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HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 401k Plan overview

Plan NameHEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY
Plan identification number 505

HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY Benefits

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

401k Sponsoring company profile

THREE LOWER COUNTIES COMMUNITY SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Employer identification number (EIN):521860379
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-08-01
5052021-08-01
5052020-08-01
5052019-08-01
5052018-08-01
5052017-08-01ANGELA MITCHELL
5052016-08-01BRIAN HOLLAND
5052015-08-01BRIAN HOLLAND
5052014-08-01BRIAN HOLLAND
5052013-08-01BRIAN HOLLAND

Plan Statistics for HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY

401k plan membership statisitcs for HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY

Measure Date Value
2022: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2022 401k membership
Total participants, beginning-of-year2022-08-01311
Total number of active participants reported on line 7a of the Form 55002022-08-01346
Total of all active and inactive participants2022-08-01346
2021: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2021 401k membership
Total participants, beginning-of-year2021-08-01336
Total number of active participants reported on line 7a of the Form 55002021-08-01311
Total of all active and inactive participants2021-08-01311
2020: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2020 401k membership
Total participants, beginning-of-year2020-08-01318
Total number of active participants reported on line 7a of the Form 55002020-08-01336
Total of all active and inactive participants2020-08-01336
2019: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2019 401k membership
Total participants, beginning-of-year2019-08-01348
Total number of active participants reported on line 7a of the Form 55002019-08-01318
Total of all active and inactive participants2019-08-01318
2018: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2018 401k membership
Total participants, beginning-of-year2018-08-01309
Total number of active participants reported on line 7a of the Form 55002018-08-01348
Total of all active and inactive participants2018-08-01348
2017: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2017 401k membership
Total participants, beginning-of-year2017-08-01288
Total number of active participants reported on line 7a of the Form 55002017-08-01309
Total of all active and inactive participants2017-08-01309
2016: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2016 401k membership
Total participants, beginning-of-year2016-08-01268
Total number of active participants reported on line 7a of the Form 55002016-08-01288
Total of all active and inactive participants2016-08-01288
2015: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2015 401k membership
Total participants, beginning-of-year2015-08-01241
Total number of active participants reported on line 7a of the Form 55002015-08-01268
Total of all active and inactive participants2015-08-01268
2014: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2014 401k membership
Total participants, beginning-of-year2014-08-01235
Total number of active participants reported on line 7a of the Form 55002014-08-01241
Total of all active and inactive participants2014-08-01241
2013: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2013 401k membership
Total participants, beginning-of-year2013-08-010
Total number of active participants reported on line 7a of the Form 55002013-08-01235
Total of all active and inactive participants2013-08-01235

Form 5500 Responses for HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY

2022: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan funding arrangement – General assets of the sponsorYes
2022-08-01Plan benefit arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – General assets of the sponsorYes
2021: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – General assets of the sponsorYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – General assets of the sponsorYes
2020: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes
2019: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2018: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – General assets of the sponsorYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes
2016: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – General assets of the sponsorYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – General assets of the sponsorYes
2015: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes
2013: HEALTH CARE PLAN OF THREE LOWER COUNTIES COMMUNITY 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01First time form 5500 has been submittedYes
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
Total amount of commissions paid to insurance brokerUSD $94,749
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,587
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $107,759
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,724
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $99,661
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,568
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $102,150
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,760
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $96,453
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,516
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Number of Individuals Covered309
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $85,462
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,345
Insurance broker organization code?3
Insurance broker nameINTEGRA ADMINISTRATIVE GROUP
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Number of Individuals Covered268
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $70,778
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,852
Insurance broker organization code?3
Insurance broker nameINTEGRA ADMINISTRATIVE GROUP
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Number of Individuals Covered241
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $64,218
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,785
Insurance broker organization code?3
Insurance broker nameINTEGRA ADMINISTRATIVE GROUP
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 1
Number of Individuals Covered235
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $61,498
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $274,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,362
Insurance broker organization code?3
Insurance broker nameINTEGRA ADMINISTRATIVE GROUP

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