HEALTH CARE PLAN OF FOX NURSING HOME, INC. 401k Plan overview

HEALTH CARE PLAN OF FOX NURSING HOME, INC. Benefits

401k Sponsoring company profile

Company Name:	FOX NURSING HOME, INC.
Employer identification number (EIN):	550653345
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-12-01
501	2017-12-01
501	2016-12-01	MATTHEW MURRAY

Plan Statistics for HEALTH CARE PLAN OF FOX NURSING HOME, INC.

Measure	Date	Value
2018: HEALTH CARE PLAN OF FOX NURSING HOME, INC. 2018 401k membership
Total participants, beginning-of-year	2018-12-01	67
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	0
Number of retired or separated participants receiving benefits	2018-12-01	0
Number of other retired or separated participants entitled to future benefits	2018-12-01	0
Total of all active and inactive participants	2018-12-01	0
2017: HEALTH CARE PLAN OF FOX NURSING HOME, INC. 2017 401k membership
Total participants, beginning-of-year	2017-12-01	60
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	63
Number of retired or separated participants receiving benefits	2017-12-01	2
Number of other retired or separated participants entitled to future benefits	2017-12-01	0
Total of all active and inactive participants	2017-12-01	65
2016: HEALTH CARE PLAN OF FOX NURSING HOME, INC. 2016 401k membership
Total participants, beginning-of-year	2016-12-01	58
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	60
Number of retired or separated participants receiving benefits	2016-12-01	0
Number of other retired or separated participants entitled to future benefits	2016-12-01	0
Total of all active and inactive participants	2016-12-01	60

Financial Data on HEALTH CARE PLAN OF FOX NURSING HOME, INC.

Form 5500 Responses for HEALTH CARE PLAN OF FOX NURSING HOME, INC.

Insurance Providers Used on plan

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• HEALTH CARE MANAGEMENT, INC. MCF BENEFIT PLAN [EIN = 431703999]
• HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN [EIN = 880213519]
• HEALTH CARE BENEFITS PLAN FOR THE EMPLOYEES OF DRA SOFTWARE, LLC [EIN = 261539542]
• HEALTH CARE TRANSFORMATION 401(K) PLAN [EIN = 852091202]
• HEALTH CARE CONSULTING, INC. 401K PLAN [EIN = 510654858]

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