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WATERVIEW NURSING CARE CENTER, INC. 401k Plan overview

Plan NameWATERVIEW NURSING CARE CENTER, INC.
Plan identification number 501

WATERVIEW NURSING CARE CENTER, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

GERI-CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name:GERI-CARE, INC.
Employer identification number (EIN):112981735
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about GERI-CARE, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1989-09-07
Company Identification Number: 1382815
Legal Registered Office Address: 119-15 27TH AVENUE
Queens
FLUSHING
United States of America (USA)
11354

More information about GERI-CARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WATERVIEW NURSING CARE CENTER, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01BETH GOLDMAN BETH GOLDMAN2019-06-03

Plan Statistics for WATERVIEW NURSING CARE CENTER, INC.

401k plan membership statisitcs for WATERVIEW NURSING CARE CENTER, INC.

Measure Date Value
2021: WATERVIEW NURSING CARE CENTER, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-01181
Total number of active participants reported on line 7a of the Form 55002021-01-010
Total of all active and inactive participants2021-01-010
2020: WATERVIEW NURSING CARE CENTER, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-012,425
Total number of active participants reported on line 7a of the Form 55002020-01-012,296
Total of all active and inactive participants2020-01-012,296
2019: WATERVIEW NURSING CARE CENTER, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-012,680
Total number of active participants reported on line 7a of the Form 55002019-01-012,425
Total of all active and inactive participants2019-01-012,425
2018: WATERVIEW NURSING CARE CENTER, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-010
Total number of active participants reported on line 7a of the Form 55002018-01-012,680
Total of all active and inactive participants2018-01-012,680

Form 5500 Responses for WATERVIEW NURSING CARE CENTER, INC.

2021: WATERVIEW NURSING CARE CENTER, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: WATERVIEW NURSING CARE CENTER, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: WATERVIEW NURSING CARE CENTER, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: WATERVIEW NURSING CARE CENTER, INC. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS1456 01
Policy instance 1
Insurance contract or identification numberNIS1456 01
Number of Individuals Covered166
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $136,444
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $136,444
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 10005730 03
Policy instance 2
Insurance contract or identification numberESL 10005730 03
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS1456 01
Policy instance 1
Insurance contract or identification numberNIS1456 01
Number of Individuals Covered181
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $136,314
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $136,314
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 10005730 03
Policy instance 2
Insurance contract or identification numberESL 10005730 03
Number of Individuals Covered2296
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $64,288
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,288
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 6000022 01
Policy instance 1
Insurance contract or identification numberESL 6000022 01
Number of Individuals Covered2425
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $141,927
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $141,927
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 1100084 01
Policy instance 2
Insurance contract or identification numberESL 1100084 01
Number of Individuals Covered2425
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $60,625
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,625
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 6000022 01
Policy instance 1
Insurance contract or identification numberESL 6000022 01
Number of Individuals Covered2669
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $195,412
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $195,412
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 1100084 01
Policy instance 2
Insurance contract or identification numberESL 1100084 01
Number of Individuals Covered2680
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $66,900
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTRADITIONAL & ORGAN TRANSPLANT POLI
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,900
Insurance broker organization code?3

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