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EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF CHI INVESTMENTS
Plan identification number 501

EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS Benefits

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

401k Sponsoring company profile

CHI INVESTMENTS has sponsored the creation of one or more 401k plans.

Company Name:CHI INVESTMENTS
Employer identification number (EIN):431834367
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012022-01-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS 2022 401k membership
Total participants, beginning-of-year2022-05-015
Total number of active participants reported on line 7a of the Form 55002022-05-015
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-015
Total participants, beginning-of-year2022-01-016
Total number of active participants reported on line 7a of the Form 55002022-01-015
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-015

Financial Data on EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS 2023 401k financial data
Value of fidelity bond covering the plan2023-04-30$1,000
Net income (gross income less expenses)2023-04-30$0
2022 : EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS 2022 401k financial data
Value of fidelity bond covering the plan2022-04-30$1,000
Net income (gross income less expenses)2022-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$0

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS

2022: EMPLOYEE HEALTH PLAN OF CHI INVESTMENTS 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14475 NFA 0746
Policy instance 1
Insurance contract or identification number14475 NFA 0746
Number of Individuals Covered3
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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 BenefitYes
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 $17,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number14475 NFA 0746
Policy instance 1
Insurance contract or identification number14475 NFA 0746
Number of Individuals Covered11
Insurance policy start date2022-01-01
Insurance policy end date2022-04-30
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 BenefitYes
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 $17,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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