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THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameTHE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

THE CLINIC FOR SPECIAL CHILDREN INC has sponsored the creation of one or more 401k plans.

Company Name:THE CLINIC FOR SPECIAL CHILDREN INC
Employer identification number (EIN):232555373
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-05-01ADAM HEAPS
5012023-05-01
5012023-05-01ADAM HEAPS

Financial Data on THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2024 : THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN 2024 401k financial data
Total plan liabilities at end of year2024-05-01$72,780
Total plan liabilities at beginning of year2024-05-01$80,707
Total income from all sources2024-05-01$82,462
Expenses. Total of all expenses incurred2024-05-01$92,163
Benefits paid (including direct rollovers)2024-05-01$57,358
Total plan assets at end of year2024-05-01$7,041
Total plan assets at beginning of year2024-05-01$24,669
Value of fidelity bond covering the plan2024-05-01$50,000
Total contributions received or receivable from participants2024-05-01$0
Expenses. Other expenses not covered elsewhere2024-05-01$34,457
Contributions received from other sources (not participants or employers)2024-05-01$0
Other income received2024-05-01$71
Net income (gross income less expenses)2024-05-01$-9,701
Net plan assets at end of year (total assets less liabilities)2024-05-01$-65,739
Net plan assets at beginning of year (total assets less liabilities)2024-05-01$-56,038
Total contributions received or receivable from employer(s)2024-05-01$82,391
Value of corrective distributions2024-05-01$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-05-01$348
Total plan liabilities at end of year2024-04-30$80,707
Total plan liabilities at beginning of year2024-04-30$0
Total income from all sources2024-04-30$450,679
Expenses. Total of all expenses incurred2024-04-30$506,717
Benefits paid (including direct rollovers)2024-04-30$316,356
Total plan assets at end of year2024-04-30$24,669
Total plan assets at beginning of year2024-04-30$0
Value of fidelity bond covering the plan2024-04-30$50,000
Total contributions received or receivable from participants2024-04-30$0
Expenses. Other expenses not covered elsewhere2024-04-30$188,579
Contributions received from other sources (not participants or employers)2024-04-30$0
Other income received2024-04-30$658
Net income (gross income less expenses)2024-04-30$-56,038
Net plan assets at end of year (total assets less liabilities)2024-04-30$-56,038
Net plan assets at beginning of year (total assets less liabilities)2024-04-30$0
Total contributions received or receivable from employer(s)2024-04-30$450,021
Value of corrective distributions2024-04-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-04-30$1,782

Form 5500 Responses for THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN

2023: THE CLINIC FOR SPECIAL CHILDREN, INC. EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01First time form 5500 has been submittedYes
2023-05-01Submission has been amendedNo
2023-05-01This submission is the final filingNo
2023-05-01This return/report is a short plan year return/report (less than 12 months)No
2023-05-01Plan is a collectively bargained planNo
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan funding arrangement – TrustYes
2023-05-01Plan funding arrangement – General assets of the sponsorYes
2023-05-01Plan benefit arrangement – InsuranceYes
2023-05-01Plan benefit arrangement - TrustYes
2023-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number408488-A
Policy instance 1
Insurance contract or identification number408488-A
Number of Individuals Covered29
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $167,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number6911
Policy instance 2
Insurance contract or identification number6911
Number of Individuals Covered28
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $1,898
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number196882
Policy instance 3
Insurance contract or identification number196882
Number of Individuals Covered26
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Total amount of commissions paid to insurance brokerUSD $206
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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