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HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 401k Plan overview

Plan NameHUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN
Plan identification number 504

HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

HUGHES HEALTH AND REHABILITATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:HUGHES HEALTH AND REHABILITATION, INC.
Employer identification number (EIN):060763064
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-10-01LINA A. DUREZA2021-12-23
5042019-10-01LINA DUREZA2021-01-13
5042019-10-01LINA DUREZA2021-04-21
5042018-10-01LINA DUREZA2020-03-11
5042017-10-01LINA DUREZA2019-07-12
5042016-10-01
5042015-10-01MARK FINKELSTEIN
5042014-10-01MARK J FINKELSTEIN
5042013-10-01MICHAEL J. WILBUR
5042012-10-01MICHAEL J. WILBUR
5042011-10-01MICHAEL J. WILBUR
5042010-10-01MICHAEL J. WILBUR
5042009-10-01MICHAEL J. WILBUR

Plan Statistics for HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN

401k plan membership statisitcs for HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN

Measure Date Value
2020: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0189
Total number of active participants reported on line 7a of the Form 55002020-10-0151
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-0151
Number of employers contributing to the scheme2020-10-010
2019: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01113
Total number of active participants reported on line 7a of the Form 55002019-10-01113
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01113
Number of employers contributing to the scheme2019-10-010
2018: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01129
Total number of active participants reported on line 7a of the Form 55002018-10-01113
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01113
Number of employers contributing to the scheme2018-10-010
2017: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01114
Total number of active participants reported on line 7a of the Form 55002017-10-01114
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01114
Number of employers contributing to the scheme2017-10-010
2016: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01193
Total number of active participants reported on line 7a of the Form 55002016-10-01193
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01193
2015: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01190
Total number of active participants reported on line 7a of the Form 55002015-10-01190
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01190
2014: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01193
Total number of active participants reported on line 7a of the Form 55002014-10-01193
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01193
2013: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01198
Total number of active participants reported on line 7a of the Form 55002013-10-01193
Total of all active and inactive participants2013-10-01193
2012: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01207
Total number of active participants reported on line 7a of the Form 55002012-10-01198
Total of all active and inactive participants2012-10-01198
2011: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01227
Total number of active participants reported on line 7a of the Form 55002011-10-01207
Total of all active and inactive participants2011-10-01207
2010: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01242
Total number of active participants reported on line 7a of the Form 55002010-10-01227
Total of all active and inactive participants2010-10-01227
2009: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01245
Total number of active participants reported on line 7a of the Form 55002009-10-01242
Total of all active and inactive participants2009-10-01242

Form 5500 Responses for HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN

2020: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: HUGHES HEALTH AND REHABILITATION CO-PAY DENTAL PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5958092
Policy instance 1
Insurance contract or identification number5958092
Number of Individuals Covered120
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $2,256
Total amount of fees paid to insurance companyUSD $542
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,256
Amount paid for insurance broker fees564
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5958092
Policy instance 1
Insurance contract or identification number5958092
Number of Individuals Covered143
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $2,319
Total amount of fees paid to insurance companyUSD $662
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,319
Amount paid for insurance broker fees82
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number472714
Policy instance 1
Insurance contract or identification number472714
Number of Individuals Covered203
Insurance policy start date2014-10-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $34,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number472714
Policy instance 1
Insurance contract or identification number472714
Number of Individuals Covered193
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $3,923
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,923
Insurance broker organization code?3
Insurance broker namePETER M. KACHIDURIAN
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number472714
Policy instance 1
Insurance contract or identification number472714
Number of Individuals Covered198
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $4,061
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,061
Insurance broker organization code?3
Insurance broker namePETER M. KACHIDURIAN
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number472714
Policy instance 1
Insurance contract or identification number472714
Number of Individuals Covered207
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $4,342
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number472714
Policy instance 1
Insurance contract or identification number472714
Number of Individuals Covered227
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $4,617
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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