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WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 401k Plan overview

Plan NameWHITE GLOVE COMMUNITY CARE MEDICAL PLAN
Plan identification number 503

WHITE GLOVE COMMUNITY CARE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

WHITE GLOVE COMMUNITY CARE INC. has sponsored the creation of one or more 401k plans.

Company Name:WHITE GLOVE COMMUNITY CARE INC.
Employer identification number (EIN):113270257
NAIC Classification:561300

Additional information about WHITE GLOVE COMMUNITY CARE INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1995-06-15
Company Identification Number: 1931144
Legal Registered Office Address: 89 Bartlett Street
Kings
Brooklyn
United States of America (USA)
11206

More information about WHITE GLOVE COMMUNITY CARE INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHITE GLOVE COMMUNITY CARE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032020-08-01
5032019-08-01
5032018-08-01
5032017-08-01RACHEL SILBERSTEIN

Plan Statistics for WHITE GLOVE COMMUNITY CARE MEDICAL PLAN

401k plan membership statisitcs for WHITE GLOVE COMMUNITY CARE MEDICAL PLAN

Measure Date Value
2020: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-011,396
Total number of active participants reported on line 7a of the Form 55002020-08-011,478
Total of all active and inactive participants2020-08-011,478
Total participants2020-08-011,478
2019: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-011,179
Total number of active participants reported on line 7a of the Form 55002019-08-011,396
Total of all active and inactive participants2019-08-011,396
Total participants2019-08-011,396
2018: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01780
Total number of active participants reported on line 7a of the Form 55002018-08-011,179
Total of all active and inactive participants2018-08-011,179
Total participants2018-08-011,179
2017: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01185
Total number of active participants reported on line 7a of the Form 55002017-08-01780
Total of all active and inactive participants2017-08-01780
Total participants2017-08-01780

Form 5500 Responses for WHITE GLOVE COMMUNITY CARE MEDICAL PLAN

2020: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes
2019: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2018: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – General assets of the sponsorYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – General assets of the sponsorYes
2017: WHITE GLOVE COMMUNITY CARE MEDICAL PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – General assets of the sponsorYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HEALTHPLEX INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11172 )
Policy contract numberGG-670P09
Policy instance 1
Insurance contract or identification numberGG-670P09
Number of Individuals Covered1224
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $11,901
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $146,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,901
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
WESTPORT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 10005970 03
Policy instance 2
Insurance contract or identification numberESL 10005970 03
Number of Individuals Covered1478
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $476,955
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,179,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $300,305
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberGG-670P09
Policy instance 3
Insurance contract or identification numberGG-670P09
Number of Individuals Covered1224
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $2,930
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,930
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 1000597 00
Policy instance 1
Insurance contract or identification numberESL 1000597 00
Number of Individuals Covered1396
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $221,984
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $924,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $158,560
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
HEALTHPLEX INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11172 )
Policy contract numberGG-670P09
Policy instance 2
Insurance contract or identification numberGG-670P09
Number of Individuals Covered1166
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $15,060
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,060
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 1000597 00
Policy instance 1
Insurance contract or identification numberESL 1000597 00
Number of Individuals Covered1179
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $163,492
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $971,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $116,780
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 1000597 00
Policy instance 1
Insurance contract or identification numberESL 1000597 00
Number of Individuals Covered780
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $132,600
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $676,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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