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AMERICARE HEALTH SVS, LLC 401k Plan overview

Plan NameAMERICARE HEALTH SVS, LLC
Plan identification number 501

AMERICARE HEALTH SVS, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

AMERICARE HEALTH SERVICES LLC has sponsored the creation of one or more 401k plans.

Company Name:AMERICARE HEALTH SERVICES LLC
Employer identification number (EIN):341971333
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICARE HEALTH SVS, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-02-01JOHN J SELLERS
5012016-02-01MICHAEL LEWIS
5012015-02-01MICHAEL LEWIS
5012014-02-01MICHAEL LEWIS
5012013-02-01MICHAEL LEWIS
5012012-02-01MICHAEL LEWIS
5012011-02-01MICHAEL LEWIS

Plan Statistics for AMERICARE HEALTH SVS, LLC

401k plan membership statisitcs for AMERICARE HEALTH SVS, LLC

Measure Date Value
2017: AMERICARE HEALTH SVS, LLC 2017 401k membership
Total participants, beginning-of-year2017-02-01108
Total number of active participants reported on line 7a of the Form 55002017-02-0190
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-0190
2016: AMERICARE HEALTH SVS, LLC 2016 401k membership
Total participants, beginning-of-year2016-02-01100
Total number of active participants reported on line 7a of the Form 55002016-02-01108
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01108
2015: AMERICARE HEALTH SVS, LLC 2015 401k membership
Total participants, beginning-of-year2015-02-01113
Total number of active participants reported on line 7a of the Form 55002015-02-01100
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01100
2014: AMERICARE HEALTH SVS, LLC 2014 401k membership
Total participants, beginning-of-year2014-02-0198
Total number of active participants reported on line 7a of the Form 55002014-02-01113
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01113
2013: AMERICARE HEALTH SVS, LLC 2013 401k membership
Total participants, beginning-of-year2013-02-01117
Total number of active participants reported on line 7a of the Form 55002013-02-0198
Total of all active and inactive participants2013-02-0198
2012: AMERICARE HEALTH SVS, LLC 2012 401k membership
Total participants, beginning-of-year2012-02-01131
Total number of active participants reported on line 7a of the Form 55002012-02-01117
Number of retired or separated participants receiving benefits2012-02-014
Total of all active and inactive participants2012-02-01121
2011: AMERICARE HEALTH SVS, LLC 2011 401k membership
Total participants, beginning-of-year2011-02-01133
Total number of active participants reported on line 7a of the Form 55002011-02-01131
Number of retired or separated participants receiving benefits2011-02-012
Total of all active and inactive participants2011-02-01133

Form 5500 Responses for AMERICARE HEALTH SVS, LLC

2017: AMERICARE HEALTH SVS, LLC 2017 form 5500 responses
2017-02-01Type of plan entityMulitple employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: AMERICARE HEALTH SVS, LLC 2016 form 5500 responses
2016-02-01Type of plan entityMulitple employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: AMERICARE HEALTH SVS, LLC 2015 form 5500 responses
2015-02-01Type of plan entityMulitple employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: AMERICARE HEALTH SVS, LLC 2014 form 5500 responses
2014-02-01Type of plan entityMulitple employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: AMERICARE HEALTH SVS, LLC 2013 form 5500 responses
2013-02-01Type of plan entityMulitple employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: AMERICARE HEALTH SVS, LLC 2012 form 5500 responses
2012-02-01Type of plan entityMulitple employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: AMERICARE HEALTH SVS, LLC 2011 form 5500 responses
2011-02-01Type of plan entityMulitple employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number01X6801
Policy instance 2
Insurance contract or identification number01X6801
Number of Individuals Covered48
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $14,415
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $360,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,415
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 1
Insurance contract or identification number00435456
Number of Individuals Covered90
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $2,988
Total amount of fees paid to insurance companyUSD $2,364
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,988
Amount paid for insurance broker fees2364
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00172126
Policy instance 2
Insurance contract or identification number00172126
Number of Individuals Covered34
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $15,672
Total amount of fees paid to insurance companyUSD $1,077
Welfare Benefit Premiums Paid to CarrierUSD $312,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,672
Amount paid for insurance broker fees1077
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 1
Insurance contract or identification number00435456
Number of Individuals Covered100
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $3,366
Total amount of fees paid to insurance companyUSD $130
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,366
Amount paid for insurance broker fees130
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00172126
Policy instance 3
Insurance contract or identification number00172126
Number of Individuals Covered65
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $20,658
Total amount of fees paid to insurance companyUSD $2,037
Welfare Benefit Premiums Paid to CarrierUSD $313,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,658
Amount paid for insurance broker fees2037
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 2
Insurance contract or identification number00435456
Number of Individuals Covered158
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $3,522
Total amount of fees paid to insurance companyUSD $2,020
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $621
Amount paid for insurance broker fees262
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00172126
Policy instance 1
Insurance contract or identification number00172126
Number of Individuals Covered113
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $309
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $309
Insurance broker nameFIRST INSURANCE GROUP MIDWEST INC
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number00172126
Policy instance 3
Insurance contract or identification number00172126
Number of Individuals Covered58
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $15,216
Total amount of fees paid to insurance companyUSD $891
Welfare Benefit Premiums Paid to CarrierUSD $310,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,216
Amount paid for insurance broker fees891
Insurance broker nameFIRST INSURANCE GROUP OF THE MIDWES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 2
Insurance contract or identification number00435456
Number of Individuals Covered98
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $3,702
Total amount of fees paid to insurance companyUSD $554
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $690
Amount paid for insurance broker fees368
Insurance broker nameLUCIDO MORRIS ASSOCIATES, LLC
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number00172126
Policy instance 1
Insurance contract or identification number00172126
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $340
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $340
Insurance broker nameFIRST INSURANCE GROUP MIDWEST INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 2
Insurance contract or identification number00435456
Number of Individuals Covered87
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $3,597
Total amount of fees paid to insurance companyUSD $1,652
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,208
Amount paid for insurance broker fees1652
Insurance broker nameLUCIDO MORRIS ASSOCIATES, LLC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number471804
Policy instance 1
Insurance contract or identification number471804
Number of Individuals Covered103
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $286
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (SPECIFY)
Welfare Benefit Premiums Paid to CarrierUSD $73,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $249
Insurance broker nameFIRST INSURANCE GROUP MIDWEST INC
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 96518 )
Policy contract numberUS449124
Policy instance 3
Insurance contract or identification numberUS449124
Number of Individuals Covered101
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Welfare Benefit Premiums Paid to CarrierUSD $286,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number471804
Policy instance 1
Insurance contract or identification number471804
Number of Individuals Covered120
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $312
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER SPECIFY
Welfare Benefit Premiums Paid to CarrierUSD $369,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 2
Insurance contract or identification number00435456
Number of Individuals Covered94
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $3,744
Total amount of fees paid to insurance companyUSD $2,062
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number515054
Policy instance 1
Insurance contract or identification number515054
Number of Individuals Covered144
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $20,517
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $406,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00435456
Policy instance 2
Insurance contract or identification number00435456
Number of Individuals Covered78
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $3,524
Total amount of fees paid to insurance companyUSD $1,913
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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