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THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 401k Plan overview

Plan NameTHE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS
Plan identification number 503

THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

THE SUFFIELD MANOR has sponsored the creation of one or more 401k plans.

Company Name:THE SUFFIELD MANOR
Employer identification number (EIN):061215497
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-07-01KIM STANTON2023-09-28
5032021-07-01KIM STANTON2022-11-08
5032020-07-01KIM STANTON2021-12-31
5032019-07-01KIM STANTON2021-03-15
5032018-07-01KIM STANTON2021-03-11
5032017-07-01KIM STANTON2021-03-11
5032016-07-01KIM STANTON

Plan Statistics for THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS

401k plan membership statisitcs for THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS

Measure Date Value
2022: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2022 401k membership
Total participants, beginning-of-year2022-07-01125
Total number of active participants reported on line 7a of the Form 55002022-07-01122
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01122
Number of employers contributing to the scheme2022-07-010
2021: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2021 401k membership
Total participants, beginning-of-year2021-07-01135
Total number of active participants reported on line 7a of the Form 55002021-07-01125
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01125
Number of employers contributing to the scheme2021-07-010
2020: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2020 401k membership
Total participants, beginning-of-year2020-07-01141
Total number of active participants reported on line 7a of the Form 55002020-07-01135
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01135
Number of employers contributing to the scheme2020-07-010
2019: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2019 401k membership
Total participants, beginning-of-year2019-07-01140
Total number of active participants reported on line 7a of the Form 55002019-07-01141
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01141
Number of employers contributing to the scheme2019-07-010
2018: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2018 401k membership
Total participants, beginning-of-year2018-07-01141
Total number of active participants reported on line 7a of the Form 55002018-07-01140
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01140
Number of employers contributing to the scheme2018-07-010
2017: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2017 401k membership
Total participants, beginning-of-year2017-07-01127
Total number of active participants reported on line 7a of the Form 55002017-07-01141
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01141
Number of employers contributing to the scheme2017-07-010
2016: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2016 401k membership
Total participants, beginning-of-year2016-07-0198
Total number of active participants reported on line 7a of the Form 55002016-07-01127
Total of all active and inactive participants2016-07-01127
Total participants2016-07-01127

Form 5500 Responses for THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS

2022: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE SUFFIELD MANOR INC. DBA THE SUFFIELD HOUSE AND EAGLE POINTE LLC EMPLOYEE BENEFITS PLANS 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01First time form 5500 has been submittedYes
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number501913
Policy instance 1
Insurance contract or identification number501913
Number of Individuals Covered122
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $1,275
Total amount of fees paid to insurance companyUSD $602
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,275
Amount paid for insurance broker fees602
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number501913
Policy instance 1
Insurance contract or identification number501913
Number of Individuals Covered125
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1,173
Total amount of fees paid to insurance companyUSD $567
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,173
Amount paid for insurance broker fees567
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number501913
Policy instance 1
Insurance contract or identification number501913
Number of Individuals Covered135
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $3,782
Total amount of fees paid to insurance companyUSD $561
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $19,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,782
Amount paid for insurance broker fees561
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number501913
Policy instance 1
Insurance contract or identification number501913
Number of Individuals Covered141
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,881
Total amount of fees paid to insurance companyUSD $1,206
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $19,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,881
Amount paid for insurance broker fees1206
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number501913
Policy instance 1
Insurance contract or identification number501913
Number of Individuals Covered140
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $4,273
Total amount of fees paid to insurance companyUSD $1,765
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $21,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,273
Amount paid for insurance broker fees1765
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number501913
Policy instance 1
Insurance contract or identification number501913
Number of Individuals Covered141
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,690
Total amount of fees paid to insurance companyUSD $3,887
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $31,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,690
Amount paid for insurance broker fees3887
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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