401k Plan data: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN plan

ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 401k Plan overview

Plan Name	ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN
Plan identification number	502

ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

ANIMAL HOSPITAL OF PITTSFORD INC has sponsored the creation of one or more 401k plans.

Company Name: ANIMAL HOSPITAL OF PITTSFORD INC

Employer identification number (EIN): 161150649

NAIC Classification: 541940
NAIC Description: Veterinary Services

Additional information about ANIMAL HOSPITAL OF PITTSFORD INC

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1980-09-17

Company Identification Number: 651287

Legal Registered Office Address: 2816 MONROE AVENUE
Monroe
ROCHESTER
United States of America (USA)
14618

More information about ANIMAL HOSPITAL OF PITTSFORD INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01
502 2020-01-01
502 2019-01-01
502 2018-01-01 AMY LAUKAITIS
502 2017-01-01 AMY LAUKAITIS
502 2016-01-01 AMY LAUKAITIS
502 2015-01-01 AMY LAUKAITIS
502 2014-01-01 AMY LAUKAITIS
502 2013-01-01 AMY LAUKAITIS
502 2012-01-01 AMY LAUKAITIS
502 2011-01-01 AMY LAUKAITIS
502 2010-01-01 AMY LAUKAITIS AMY LAUKAITIS 2011-06-10
502 2009-01-01 AMY LAUKAITIS

Plan Statistics for ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN

401k plan membership statisitcs for ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN

Measure Date Value
2021: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 302
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
2020: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 303
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 282
Number of retired or separated participants receiving benefits 2020-01-01 7
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 289
2019: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 281
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 264
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 266
2018: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 425
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 467
Number of retired or separated participants receiving benefits 2018-01-01 3
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 470
2017: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 415
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 423
Number of retired or separated participants receiving benefits 2017-01-01 2
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 425
Total participants 2017-01-01 425
2016: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 381
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 400
Number of retired or separated participants receiving benefits 2016-01-01 3
Number of other retired or separated participants entitled to future benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 405
Total participants 2016-01-01 405
2015: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 374
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 363
Number of retired or separated participants receiving benefits 2015-01-01 3
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 366
Total participants 2015-01-01 366
2014: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 368
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 343
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 347
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 347
2013: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 385
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 362
Number of retired or separated participants receiving benefits 2013-01-01 5
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 368
Total participants 2013-01-01 368
2012: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 389
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 375
Number of retired or separated participants receiving benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 385
Total participants 2012-01-01 385
2011: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 400
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 374
Number of retired or separated participants receiving benefits 2011-01-01 15
Total of all active and inactive participants 2011-01-01 389
2010: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 414
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 395
Number of retired or separated participants receiving benefits 2010-01-01 5
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 400
2009: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 245
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 249

Measure	Date	Value
2021: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	302
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
2020: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	303
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	282
Number of retired or separated participants receiving benefits	2020-01-01	7
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	289
2019: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	281
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	264
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	266
2018: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	425
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	467
Number of retired or separated participants receiving benefits	2018-01-01	3
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	470
2017: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	415
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	423
Number of retired or separated participants receiving benefits	2017-01-01	2
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	425
Total participants	2017-01-01	425
2016: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	381
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	400
Number of retired or separated participants receiving benefits	2016-01-01	3
Number of other retired or separated participants entitled to future benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	405
Total participants	2016-01-01	405
2015: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	374
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	363
Number of retired or separated participants receiving benefits	2015-01-01	3
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	366
Total participants	2015-01-01	366
2014: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	368
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	343
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	347
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	347
2013: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	385
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	362
Number of retired or separated participants receiving benefits	2013-01-01	5
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	368
Total participants	2013-01-01	368
2012: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	389
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	375
Number of retired or separated participants receiving benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	385
Total participants	2012-01-01	385
2011: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	400
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	374
Number of retired or separated participants receiving benefits	2011-01-01	15
Total of all active and inactive participants	2011-01-01	389
2010: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	414
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	395
Number of retired or separated participants receiving benefits	2010-01-01	5
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	400
2009: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	245
Number of retired or separated participants receiving benefits	2009-01-01	4
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	249

Form 5500 Responses for ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN

2021: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 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: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 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: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: ANIMAL HOSPITAL OF PITTSFORD, P.C. HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00055133
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00041513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00041513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00055133
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00055133
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00041513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	4557
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	00041513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557502
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557502
Policy instance	3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	41513
Policy instance	2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number	004557003
Policy instance	1

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Company Name:	ANIMAL HOSPITAL OF PITTSFORD INC
Employer identification number (EIN):	161150649
NAIC Classification:	541940
NAIC Description:	Veterinary Services

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1980-09-17
Company Identification Number:	651287
Legal Registered Office Address:	2816 MONROE AVENUE Monroe ROCHESTER United States of America (USA) 14618