| Plan Name | EASTER SEALS NEVADA HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | CAPABILITY HEALTH AND HUMAN SERVICES |
| Employer identification number (EIN): | 942815686 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-03-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: EASTER SEALS NEVADA HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-03-01 | 111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 160 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 160 |
| 2017: EASTER SEALS NEVADA HEALTH PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1062707 |
| Policy instance | 1 |