401k Plan data: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. plan

TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 401k Plan overview

Plan Name	TRANSITIONAL SERVICES INC. GROUP HEALTH INS.
Plan identification number	507

TRANSITIONAL SERVICES INC. GROUP HEALTH INS. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

TRANSITIONAL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: TRANSITIONAL SERVICES, INC.

Employer identification number (EIN): 160990574

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Additional information about TRANSITIONAL SERVICES, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1971-12-28

Company Identification Number: 320362

Legal Registered Office Address: 389 ELMWOOD AVENUE
Erie
BUFFALO
United States of America (USA)
14222

More information about TRANSITIONAL SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRANSITIONAL SERVICES INC. GROUP HEALTH INS.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2018-01-01
507 2017-01-01
507 2013-01-01 GARY GLOWISH
507 2012-01-01 GARY GLOWISH
507 2011-01-01 GARY GLOWISH
507 2009-01-01 GARY GLOWISH

Plan Statistics for TRANSITIONAL SERVICES INC. GROUP HEALTH INS.

401k plan membership statisitcs for TRANSITIONAL SERVICES INC. GROUP HEALTH INS.

Measure Date Value
2018: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2018 401k membership
Total participants, beginning-of-year 2018-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 99
Total of all active and inactive participants 2018-01-01 99
Total participants 2018-01-01 99
2017: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 100
Total of all active and inactive participants 2017-01-01 100
Total participants 2017-01-01 100
2013: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 119
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 115
Total of all active and inactive participants 2013-01-01 115
2012: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 121
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 119
Total of all active and inactive participants 2012-01-01 119
2011: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 121
Total of all active and inactive participants 2011-01-01 121
2009: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 199
Total of all active and inactive participants 2009-01-01 199

Measure	Date	Value
2018: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2018 401k membership
Total participants, beginning-of-year	2018-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	99
Total of all active and inactive participants	2018-01-01	99
Total participants	2018-01-01	99
2017: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	100
Total of all active and inactive participants	2017-01-01	100
Total participants	2017-01-01	100
2013: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	119
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	115
Total of all active and inactive participants	2013-01-01	115
2012: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	121
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	119
Total of all active and inactive participants	2012-01-01	119
2011: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	121
Total of all active and inactive participants	2011-01-01	121
2009: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	199
Total of all active and inactive participants	2009-01-01	199

Form 5500 Responses for TRANSITIONAL SERVICES INC. GROUP HEALTH INS.

2018: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2013: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: TRANSITIONAL SERVICES INC. GROUP HEALTH INS. 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

13214

Policy instance

Insurance contract or identification number	13214
Number of Individuals Covered	99
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $68,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

13214

Policy instance

Insurance contract or identification number	13214
Number of Individuals Covered	100
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $72,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TRANSITIONAL SERVICES, INC.
Employer identification number (EIN):	160990574
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1971-12-28
Company Identification Number:	320362
Legal Registered Office Address:	389 ELMWOOD AVENUE Erie BUFFALO United States of America (USA) 14222