| Plan Name | MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | MENTAL HEALTH CLINIC OF PASSAIC, |
| Employer identification number (EIN): | 221829500 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-02-01 | SYBIL SCHREIBER | |||
| 501 | 2014-02-01 | SYBIL SCHREIBER | |||
| 501 | 2013-02-01 | SYBIL SCHREIBER | |||
| 501 | 2012-02-01 | SYBIL SCHREIBER | |||
| 501 | 2011-02-01 | SYBIL SCHREIBER | |||
| 501 | 2010-02-01 | SYBIL SCHREIBER |
| Measure | Date | Value |
|---|---|---|
| 2015: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-02-01 | 0 |
| Total of all active and inactive participants | 2015-02-01 | 0 |
| Total participants | 2015-02-01 | 0 |
| 2014: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-02-01 | 73 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 73 |
| Total of all active and inactive participants | 2014-02-01 | 73 |
| Total participants | 2014-02-01 | 0 |
| 2013: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-02-01 | 73 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 73 |
| Total of all active and inactive participants | 2013-02-01 | 73 |
| Total participants | 2013-02-01 | 0 |
| 2012: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-02-01 | 167 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 167 |
| Total of all active and inactive participants | 2012-02-01 | 167 |
| Total participants | 2012-02-01 | 0 |
| 2011: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-02-01 | 184 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 167 |
| Total of all active and inactive participants | 2011-02-01 | 167 |
| Total participants | 2011-02-01 | 167 |
| 2010: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-02-01 | 195 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-02-01 | 184 |
| Total of all active and inactive participants | 2010-02-01 | 184 |
| Total participants | 2010-02-01 | 184 |
| 2015: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2014 form 5500 responses | ||
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2013 form 5500 responses | ||
| 2013-02-01 | Type of plan entity | Single employer plan |
| 2013-02-01 | Plan funding arrangement – Insurance | Yes |
| 2013-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2012 form 5500 responses | ||
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2011 form 5500 responses | ||
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: MENTAL HEALTH CLINIC OF PASSAIC, INC HEALTH AND LIFE INSURANCE PLAN 2010 form 5500 responses | ||
| 2010-02-01 | Type of plan entity | Single employer plan |
| 2010-02-01 | Plan funding arrangement – Insurance | Yes |
| 2010-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 480650 |
| Policy instance | 1 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50008678 |
| Policy instance | 2 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50008678 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 480650 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 480650 |
| Policy instance | 1 |
| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) | |
| Policy contract number | 50008678 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 480650 |
| Policy instance | 1 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95490 ) | |
| Policy contract number | US399975 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 480650 |
| Policy instance | 1 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95490 ) | |
| Policy contract number | US399975 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 480650 |
| Policy instance | 1 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95490 ) | |
| Policy contract number | US399975 |
| Policy instance | 2 |