401k Plan data: THE CARSON CENTER FOR HUMAN SERVICES plan

THE CARSON CENTER FOR HUMAN SERVICES 401k Plan overview

Plan Name	THE CARSON CENTER FOR HUMAN SERVICES
Plan identification number	501

THE CARSON CENTER FOR HUMAN SERVICES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

THE CARSON CENTER FOR HUMAN SERVICES has sponsored the creation of one or more 401k plans.

Company Name: THE CARSON CENTER FOR HUMAN SERVICES

Employer identification number (EIN): 042316498

NAIC Classification: 621420
NAIC Description: Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CARSON CENTER FOR HUMAN SERVICES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-07-01 NEIL ORRILL NEIL ORRILL 2016-02-11
501 2014-07-01 NEIL ORRILL NEIL ORRILL 2016-02-11
501 2013-07-01 CAROL PICARD
501 2012-07-01 CAROL PICARD
501 2011-07-01 CAROL PICARD
501 2009-07-01 CAROL PICARD
501 2009-07-01 CAROL PICARD
501 2009-01-01 ELIZABETH GISH
501 2009-01-01 2010-07-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2014-07-01	NEIL ORRILL		NEIL ORRILL	2016-02-11
501	2014-07-01	NEIL ORRILL		NEIL ORRILL	2016-02-11
501	2013-07-01	CAROL PICARD
501	2012-07-01	CAROL PICARD
501	2011-07-01	CAROL PICARD
501	2009-07-01	CAROL PICARD
501	2009-07-01	CAROL PICARD
501	2009-01-01	ELIZABETH GISH
501	2009-01-01		2010-07-22

Plan Statistics for THE CARSON CENTER FOR HUMAN SERVICES

401k plan membership statisitcs for THE CARSON CENTER FOR HUMAN SERVICES

Measure Date Value
2014: THE CARSON CENTER FOR HUMAN SERVICES 2014 401k membership
Total participants, beginning-of-year 2014-07-01 162
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 0
Total of all active and inactive participants 2014-07-01 0
Total participants 2014-07-01 0
2013: THE CARSON CENTER FOR HUMAN SERVICES 2013 401k membership
Total participants, beginning-of-year 2013-07-01 241
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 241
Total of all active and inactive participants 2013-07-01 241
Total participants 2013-07-01 241
2012: THE CARSON CENTER FOR HUMAN SERVICES 2012 401k membership
Total participants, beginning-of-year 2012-07-01 236
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 240
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 240
2011: THE CARSON CENTER FOR HUMAN SERVICES 2011 401k membership
Total participants, beginning-of-year 2011-07-01 159
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 162
Number of retired or separated participants receiving benefits 2011-07-01 2
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 164
2009: THE CARSON CENTER FOR HUMAN SERVICES 2009 401k membership
Total participants, beginning-of-year 2009-07-01 140
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 167
Number of retired or separated participants receiving benefits 2009-07-01 6
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 173
Total participants, beginning-of-year 2009-01-01 181
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 188
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 188

Measure	Date	Value
2014: THE CARSON CENTER FOR HUMAN SERVICES 2014 401k membership
Total participants, beginning-of-year	2014-07-01	162
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	0
Total of all active and inactive participants	2014-07-01	0
Total participants	2014-07-01	0
2013: THE CARSON CENTER FOR HUMAN SERVICES 2013 401k membership
Total participants, beginning-of-year	2013-07-01	241
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	241
Total of all active and inactive participants	2013-07-01	241
Total participants	2013-07-01	241
2012: THE CARSON CENTER FOR HUMAN SERVICES 2012 401k membership
Total participants, beginning-of-year	2012-07-01	236
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	240
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	240
2011: THE CARSON CENTER FOR HUMAN SERVICES 2011 401k membership
Total participants, beginning-of-year	2011-07-01	159
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	162
Number of retired or separated participants receiving benefits	2011-07-01	2
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	164
2009: THE CARSON CENTER FOR HUMAN SERVICES 2009 401k membership
Total participants, beginning-of-year	2009-07-01	140
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	167
Number of retired or separated participants receiving benefits	2009-07-01	6
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	173
Total participants, beginning-of-year	2009-01-01	181
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	188
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	188

Form 5500 Responses for THE CARSON CENTER FOR HUMAN SERVICES

2014: THE CARSON CENTER FOR HUMAN SERVICES 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	Yes
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: THE CARSON CENTER FOR HUMAN SERVICES 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: THE CARSON CENTER FOR HUMAN SERVICES 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: THE CARSON CENTER FOR HUMAN SERVICES 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2009: THE CARSON CENTER FOR HUMAN SERVICES 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number	A03055
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00389505
Policy instance	1
HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number	A03055
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00389505
Policy instance	1
HEALTH NEW ENGLAND (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number	A03055
Policy instance	1
HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number	A03055
Policy instance	1
HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number	A03055
Policy instance	1

Potentially related plans

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Company Name:	THE CARSON CENTER FOR HUMAN SERVICES
Employer identification number (EIN):	042316498
NAIC Classification:	621420
NAIC Description:	Outpatient Mental Health and Substance Abuse Centers