No |
| 2023-03-01 | This submission is the final filing | No |
| 2023-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-03-01 | Plan is a collectively bargained plan | No |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan funding arrangement – Trust | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0806334 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 803237G/890889G | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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