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| Plan Name | UNITED HEALTHCARE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LEL HOME SERVICES, LLC |
| Employer identification number (EIN): | 352100743 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2021-10-01 | ATIYA DEAN | 2023-04-14 | ||
| 501 | 2020-10-01 | ATIYA DEAN | 2022-05-10 | ||
| 501 | 2019-10-01 | ATIYA DEAN | 2022-05-10 | ||
| 501 | 2018-10-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: UNITED HEALTHCARE 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 140 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 140 |
| Number of employers contributing to the scheme | 2021-10-01 | 0 |
| 2020: UNITED HEALTHCARE 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-10-01 | 139 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 158 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
| Total of all active and inactive participants | 2020-10-01 | 158 |
| Number of employers contributing to the scheme | 2020-10-01 | 0 |
| 2019: UNITED HEALTHCARE 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-10-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 139 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
| Total of all active and inactive participants | 2019-10-01 | 139 |
| Number of employers contributing to the scheme | 2019-10-01 | 0 |
| 2018: UNITED HEALTHCARE 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-10-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 128 |
| Number of retired or separated participants receiving benefits | 2018-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 0 |
| Total of all active and inactive participants | 2018-10-01 | 128 |
| Total participants | 2018-10-01 | 128 |
| 2021: UNITED HEALTHCARE 2021 form 5500 responses | ||
|---|---|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: UNITED HEALTHCARE 2020 form 5500 responses | ||
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: UNITED HEALTHCARE 2019 form 5500 responses | ||
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: UNITED HEALTHCARE 2018 form 5500 responses | ||
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | First time form 5500 has been submitted | Yes |
| 2018-10-01 | Submission has been amended | No |
| 2018-10-01 | This submission is the final filing | No |
| 2018-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-10-01 | Plan is a collectively bargained plan | No |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 922209 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 922209 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | W10929M001 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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