401k Plan data: NEW CHAPTER, INC. EAP PLAN plan

NEW CHAPTER, INC. EAP PLAN 401k Plan overview

Plan Name	NEW CHAPTER, INC. EAP PLAN
Plan identification number	502

NEW CHAPTER, INC. EAP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Other welfare benefit cover

401k Sponsoring company profile

NEW CHAPTER, INC. has sponsored the creation of one or more 401k plans.

Company Name: NEW CHAPTER, INC.

Employer identification number (EIN): 030301418

NAIC Classification: 424210
NAIC Description: Drugs and Druggists' Sundries Merchant Wholesalers

Additional information about NEW CHAPTER, INC.

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division

Incorporation Date: 1986-01-02

Company Identification Number: 97147

Legal Registered Office Address: 22 HIGH ST 4TH FLOOR

BRATTLEBORO
United States of America (USA)
05301

More information about NEW CHAPTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW CHAPTER, INC. EAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-06-01 TODD KOPCZYNSKI TODD KOPCZYNSKI 2016-07-21
502 2014-06-01
502 2013-06-01 LORI ALDRICH
502 2012-06-01 MARK GAVIN
502 2011-06-01 MARK GAVIN
502 2009-06-01 RUTH AUSTIN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2014-06-01	TODD KOPCZYNSKI	TODD KOPCZYNSKI	2016-07-21
502	2014-06-01
502	2013-06-01	LORI ALDRICH
502	2012-06-01	MARK GAVIN
502	2011-06-01	MARK GAVIN
502	2009-06-01	RUTH AUSTIN

Plan Statistics for NEW CHAPTER, INC. EAP PLAN

401k plan membership statisitcs for NEW CHAPTER, INC. EAP PLAN

Measure Date Value
2014: NEW CHAPTER, INC. EAP PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 275
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 0
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 0
2013: NEW CHAPTER, INC. EAP PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 710
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 715
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 715
2012: NEW CHAPTER, INC. EAP PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 663
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 710
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 710
2011: NEW CHAPTER, INC. EAP PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 608
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 663
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 663
2009: NEW CHAPTER, INC. EAP PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 216
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 565
Number of retired or separated participants receiving benefits 2009-06-01 3
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 568

Measure	Date	Value
2014: NEW CHAPTER, INC. EAP PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	275
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	0
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	0
2013: NEW CHAPTER, INC. EAP PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	710
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	715
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	715
2012: NEW CHAPTER, INC. EAP PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	663
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	710
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	710
2011: NEW CHAPTER, INC. EAP PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	608
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	663
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	663
2009: NEW CHAPTER, INC. EAP PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	216
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	565
Number of retired or separated participants receiving benefits	2009-06-01	3
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	568

Form 5500 Responses for NEW CHAPTER, INC. EAP PLAN

2014: NEW CHAPTER, INC. EAP PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	Yes
2014-06-01	This submission is the final filing	Yes
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: NEW CHAPTER, INC. EAP PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2012: NEW CHAPTER, INC. EAP PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: NEW CHAPTER, INC. EAP PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2009: NEW CHAPTER, INC. EAP PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

CIGNA BEHAVIORAL HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

2702

Policy instance

Insurance contract or identification number	2702
Number of Individuals Covered	705
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $401
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PLAN
Welfare Benefit Premiums Paid to Carrier	USD $8,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $401
Insurance broker organization code?	3
Insurance broker name	THE RICHARDS GROUP

CIGNA BEHAVIORAL HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

2702

Policy instance

Insurance contract or identification number	2702
Number of Individuals Covered	715
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $304
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $7,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $304
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES, LLC

CIGNA BEHAVIORAL HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

2702

Policy instance

Insurance contract or identification number	2702
Number of Individuals Covered	710
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $390
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $7,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $390
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES, LLC

CIGNA BEHAVIORAL HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

2702

Policy instance

Insurance contract or identification number	2702
Number of Individuals Covered	663
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $350
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $6,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

CIGNA BEHAVIORAL HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: N/A )

Policy contract number

2702

Policy instance

Insurance contract or identification number	2702
Number of Individuals Covered	605
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $323
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $6,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	NEW CHAPTER, INC.
Employer identification number (EIN):	030301418
NAIC Classification:	424210
NAIC Description:	Drugs and Druggists' Sundries Merchant Wholesalers

Jurisdiction of Incorporation:	Vermont Secretary of State Corporations Division
Incorporation Date:	1986-01-02
Company Identification Number:	97147
Legal Registered Office Address:	22 HIGH ST 4TH FLOOR BRATTLEBORO United States of America (USA) 05301