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| Plan Name | OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT |
| Plan identification number | 701 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC |
| Employer identification number (EIN): | 263286977 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 701 | 2015-12-18 | ||||
| 701 | 2014-12-18 | HAROLD SNYDER | |||
| 701 | 2013-12-18 | HAROLD SNYDER |
| Measure | Date | Value |
|---|---|---|
| 2015: OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-12-18 | 348 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-18 | 348 |
| Number of retired or separated participants receiving benefits | 2015-12-18 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-12-18 | 0 |
| Total of all active and inactive participants | 2015-12-18 | 348 |
| 2014: OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-12-18 | 348 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-12-18 | 348 |
| Number of retired or separated participants receiving benefits | 2014-12-18 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-12-18 | 0 |
| Total of all active and inactive participants | 2014-12-18 | 348 |
| 2013: OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-12-18 | 348 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-12-18 | 348 |
| Number of retired or separated participants receiving benefits | 2013-12-18 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-12-18 | 0 |
| Total of all active and inactive participants | 2013-12-18 | 348 |
| 2015: OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT 2015 form 5500 responses | ||
|---|---|---|
| 2015-12-18 | Type of plan entity | Single employer plan |
| 2015-12-18 | Submission has been amended | No |
| 2015-12-18 | This submission is the final filing | No |
| 2015-12-18 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-12-18 | Plan is a collectively bargained plan | No |
| 2015-12-18 | Plan funding arrangement – Insurance | Yes |
| 2015-12-18 | Plan benefit arrangement – Insurance | Yes |
| 2014: OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT 2014 form 5500 responses | ||
| 2014-12-18 | Type of plan entity | Single employer plan |
| 2014-12-18 | Submission has been amended | Yes |
| 2014-12-18 | This submission is the final filing | No |
| 2014-12-18 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-12-18 | Plan is a collectively bargained plan | No |
| 2014-12-18 | Plan funding arrangement – Insurance | Yes |
| 2014-12-18 | Plan benefit arrangement – Insurance | Yes |
| 2013: OCI HOLDINGS, LLC OCI ACQUISITIONS, LLC DBA CARE OPTIONS FOR KIDS WORKPLACE INJURY BENEFIT 2013 form 5500 responses | ||
| 2013-12-18 | Type of plan entity | Single employer plan |
| 2013-12-18 | Submission has been amended | No |
| 2013-12-18 | This submission is the final filing | No |
| 2013-12-18 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-12-18 | Plan is a collectively bargained plan | No |
| 2013-12-18 | Plan funding arrangement – Insurance | Yes |
| 2013-12-18 | Plan benefit arrangement – Insurance | Yes |
| LEXINGTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19437 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | ECA17722308 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| LEXINGTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19437 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | ECA1722308 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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