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THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION 401k Plan overview

Plan NameTHE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION
Plan identification number 504

THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

BAYONET POINT HEALTH & REHABILITATION has sponsored the creation of one or more 401k plans.

Company Name:BAYONET POINT HEALTH & REHABILITATION
Employer identification number (EIN):593664427
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042011-01-01DAVID CROSS
5042009-01-01DAVID CROSS

Plan Statistics for THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION

401k plan membership statisitcs for THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION

Measure Date Value
2011: THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION 2011 401k membership
Total participants, beginning-of-year2011-01-01130
2009: THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION 2009 401k membership
Total participants, beginning-of-year2009-01-01108
Total number of active participants reported on line 7a of the Form 55002009-01-01123
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01123

Form 5500 Responses for THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION

2011: THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: THE HEALTH CENTERS BAYONET POINT HEALTH & REHABILITATION 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number6739346
Policy instance 1
Insurance contract or identification number6739346
Number of Individuals Covered130
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $241
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
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 $2,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $241
Insurance broker organization code?3
Insurance broker namePANCOAST & ASSOCIATES, INC

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