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ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 401k Plan overview

Plan NameST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN
Plan identification number 505

ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
Employer identification number (EIN):161391191
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1991-04-10
Company Identification Number: 1539333
Legal Registered Office Address: EAST RIVER ROAD, R.D. #4
Oswego
OSWEGO
United States of America (USA)
13126

More information about ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-01-01ELIZABETH STEVES2022-07-28 ELIZABETH STEVES2022-07-28
5052020-01-01ELIZABETH BAILEY2021-10-14 ELIZABETH BAILEY2021-10-14
5052019-01-01
5052019-01-01ELIZABETH BAILEY2020-10-08 ELIZABETH BAILEY2020-10-08
5052018-01-01
5052017-01-01ELIZABETH BAILEY ELIZABETH BAILEY2018-10-05
5052016-01-01MAURA O'TOOLE MAURA O'TOOLE2017-10-09
5052015-01-01HEATHER MELLEN HEATHER MELLEN2016-07-22
5052014-01-01HEATHER MELLEN HEATHER MELLEN2015-10-01
5052013-01-01
5052012-01-01HEATHER MELLEN
5052011-01-01HEATHER MELLEN
5052009-01-01HEATHER MELLEN

Plan Statistics for ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN

401k plan membership statisitcs for ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN

Measure Date Value
2021: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01354
Total number of active participants reported on line 7a of the Form 55002021-01-010
Total of all active and inactive participants2021-01-010
2020: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01435
Total number of active participants reported on line 7a of the Form 55002020-01-01354
Total of all active and inactive participants2020-01-01354
2019: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01319
Total number of active participants reported on line 7a of the Form 55002019-01-01435
Total of all active and inactive participants2019-01-01435
2018: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01377
Total number of active participants reported on line 7a of the Form 55002018-01-01319
Total of all active and inactive participants2018-01-01319
2017: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01425
Total number of active participants reported on line 7a of the Form 55002017-01-01377
Total of all active and inactive participants2017-01-01377
2016: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01425
Total number of active participants reported on line 7a of the Form 55002016-01-01348
Number of retired or separated participants receiving benefits2016-01-015
Total of all active and inactive participants2016-01-01353
2015: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01411
Total number of active participants reported on line 7a of the Form 55002015-01-01418
Number of retired or separated participants receiving benefits2015-01-017
Total of all active and inactive participants2015-01-01425
2014: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01383
Total number of active participants reported on line 7a of the Form 55002014-01-01410
Number of retired or separated participants receiving benefits2014-01-011
Total of all active and inactive participants2014-01-01411
2013: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01276
Total number of active participants reported on line 7a of the Form 55002013-01-01383
Total of all active and inactive participants2013-01-01383
2012: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01276
Total number of active participants reported on line 7a of the Form 55002012-01-01276
Number of retired or separated participants receiving benefits2012-01-010
Total of all active and inactive participants2012-01-01276
2011: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01284
Total number of active participants reported on line 7a of the Form 55002011-01-01276
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-01276
2009: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01259
Total number of active participants reported on line 7a of the Form 55002009-01-01263
Number of retired or separated participants receiving benefits2009-01-013
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01266

Form 5500 Responses for ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN

2021: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan 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 number00113388
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803457G
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00113388
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803457G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberB03457G
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00113388
Policy instance 2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00113388
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803457G
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0882595
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00113388
Policy instance 2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number076132
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0882595
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0036290
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0882595
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0036290
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0882595
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0882595
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number0036290
Policy instance 2
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00036290
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number882595
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number882595
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number03444
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number882595
Policy instance 1
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number03444
Policy instance 2

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