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PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 401k Plan overview

Plan NamePRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN
Plan identification number 503

PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

PRESBYTERIAN COMMUNITIES AND SERVICES has sponsored the creation of one or more 401k plans.

Company Name:PRESBYTERIAN COMMUNITIES AND SERVICES
Employer identification number (EIN):261459224
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about PRESBYTERIAN COMMUNITIES AND SERVICES

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2007-10-29
Company Identification Number: 0800890733
Legal Registered Office Address: 12467 MERIT DR

DALLAS
United States of America (USA)
75251

More information about PRESBYTERIAN COMMUNITIES AND SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-01-01JAMARA RODRIGUEZ2022-10-14
5032020-01-01
5032020-01-01
5032020-01-01JAMARA RODRIGUEZ2022-10-14
5032019-01-01
5032018-01-01
5032017-01-01JENNIFER LORD
5032016-01-01
5032015-01-01
5032014-01-01STEVE KEARNEY
5032013-01-01STEVE KEARNEY
5032012-01-01STEFANIE PENNINGTON
5032011-01-01ELIZABETH NICOLE GANN
5032009-01-01NICOLE GANN

Plan Statistics for PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN

401k plan membership statisitcs for PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN

Measure Date Value
2021: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01453
Total number of active participants reported on line 7a of the Form 55002021-01-01453
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01453
2020: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01600
Total number of active participants reported on line 7a of the Form 55002020-01-01554
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01554
2019: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01623
Total number of active participants reported on line 7a of the Form 55002019-01-01600
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01600
2018: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01825
Total number of active participants reported on line 7a of the Form 55002018-01-01623
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01623
2017: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01753
Total number of active participants reported on line 7a of the Form 55002017-01-01706
Number of retired or separated participants receiving benefits2017-01-010
Total of all active and inactive participants2017-01-01706
Total participants2017-01-01706
2016: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01924
Total number of active participants reported on line 7a of the Form 55002016-01-01943
Total of all active and inactive participants2016-01-01943
2015: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01976
Total number of active participants reported on line 7a of the Form 55002015-01-01924
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01924
2014: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,366
Total number of active participants reported on line 7a of the Form 55002014-01-011,379
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,379
2013: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01935
Total number of active participants reported on line 7a of the Form 55002013-01-011,366
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,366
2012: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01935
Total number of active participants reported on line 7a of the Form 55002012-01-01935
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01935
2011: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01931
Total number of active participants reported on line 7a of the Form 55002011-01-01935
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01935
2009: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01830
Total number of active participants reported on line 7a of the Form 55002009-01-01914
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01914
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010

Form 5500 Responses for PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN

2021: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT 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 filingNo
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 funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: PRESBYTERIAN COMMUNITIES AND SERVICES OCCUPATIONAL INJURY BENEFIT 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 – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892394G
Policy instance 1
Insurance contract or identification number892394G
Number of Individuals Covered453
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $39,058
Total amount of fees paid to insurance companyUSD $3,346
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D, CRITICAL ILLNESS, ACCIDENT, HOSPITAL
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 $287,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3346
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3

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