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HUMAN SERVICES AGENCIES HEALTH CARE FUND 401k Plan overview

Plan NameHUMAN SERVICES AGENCIES HEALTH CARE FUND
Plan identification number 501

HUMAN SERVICES AGENCIES HEALTH CARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

HUMAN SERVICES AGENCIES HEALTH CARE FUND has sponsored the creation of one or more 401k plans.

Company Name:HUMAN SERVICES AGENCIES HEALTH CARE FUND
Employer identification number (EIN):161267794
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUMAN SERVICES AGENCIES HEALTH CARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-12-01
5012023-12-01BRIAN DOVI
5012022-12-01
5012022-12-01BRIAN DOVI
5012021-12-01
5012021-12-01DAVID CRIST
5012020-12-01DAVID SHAPIRO2022-02-01
5012019-12-01DAVID SHAPIRO2021-04-22
5012018-12-01DAVID BREESE2020-04-23
5012017-12-01LISA GILL2019-09-03
5012016-12-01
5012015-12-01
5012014-12-01
5012013-12-01
5012012-12-01LISA GILL
5012011-12-01TED KORDELA
5012010-12-01TED KORDELA
5012009-12-01TED KORDELA
5012008-12-01

Financial Data on HUMAN SERVICES AGENCIES HEALTH CARE FUND

Measure Date Value
2023 : HUMAN SERVICES AGENCIES HEALTH CARE FUND 2023 401k financial data
Total income from all sources (including contributions)2023-11-30$13,554
Total of all expenses incurred2023-11-30$13,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-11-30$12,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-11-30$13,554
Value of total assets at end of year2023-11-30$1,204
Value of total assets at beginning of year2023-11-30$1,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-11-30$1,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-11-30No
Administrative expenses professional fees incurred2023-11-30$1,350
Was this plan covered by a fidelity bond2023-11-30No
If this is an individual account plan, was there a blackout period2023-11-30No
Were there any nonexempt tranactions with any party-in-interest2023-11-30No
Total non interest bearing cash at end of year2023-11-30$1,204
Total non interest bearing cash at beginning of year2023-11-30$1,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-11-30No
Value of net income/loss2023-11-30$42
Value of net assets at end of year (total assets less liabilities)2023-11-30$1,204
Value of net assets at beginning of year (total assets less liabilities)2023-11-30$1,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-11-30No
Were any leases to which the plan was party in default or uncollectible2023-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2023-11-30$12,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-11-30No
Was there a failure to transmit to the plan any participant contributions2023-11-30No
Has the plan failed to provide any benefit when due under the plan2023-11-30No
Contributions received in cash from employer2023-11-30$13,554
Did the plan have assets held for investment2023-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-11-30No
2022 : HUMAN SERVICES AGENCIES HEALTH CARE FUND 2022 401k financial data
Total income from all sources (including contributions)2022-12-01$13,554
Total of all expenses incurred2022-12-01$13,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-01$12,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-01$13,554
Value of total assets at end of year2022-12-01$1,204
Value of total assets at beginning of year2022-12-01$1,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-01$1,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-01No
Administrative expenses professional fees incurred2022-12-01$1,350
Was this plan covered by a fidelity bond2022-12-01No
If this is an individual account plan, was there a blackout period2022-12-01No
Were there any nonexempt tranactions with any party-in-interest2022-12-01No
Total non interest bearing cash at end of year2022-12-01$1,204
Total non interest bearing cash at beginning of year2022-12-01$1,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-01No
Value of net income/loss2022-12-01$42
Value of net assets at end of year (total assets less liabilities)2022-12-01$1,204
Value of net assets at beginning of year (total assets less liabilities)2022-12-01$1,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-01No
Were any leases to which the plan was party in default or uncollectible2022-12-01No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-01$12,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-01No
Was there a failure to transmit to the plan any participant contributions2022-12-01No
Has the plan failed to provide any benefit when due under the plan2022-12-01No
Contributions received in cash from employer2022-12-01$13,554
Did the plan have assets held for investment2022-12-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-01No
Total income from all sources (including contributions)2022-11-30$13,465
Total of all expenses incurred2022-11-30$12,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$11,804
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$13,465
Value of total assets at end of year2022-11-30$1,162
Value of total assets at beginning of year2022-11-30$631
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$1,130
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-30No
Administrative expenses professional fees incurred2022-11-30$1,100
Was this plan covered by a fidelity bond2022-11-30No
If this is an individual account plan, was there a blackout period2022-11-30No
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Administrative expenses (other) incurred2022-11-30$30
Total non interest bearing cash at end of year2022-11-30$1,162
Total non interest bearing cash at beginning of year2022-11-30$631
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Value of net income/loss2022-11-30$531
Value of net assets at end of year (total assets less liabilities)2022-11-30$1,162
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2022-11-30$11,804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30No
Was there a failure to transmit to the plan any participant contributions2022-11-30No
Has the plan failed to provide any benefit when due under the plan2022-11-30No
Contributions received in cash from employer2022-11-30$13,465
Did the plan have assets held for investment2022-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-30No

Form 5500 Responses for HUMAN SERVICES AGENCIES HEALTH CARE FUND

2023: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2023 form 5500 responses
2023-12-01Type of plan entityMulitple employer plan
2023-12-01This submission is the final filingYes
2023-12-01Plan funding arrangement – General assets of the sponsorYes
2023-12-01Plan benefit arrangement – InsuranceYes
2022: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2022 form 5500 responses
2022-12-01Type of plan entityMulitple employer plan
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2021: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2021 form 5500 responses
2021-12-01Type of plan entityMulitple employer plan
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2020 form 5500 responses
2020-12-01Type of plan entityMulitple employer plan
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2019 form 5500 responses
2019-12-01Type of plan entityMulitple employer plan
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2018 form 5500 responses
2018-12-01Type of plan entityMulitple employer plan
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2017 form 5500 responses
2017-12-01Type of plan entityMulitple employer plan
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2016 form 5500 responses
2016-12-01Type of plan entityMulitple employer plan
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2015 form 5500 responses
2015-12-01Type of plan entityMulitple employer plan
2015-12-01Plan funding arrangement – General assets of the sponsorYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2014 form 5500 responses
2014-12-01Type of plan entityMulitple employer plan
2014-12-01Plan funding arrangement – General assets of the sponsorYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2013 form 5500 responses
2013-12-01Type of plan entityMulitple employer plan
2013-12-01Plan funding arrangement – General assets of the sponsorYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2012 form 5500 responses
2012-12-01Type of plan entityMulitple employer plan
2012-12-01Plan funding arrangement – General assets of the sponsorYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2011 form 5500 responses
2011-12-01Type of plan entityMulitple employer plan
2011-12-01Plan funding arrangement – General assets of the sponsorYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2010 form 5500 responses
2010-12-01Type of plan entityMulitple employer plan
2010-12-01Plan funding arrangement – General assets of the sponsorYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2009 form 5500 responses
2009-12-01Type of plan entityMulitple employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – General assets of the sponsorYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: HUMAN SERVICES AGENCIES HEALTH CARE FUND 2008 form 5500 responses
2008-12-01Type of plan entityMulitple employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

RENAISSANCE OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract numberLINY40087
Policy instance 1
Insurance contract or identification numberLINY40087
Number of Individuals Covered114
Insurance policy start date2023-12-01
Insurance policy end date2024-11-30
Total amount of commissions paid to insurance brokerUSD $1,484
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $13,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RENAISSANCE OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract numberLINY40087
Policy instance 1
RENAISSANCE OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract numberLINY40087
Policy instance 1
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract numberLINY40087
Policy instance 1
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract numberLINY40087
Policy instance 2
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010116492
Policy instance 1

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