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FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameFLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN
Plan identification number 501

FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

FLORIDA INSTITUTE FOR LONG TERM CARE has sponsored the creation of one or more 401k plans.

Company Name:FLORIDA INSTITUTE FOR LONG TERM CARE
Employer identification number (EIN):020660404
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about FLORIDA INSTITUTE FOR LONG TERM CARE

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2002-12-20
Company Identification Number: L02000034469
Legal Registered Office Address: 360 CENTRAL AVENUE, SUITE 1550

ST PETERSBURG

33701

More information about FLORIDA INSTITUTE FOR LONG TERM CARE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01CINDY DELMONTE2023-11-16
5012021-07-01CINDY DELMONTE2023-01-17
5012020-07-01CINDY DELMONTE2022-01-24

Plan Statistics for FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN

401k plan membership statisitcs for FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN

Measure Date Value
2022: FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-011,457
Total number of active participants reported on line 7a of the Form 55002022-07-011,519
Number of retired or separated participants receiving benefits2022-07-014
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-011,523
Number of employers contributing to the scheme2022-07-010
2021: FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-011,577
Total number of active participants reported on line 7a of the Form 55002021-07-011,493
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-011,493
Number of employers contributing to the scheme2021-07-010
2020: FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-011,819
Total number of active participants reported on line 7a of the Form 55002020-07-011,612
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-011,612
Number of employers contributing to the scheme2020-07-010

Form 5500 Responses for FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN

2022: FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: FLORIDA INSTITUTE FOR LONG TERM CARE HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMPBENEFITS COMPANY (National Association of Insurance Commissioners NAIC id number: 52015 )
Policy contract number401570
Policy instance 4
Insurance contract or identification number401570
Number of Individuals Covered158
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $3,812
Total amount of fees paid to insurance companyUSD $1,981
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,812
Amount paid for insurance broker fees1981
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number401570
Policy instance 3
Insurance contract or identification number401570
Number of Individuals Covered596
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $24,929
Total amount of fees paid to insurance companyUSD $8,315
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $278,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,929
Amount paid for insurance broker fees8315
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343702
Policy instance 2
Insurance contract or identification number3343702
Number of Individuals Covered345
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $90,460
Total amount of fees paid to insurance companyUSD $7,411
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $90,460
Amount paid for insurance broker fees7411
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT FEES
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016122-00
Policy instance 1
Insurance contract or identification number01-016122-00
Number of Individuals Covered1519
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $65,978
Total amount of fees paid to insurance companyUSD $8,821
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $440,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $48,129
Amount paid for insurance broker fees8821
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberBDC009021
Policy instance 3
Insurance contract or identification numberBDC009021
Number of Individuals Covered131
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $38,829
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $388,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,829
Amount paid for insurance broker fees0
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343702
Policy instance 2
Insurance contract or identification number3343702
Number of Individuals Covered329
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $96,347
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $440,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $88,755
Amount paid for insurance broker fees0
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016122-00
Policy instance 1
Insurance contract or identification number01-016122-00
Number of Individuals Covered4200
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $68,340
Total amount of fees paid to insurance companyUSD $2,108
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $455,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,340
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberBDC009021
Policy instance 3
Insurance contract or identification numberBDC009021
Number of Individuals Covered1477
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $419,006
Total amount of fees paid to insurance companyUSD $4,191
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $419,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $419,006
Amount paid for insurance broker fees4191
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343702
Policy instance 2
Insurance contract or identification number3343702
Number of Individuals Covered420
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $94,195
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $491,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $94,195
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016122-00
Policy instance 1
Insurance contract or identification number01-016122-00
Number of Individuals Covered1612
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $38,738
Total amount of fees paid to insurance companyUSD $18,537
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $507,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,738
Insurance broker organization code?3
Amount paid for insurance broker fees18537
Additional information about fees paid to insurance brokerFEES

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