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AFFORDABLE HOME HEALTH VOL LIFE AND AD&D 401k Plan overview

Plan NameAFFORDABLE HOME HEALTH VOL LIFE AND AD&D
Plan identification number 506

AFFORDABLE HOME HEALTH VOL LIFE AND AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
    SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='204300403' AND PlanID='506'

401k Sponsoring company profile

AFFORDABLE HOME HEALTH CARELLC has sponsored the creation of one or more 401k plans.

Company Name:AFFORDABLE HOME HEALTH CARELLC
Employer identification number (EIN):204300403
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AFFORDABLE HOME HEALTH VOL LIFE AND AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062023-01-01AARON ALBRECHT2024-06-26
5062022-01-01CYNTHIA H. MERCER2023-07-05

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0C2MF
Policy instance 1
Insurance contract or identification numberGVTL0C2MF
Number of Individuals Covered167
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $5,064
Total amount of fees paid to insurance companyUSD $1,404
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0C2MF
Policy instance 1
Insurance contract or identification numberGVTL0C2MF
Number of Individuals Covered139
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,004
Total amount of fees paid to insurance companyUSD $1,124
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $33,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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