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FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameFIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN
Plan identification number 501

FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN Benefits

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

FIRST CHOICE IN-HOME CARE has sponsored the creation of one or more 401k plans.

Company Name:FIRST CHOICE IN-HOME CARE
Employer identification number (EIN):912152603
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-09-01JIM LORD
5012014-09-01JIM LORD
5012013-09-01JIM LORD

Plan Statistics for FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN

Measure Date Value
2015: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01239
Total number of active participants reported on line 7a of the Form 55002015-09-0130
Total of all active and inactive participants2015-09-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-09-010
2014: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01211
Total number of active participants reported on line 7a of the Form 55002014-09-01238
Number of retired or separated participants receiving benefits2014-09-011
Total of all active and inactive participants2014-09-01239
2013: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01108
Total number of active participants reported on line 7a of the Form 55002013-09-01211
Number of retired or separated participants receiving benefits2013-09-010
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01211

Form 5500 Responses for FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN

2015: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: FIRST CHOICE IN-HOME CARE EMPLOYEE BENEFITS PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number1030862
Policy instance 1
DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 )
Policy contract number13061
Policy instance 2
GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 )
Policy contract number6765900
Policy instance 3
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number0001
Policy instance 1

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