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C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 401k Plan overview

Plan NameC. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN
Plan identification number 504

C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

C ROSS HEALTH SYSTEMS LLC has sponsored the creation of one or more 401k plans.

Company Name:C ROSS HEALTH SYSTEMS LLC
Employer identification number (EIN):464427927
NAIC Classification:551112
NAIC Description:Offices of Other Holding Companies

Additional information about C ROSS HEALTH SYSTEMS LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1891147

More information about C ROSS HEALTH SYSTEMS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-07-01
5042020-07-01
5042019-07-01
5042018-07-01
5042017-07-01
5042016-07-01MIKE WINGET
5042015-07-01MIKE WINGET

Plan Statistics for C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN

401k plan membership statisitcs for C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN

Measure Date Value
2021: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01541
Total number of active participants reported on line 7a of the Form 55002021-07-010
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-010
2020: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01724
Total number of active participants reported on line 7a of the Form 55002020-07-01541
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01541
2019: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01447
Total number of active participants reported on line 7a of the Form 55002019-07-01724
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01724
2018: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01407
Total number of active participants reported on line 7a of the Form 55002018-07-01447
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01447
2017: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01643
Total number of active participants reported on line 7a of the Form 55002017-07-01407
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01407
2016: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01472
Total number of active participants reported on line 7a of the Form 55002016-07-01643
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01643
2015: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01302
Total number of active participants reported on line 7a of the Form 55002015-07-01472
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01472

Form 5500 Responses for C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN

2021: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01This submission is the final filingYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: C. ROSS HEALTH SYSTEMS, LLC BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00B1806
Policy instance 1
Insurance contract or identification number00B1806
Number of Individuals Covered541
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, CRITICAL ILLINESS, ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00B1806
Policy instance 1
Insurance contract or identification number00B1806
Number of Individuals Covered541
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $146,343
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, CRITICAL ILLINESS, ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $81,852
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00B1806
Policy instance 1
Insurance contract or identification number00B1806
Number of Individuals Covered724
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $102,199
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, CRITICAL ILLINESS, ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,441
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00B1806
Policy instance 1
Insurance contract or identification number00B1806
Number of Individuals Covered447
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $47,388
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, CRITICAL ILLINESS, ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,388
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00B1806
Policy instance 1
Insurance contract or identification number00B1806
Number of Individuals Covered643
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $60,340
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, CRITICAL ILLINESS, ACCIDENT
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 number006H364
Policy instance 1
Insurance contract or identification number006H364
Number of Individuals Covered472
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $44,523
Total amount of fees paid to insurance companyUSD $1,634
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedCANCER, CRITICAL ILLNESS, ACCIDENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,523
Amount paid for insurance broker fees1634
Insurance broker organization code?3
Insurance broker nameTHE SANDFORD COMPANY

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