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HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameHOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN
Plan identification number 501

HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • 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

HOSPICE OF SAN JOAQUIN has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF SAN JOAQUIN
Employer identification number (EIN):942777980
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about HOSPICE OF SAN JOAQUIN

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1009563

More information about HOSPICE OF SAN JOAQUIN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01BONNIQUE PANTOJA2023-05-26
5012020-12-01BONNIQUE PANTOJA2022-07-19
5012019-12-01

Plan Statistics for HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN

Measure Date Value
2021: HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01106
Total number of active participants reported on line 7a of the Form 55002021-12-0184
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0184
Number of employers contributing to the scheme2021-12-010
2020: HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01117
Total number of active participants reported on line 7a of the Form 55002020-12-01106
Number of retired or separated participants receiving benefits2020-12-012
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01108
Number of employers contributing to the scheme2020-12-010
2019: HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01120
Total number of active participants reported on line 7a of the Form 55002019-12-01118
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01118

Form 5500 Responses for HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN

2021: HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: HOSPICE OF SAN JOAQUIN EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01First time form 5500 has been submittedYes
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number606163
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1101915
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0053336
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number606163
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1101915
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0053336
Policy instance 3
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0053336
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number606163
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1101915
Policy instance 3

Potentially related plans

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