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WELLSPACE HEALTH 401k Plan overview

Plan NameWELLSPACE HEALTH
Plan identification number 508

WELLSPACE HEALTH Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Prepaid legal

401k Sponsoring company profile

WELLSPACE HEALTH has sponsored the creation of one or more 401k plans.

Company Name:WELLSPACE HEALTH
Employer identification number (EIN):941713704
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Additional information about WELLSPACE HEALTH

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1970-01-30
Company Identification Number: C0590979
Legal Registered Office Address: 1304 O St #336

Sacramento
United States of America (USA)
95816

More information about WELLSPACE HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELLSPACE HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5082022-10-01SAMANTHA NEWTON2024-03-26

Plan Statistics for WELLSPACE HEALTH

401k plan membership statisitcs for WELLSPACE HEALTH

Measure Date Value
2022: WELLSPACE HEALTH 2022 401k membership
Total participants, beginning-of-year2022-10-01100
Total number of active participants reported on line 7a of the Form 55002022-10-01101
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01101
Number of employers contributing to the scheme2022-10-010

Form 5500 Responses for WELLSPACE HEALTH

2022: WELLSPACE HEALTH 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01First time form 5500 has been submittedYes
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number103973
Policy instance 1
Insurance contract or identification number103973
Number of Individuals Covered144
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $5,891
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $23,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,326
Amount paid for insurance broker fees0
Insurance broker organization code?4

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