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AVE MARIA HOME HEALTH PLAN 401k Plan overview

Plan NameAVE MARIA HOME HEALTH PLAN
Plan identification number 501

AVE MARIA HOME HEALTH PLAN Benefits

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

401k Sponsoring company profile

AVE MARIA HOME has sponsored the creation of one or more 401k plans.

Company Name:AVE MARIA HOME
Employer identification number (EIN):620561701
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVE MARIA HOME HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-10-01FRANK GATTUSO2022-07-13
5012019-10-01FRANK GATTUSO2021-06-30
5012018-10-01FRANK GATTUSO2020-06-02
5012017-10-01
5012016-10-01
5012015-10-01
5012014-10-01

Plan Statistics for AVE MARIA HOME HEALTH PLAN

401k plan membership statisitcs for AVE MARIA HOME HEALTH PLAN

Measure Date Value
2020: AVE MARIA HOME HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-010
Total number of active participants reported on line 7a of the Form 55002020-10-010
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-010
2019: AVE MARIA HOME HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01109
Total number of active participants reported on line 7a of the Form 55002019-10-01104
Total of all active and inactive participants2019-10-01104
2018: AVE MARIA HOME HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01123
Total number of active participants reported on line 7a of the Form 55002018-10-01108
Total of all active and inactive participants2018-10-01108
2017: AVE MARIA HOME HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01124
Total number of active participants reported on line 7a of the Form 55002017-10-01123
Total of all active and inactive participants2017-10-01123
2016: AVE MARIA HOME HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01140
Total number of active participants reported on line 7a of the Form 55002016-10-01124
Total of all active and inactive participants2016-10-01124
2015: AVE MARIA HOME HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01136
Total number of active participants reported on line 7a of the Form 55002015-10-01140
Total of all active and inactive participants2015-10-01140
2014: AVE MARIA HOME HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01137
Total number of active participants reported on line 7a of the Form 55002014-10-01136
Total of all active and inactive participants2014-10-01136

Form 5500 Responses for AVE MARIA HOME HEALTH PLAN

2020: AVE MARIA HOME HEALTH PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01This submission is the final filingYes
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: AVE MARIA HOME HEALTH PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: AVE MARIA HOME HEALTH PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: AVE MARIA HOME HEALTH PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: AVE MARIA HOME HEALTH PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: AVE MARIA HOME HEALTH PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: AVE MARIA HOME HEALTH PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01First time form 5500 has been submittedYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number137230
Policy instance 1
Insurance contract or identification number137230
Number of Individuals Covered104
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $24,902
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $483,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,902
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number137230
Policy instance 1
Insurance contract or identification number137230
Number of Individuals Covered108
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $31,935
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $488,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,935
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number137230
Policy instance 1
Insurance contract or identification number137230
Number of Individuals Covered123
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $35,502
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $668,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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