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HOSPICE OF SOUTHERN MAINE PLAN 401k Plan overview

Plan NameHOSPICE OF SOUTHERN MAINE PLAN
Plan identification number 504

HOSPICE OF SOUTHERN MAINE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

HOSPICE OF SOUTHERN MAINE has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF SOUTHERN MAINE
Employer identification number (EIN):010540180
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about HOSPICE OF SOUTHERN MAINE

Jurisdiction of Incorporation: Maine Bureau of Corporations, Elections & Commissions
Incorporation Date:
Company Identification Number: 20010248ND

More information about HOSPICE OF SOUTHERN MAINE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF SOUTHERN MAINE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-10-01STEPHANIE HUTCHINS2019-11-26
5042017-10-01STEPHANIE HUTCHINS2019-07-12

Plan Statistics for HOSPICE OF SOUTHERN MAINE PLAN

401k plan membership statisitcs for HOSPICE OF SOUTHERN MAINE PLAN

Measure Date Value
2018: HOSPICE OF SOUTHERN MAINE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01108
Total number of active participants reported on line 7a of the Form 55002018-10-01122
Total of all active and inactive participants2018-10-01122
2017: HOSPICE OF SOUTHERN MAINE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-0194
Total number of active participants reported on line 7a of the Form 55002017-10-01108
Total of all active and inactive participants2017-10-01108

Form 5500 Responses for HOSPICE OF SOUTHERN MAINE PLAN

2018: HOSPICE OF SOUTHERN MAINE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01This submission is the final filingYes
2018-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: HOSPICE OF SOUTHERN MAINE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number
Policy instance 1
Number of Individuals Covered122
Insurance policy start date2018-10-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $4,616
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,616
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number
Policy instance 1
Number of Individuals Covered108
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $6,959
Total amount of fees paid to insurance companyUSD $3,316
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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