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| Plan Name | I S S EMPLOYEE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | INDEPENDENT SUPPORT SERVICES, INC. |
| Employer identification number (EIN): | 050535944 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about INDEPENDENT SUPPORT SERVICES, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2002-10-23 |
| Company Identification Number: | 2826304 |
| Legal Registered Office Address: |
PO BOX 1320 Sullivan MONTICELLO United States of America (USA) 12701 |
More information about INDEPENDENT SUPPORT SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-05-01 | ||||
| 501 | 2017-11-01 | ||||
| 501 | 2016-11-01 | ||||
| 501 | 2015-11-01 |
| Measure | Date | Value |
|---|---|---|
| 2018: I S S EMPLOYEE BENEFITS PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-05-01 | 383 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 0 |
| 2017: I S S EMPLOYEE BENEFITS PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-11-01 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 354 |
| Total of all active and inactive participants | 2017-11-01 | 354 |
| 2016: I S S EMPLOYEE BENEFITS PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-11-01 | 189 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 298 |
| Total of all active and inactive participants | 2016-11-01 | 298 |
| 2015: I S S EMPLOYEE BENEFITS PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-11-01 | 184 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 189 |
| Total of all active and inactive participants | 2015-11-01 | 189 |
| 2018: I S S EMPLOYEE BENEFITS PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Submission has been amended | No |
| 2018-05-01 | This submission is the final filing | Yes |
| 2018-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-05-01 | Plan is a collectively bargained plan | No |
| 2018-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: I S S EMPLOYEE BENEFITS PLAN 2017 form 5500 responses | ||
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | No |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: I S S EMPLOYEE BENEFITS PLAN 2016 form 5500 responses | ||
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Submission has been amended | No |
| 2016-11-01 | This submission is the final filing | No |
| 2016-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-11-01 | Plan is a collectively bargained plan | No |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: I S S EMPLOYEE BENEFITS PLAN 2015 form 5500 responses | ||
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | First time form 5500 has been submitted | Yes |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 395L1GP98, 99 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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