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EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 401k Plan overview

Plan NameEMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER
Plan identification number 503

EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

HILLSIDE CHILDREN'S CENTER has sponsored the creation of one or more 401k plans.

Company Name:HILLSIDE CHILDREN'S CENTER
Employer identification number (EIN):160743039
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about HILLSIDE CHILDREN'S CENTER

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1838-01-01
Company Identification Number: 6
Legal Registered Office Address: 1183 MONROE AVENUE
Monroe
ROCHESTER
United States of America (USA)
14620

More information about HILLSIDE CHILDREN'S CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032020-01-01

Plan Statistics for EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER

Measure Date Value
2022: EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 2022 401k membership
Total participants, beginning-of-year2022-01-01918
Total number of active participants reported on line 7a of the Form 55002022-01-01839
Number of retired or separated participants receiving benefits2022-01-019
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01848
2021: EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 2021 401k membership
Total participants, beginning-of-year2021-01-011,033
Total number of active participants reported on line 7a of the Form 55002021-01-01902
Number of retired or separated participants receiving benefits2021-01-0110
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01912
2020: EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 2020 401k membership
Total participants, beginning-of-year2020-01-011,108
Total number of active participants reported on line 7a of the Form 55002020-01-011,024
Number of retired or separated participants receiving benefits2020-01-019
Total of all active and inactive participants2020-01-011,033

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER

2022: EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: EMPLOYEE BENEFITS PLAN OF HILLSIDE CHILDREN'S CENTER 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00055059
Policy instance 1
Insurance contract or identification number00055059
Number of Individuals Covered863
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,743
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,743
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )
Policy contract number10177391001
Policy instance 2
Insurance contract or identification number10177391001
Number of Individuals Covered795
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,011
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,011
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )
Policy contract number10177491001
Policy instance 3
Insurance contract or identification number10177491001
Number of Individuals Covered11
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $12
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12
Amount paid for insurance broker fees0
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number55059
Policy instance 1
Insurance contract or identification number55059
Number of Individuals Covered891
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $18,839
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,839
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )
Policy contract number10177391001
Policy instance 2
Insurance contract or identification number10177391001
Number of Individuals Covered755
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,293
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,797
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00510105
Policy instance 3
Insurance contract or identification number00510105
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00500630
Policy instance 4
Insurance contract or identification number00500630
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number55059
Policy instance 1
Insurance contract or identification number55059
Number of Individuals Covered1000
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $19,768
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,768
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 )
Policy contract number10177391001
Policy instance 2
Insurance contract or identification number10177391001
Number of Individuals Covered729
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,558
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,558
Insurance broker organization code?3

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