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CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN
Plan identification number 501

CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

CENTRAL FLORIDA HOME HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL FLORIDA HOME HEALTH SERVICES, INC.
Employer identification number (EIN):453536692
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-03-01
5012019-03-01DAVID PALLASCHKE
5012018-03-01
5012018-03-01DAVID PALLASCHKE

Financial Data on CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN

Measure Date Value
2020 : CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN 2020 401k financial data
Transfers to/from the plan2020-02-29$0
Total plan liabilities at end of year2020-02-29$0
Total plan liabilities at beginning of year2020-02-29$0
Total income from all sources2020-02-29$6,144
Expenses. Total of all expenses incurred2020-02-29$6,144
Benefits paid (including direct rollovers)2020-02-29$6,144
Total plan assets at end of year2020-02-29$0
Total plan assets at beginning of year2020-02-29$0
Total contributions received or receivable from participants2020-02-29$3,072
Expenses. Other expenses not covered elsewhere2020-02-29$0
Contributions received from other sources (not participants or employers)2020-02-29$0
Other income received2020-02-29$0
Noncash contributions received2020-02-29$0
Net income (gross income less expenses)2020-02-29$0
Net plan assets at end of year (total assets less liabilities)2020-02-29$0
Net plan assets at beginning of year (total assets less liabilities)2020-02-29$0
Total contributions received or receivable from employer(s)2020-02-29$3,072
Value of certain deemed distributions of participant loans2020-02-29$0
Value of corrective distributions2020-02-29$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-02-29$0
2019 : CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN 2019 401k financial data
Transfers to/from the plan2019-02-28$0
Total plan liabilities at end of year2019-02-28$0
Total plan liabilities at beginning of year2019-02-28$0
Total income from all sources2019-02-28$28,476
Expenses. Total of all expenses incurred2019-02-28$28,476
Benefits paid (including direct rollovers)2019-02-28$28,476
Total plan assets at end of year2019-02-28$0
Total plan assets at beginning of year2019-02-28$0
Total contributions received or receivable from participants2019-02-28$14,238
Expenses. Other expenses not covered elsewhere2019-02-28$0
Contributions received from other sources (not participants or employers)2019-02-28$0
Other income received2019-02-28$0
Noncash contributions received2019-02-28$0
Net income (gross income less expenses)2019-02-28$0
Net plan assets at end of year (total assets less liabilities)2019-02-28$0
Net plan assets at beginning of year (total assets less liabilities)2019-02-28$0
Total contributions received or receivable from employer(s)2019-02-28$14,238
Value of certain deemed distributions of participant loans2019-02-28$0
Value of corrective distributions2019-02-28$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-02-28$0

Form 5500 Responses for CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN

2019: CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Submission has been amendedNo
2019-03-01This submission is the final filingYes
2019-03-01This return/report is a short plan year return/report (less than 12 months)No
2019-03-01Plan is a collectively bargained planNo
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan funding arrangement – TrustYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: CENTRAL FLORIDA HOME HEALTH SERVICES INC HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01First time form 5500 has been submittedYes
2018-03-01Submission has been amendedNo
2018-03-01This submission is the final filingNo
2018-03-01This return/report is a short plan year return/report (less than 12 months)No
2018-03-01Plan is a collectively bargained planNo
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0806334
Policy instance 1
Insurance contract or identification number0806334
Number of Individuals Covered320
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $17,073
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Vision Insurance Welfare BenefitYes
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 $1,734,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803237G
Policy instance 2
Insurance contract or identification number803237G
Number of Individuals Covered320
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $8,594
Total amount of fees paid to insurance companyUSD $403
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 BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $52,918
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 number0806334
Policy instance 1
Insurance contract or identification number0806334
Number of Individuals Covered300
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $22,636
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $1,706,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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