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AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameAMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN
Plan identification number 501

AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AMERICAN HEALTH STAFFING GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN HEALTH STAFFING GROUP, INC.
Employer identification number (EIN):813839913
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01TONYA THOMPSON2023-06-29
5012021-01-01TONYA THOMPSON2022-07-22
5012020-01-01TONYA THOMPSON2021-09-23
5012019-01-01TONYA THOMPSON2020-10-14
5012018-03-01TONYA THOMPSON2019-09-26
5012017-12-01TONYA THOMPSON2019-09-26

Plan Statistics for AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN

401k plan membership statisitcs for AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN

Measure Date Value
2022: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01599
Total number of active participants reported on line 7a of the Form 55002022-01-011,406
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,406
Number of employers contributing to the scheme2022-01-010
2021: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01790
Total number of active participants reported on line 7a of the Form 55002021-01-01599
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01599
Number of employers contributing to the scheme2021-01-010
2020: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01358
Total number of active participants reported on line 7a of the Form 55002020-01-01702
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01702
Number of employers contributing to the scheme2020-01-010
2019: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01188
Total number of active participants reported on line 7a of the Form 55002019-01-01358
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01358
Number of employers contributing to the scheme2019-01-010
2018: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01382
Total number of active participants reported on line 7a of the Form 55002018-03-01422
Number of retired or separated participants receiving benefits2018-03-0114
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01436
Number of employers contributing to the scheme2018-03-010
2017: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01111
Total number of active participants reported on line 7a of the Form 55002017-12-0179
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-0179
Number of employers contributing to the scheme2017-12-010

Form 5500 Responses for AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN

2022: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: AMERICAN HEALTH STAFFING GROUP HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01First time form 5500 has been submittedYes
2017-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305898
Policy instance 1
Insurance contract or identification number305898
Number of Individuals Covered1406
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $215,619
Total amount of fees paid to insurance companyUSD $290,679
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $8,883,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,549
Amount paid for insurance broker fees276104
Additional information about fees paid to insurance brokerFEES, SERVICE FEE AGREEMENT
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908468
Policy instance 1
Insurance contract or identification number908468
Number of Individuals Covered599
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $134,304
Total amount of fees paid to insurance companyUSD $2,881
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $1,854,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $103,574
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908468
Policy instance 1
Insurance contract or identification number908468
Number of Individuals Covered882
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $103,742
Total amount of fees paid to insurance companyUSD $80,937
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $2,347,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,678
Amount paid for insurance broker fees77504
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908468
Policy instance 1
Insurance contract or identification number908468
Number of Individuals Covered841
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $66,563
Total amount of fees paid to insurance companyUSD $116,319
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,340,086
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,851
Amount paid for insurance broker fees116319
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908468
Policy instance 1
Insurance contract or identification number908468
Number of Individuals Covered420
Insurance policy start date2018-03-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $21,896
Total amount of fees paid to insurance companyUSD $87,651
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,102,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees87651
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number658400
Policy instance 1
Insurance contract or identification number658400
Number of Individuals Covered186
Insurance policy start date2017-12-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $12,416
Total amount of fees paid to insurance companyUSD $756
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $251,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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