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| Plan Name | BETH SHOLOM HOME OF VIRGINIA GROUP HEALTH PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BETH SHOLOM HOME OF VIRGINIA |
| Employer identification number (EIN): | 540525702 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
Additional information about BETH SHOLOM HOME OF VIRGINIA
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 1945-04-27 |
| Company Identification Number: | 0051264 |
| Legal Registered Office Address: |
1600 JOHN ROLFE PKWY PO BOX 1998 RICHMOND United States of America (USA) 23233 |
More information about BETH SHOLOM HOME OF VIRGINIA
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2014-02-01 | ||||
| 506 | 2009-02-01 | JOHN BELLOTTI | JOHN BELLOTTI | 2010-08-31 | |
| 506 | 2009-01-01 | JOHN BELLOTTI | JOHN BELLOTTI | 2010-08-31 |
| Measure | Date | Value |
|---|---|---|
| 2014: BETH SHOLOM HOME OF VIRGINIA GROUP HEALTH PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-02-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 94 |
| Number of retired or separated participants receiving benefits | 2014-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-02-01 | 0 |
| Total of all active and inactive participants | 2014-02-01 | 94 |
| 2009: BETH SHOLOM HOME OF VIRGINIA GROUP HEALTH PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-02-01 | 200 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 125 |
| Total of all active and inactive participants | 2009-02-01 | 125 |
| Total participants | 2009-02-01 | 125 |
| Total participants, beginning-of-year | 2009-01-01 | 200 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 125 |
| Total of all active and inactive participants | 2009-01-01 | 125 |
| Total participants | 2009-01-01 | 125 |
| 2014: BETH SHOLOM HOME OF VIRGINIA GROUP HEALTH PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | Submission has been amended | No |
| 2014-02-01 | This submission is the final filing | No |
| 2014-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-02-01 | Plan is a collectively bargained plan | No |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BETH SHOLOM HOME OF VIRGINIA GROUP HEALTH PLAN 2009 form 5500 responses | ||
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | Submission has been amended | Yes |
| 2009-02-01 | This submission is the final filing | No |
| 2009-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-02-01 | Plan is a collectively bargained plan | No |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00610608 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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