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| Plan Name | EMPLOYEE ASSISTANCE PROGRAM |
| Plan identification number | 516 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | COMMUNITY HEALTH & COUNSELING SERVICES |
| Employer identification number (EIN): | 010211483 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about COMMUNITY HEALTH & COUNSELING SERVICES
| Jurisdiction of Incorporation: | Maine Bureau of Corporations, Elections & Commissions |
| Incorporation Date: | |
| Company Identification Number: | 19490076ND |
More information about COMMUNITY HEALTH & COUNSELING SERVICES
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 516 | 2017-04-01 | PAIGE ALLEN | PAIGE ALLEN | 2018-03-30 |
| Measure | Date | Value |
|---|---|---|
| 2017: EMPLOYEE ASSISTANCE PROGRAM 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-04-01 | 429 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-04-01 | 0 |
| Total of all active and inactive participants | 2017-04-01 | 0 |
| Total participants | 2017-04-01 | 0 |
| 2017: EMPLOYEE ASSISTANCE PROGRAM 2017 form 5500 responses | ||
|---|---|---|
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | First time form 5500 has been submitted | Yes |
| 2017-04-01 | Submission has been amended | No |
| 2017-04-01 | This submission is the final filing | Yes |
| 2017-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-04-01 | Plan is a collectively bargained plan | No |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 13817 |
| Policy instance | 1 |