401k Plan data: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL plan

HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 401k Plan overview

Plan Name	HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL
Plan identification number	502

HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC.

Employer identification number (EIN): 042466767

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-10-01 JANIS SANTOS
502 2014-10-01 NICOLE BLAIS 2022-11-03
502 2013-10-01 JANIS SANTOS
502 2012-10-01 JENNIFER C CHARTIER JENNIFER C CHARTIER 2014-03-24
502 2011-10-01 JENNIFER C CHARTIER
502 2010-10-01 JENNIFER C CHARTIER
502 2009-10-01 JENNIFER C CHARTIER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2014-10-01	JANIS SANTOS
502	2014-10-01	NICOLE BLAIS	2022-11-03
502	2013-10-01	JANIS SANTOS
502	2012-10-01	JENNIFER C CHARTIER		JENNIFER C CHARTIER	2014-03-24
502	2011-10-01	JENNIFER C CHARTIER
502	2010-10-01	JENNIFER C CHARTIER
502	2009-10-01	JENNIFER C CHARTIER

Plan Statistics for HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL

401k plan membership statisitcs for HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL

Measure Date Value
2014: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2014 401k membership
Total participants, beginning-of-year 2014-10-01 170
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 168
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-10-01 0
Total participants 2014-10-01 168
Number of employers contributing to the scheme 2014-10-01 0
2013: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2013 401k membership
Total participants, beginning-of-year 2013-10-01 178
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 170
Total of all active and inactive participants 2013-10-01 170
Total participants 2013-10-01 170
2012: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2012 401k membership
Total participants, beginning-of-year 2012-10-01 199
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 178
Total of all active and inactive participants 2012-10-01 178
Total participants 2012-10-01 178
2011: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2011 401k membership
Total participants, beginning-of-year 2011-10-01 203
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 199
Total of all active and inactive participants 2011-10-01 199
Total participants 2011-10-01 199
2010: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2010 401k membership
Total participants, beginning-of-year 2010-10-01 209
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 203
Total of all active and inactive participants 2010-10-01 203
Total participants 2010-10-01 203
2009: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2009 401k membership
Total participants, beginning-of-year 2009-10-01 194
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 209
Total of all active and inactive participants 2009-10-01 209
Total participants 2009-10-01 209

Measure	Date	Value
2014: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2014 401k membership
Total participants, beginning-of-year	2014-10-01	170
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	168
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-10-01	0
Total participants	2014-10-01	168
Number of employers contributing to the scheme	2014-10-01	0
2013: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2013 401k membership
Total participants, beginning-of-year	2013-10-01	178
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	170
Total of all active and inactive participants	2013-10-01	170
Total participants	2013-10-01	170
2012: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2012 401k membership
Total participants, beginning-of-year	2012-10-01	199
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	178
Total of all active and inactive participants	2012-10-01	178
Total participants	2012-10-01	178
2011: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2011 401k membership
Total participants, beginning-of-year	2011-10-01	203
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	199
Total of all active and inactive participants	2011-10-01	199
Total participants	2011-10-01	199
2010: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2010 401k membership
Total participants, beginning-of-year	2010-10-01	209
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	203
Total of all active and inactive participants	2010-10-01	203
Total participants	2010-10-01	203
2009: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2009 401k membership
Total participants, beginning-of-year	2009-10-01	194
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	209
Total of all active and inactive participants	2009-10-01	209
Total participants	2009-10-01	209

Form 5500 Responses for HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL

2014: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	Yes
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2010: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2009: HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC. MEDICAL 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )

Policy contract number

111214

Policy instance

Insurance contract or identification number	111214
Number of Individuals Covered	168
Insurance policy start date	2014-10-01
Insurance policy end date	2015-09-30
Total amount of commissions paid to insurance broker	USD $51,571
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,299,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51,571
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	HOLYOKE CHICOPEE SPRINGFIELD HEAD START, INC.
Employer identification number (EIN):	042466767
NAIC Classification:	624100
NAIC Description:	Individual and Family Services