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FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 401k Plan overview

Plan NameFUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN
Plan identification number 501

FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN Benefits

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

401k Sponsoring company profile

FUTURE CARE HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:FUTURE CARE HEALTH SERVICES
Employer identification number (EIN):133964105
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01
5012021-04-01
5012020-09-01
5012020-04-01
5012019-04-01
5012018-04-01
5012017-04-01JOSEPH SOCHACZEWSKY
5012016-04-01JOSEPH SOCHACZEWSKY

Plan Statistics for FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN

401k plan membership statisitcs for FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN

Measure Date Value
2021: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01520
Total number of active participants reported on line 7a of the Form 55002021-09-01498
Total of all active and inactive participants2021-09-01498
Total participants2021-09-01498
Total participants, beginning-of-year2021-04-011,286
Total number of active participants reported on line 7a of the Form 55002021-04-01479
Total of all active and inactive participants2021-04-01479
Total participants2021-04-01479
2020: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-011,286
Total number of active participants reported on line 7a of the Form 55002020-09-01520
Total of all active and inactive participants2020-09-01520
Total participants2020-09-01520
Total participants, beginning-of-year2020-04-011,288
Total number of active participants reported on line 7a of the Form 55002020-04-011,286
Total of all active and inactive participants2020-04-011,286
Total participants2020-04-011,286
2019: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01623
Total number of active participants reported on line 7a of the Form 55002019-04-011,294
Total of all active and inactive participants2019-04-011,294
Total participants2019-04-011,294
2018: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01523
Total number of active participants reported on line 7a of the Form 55002018-04-01623
Total of all active and inactive participants2018-04-01623
Total participants2018-04-01623
2017: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01487
Total number of active participants reported on line 7a of the Form 55002017-04-01523
Total of all active and inactive participants2017-04-01523
Total participants2017-04-01523
2016: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01342
Total number of active participants reported on line 7a of the Form 55002016-04-01487
Total of all active and inactive participants2016-04-01487
Total participants2016-04-01487

Form 5500 Responses for FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN

2021: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Submission has been amendedYes
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – General assets of the sponsorYes
2021-04-01Type of plan entitySingle employer plan
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes
2020-04-01Type of plan entitySingle employer plan
2020-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: FUTURE CARE HEALTH SERVICES PREVENTIVE CARE MEDICAL PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01First time form 5500 has been submittedYes
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number5642IN
Policy instance 1
Insurance contract or identification number5642IN
Number of Individuals Covered498
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $1,593
Welfare Benefit Premiums Paid to CarrierUSD $21,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,593
Insurance broker organization code?3
INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number5642IN
Policy instance 1
Insurance contract or identification number5642IN
Number of Individuals Covered520
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $2,380
Welfare Benefit Premiums Paid to CarrierUSD $28,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,380
Insurance broker organization code?3
INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number5642IN
Policy instance 1
Insurance contract or identification number5642IN
Number of Individuals Covered520
Insurance policy start date2020-09-01
Insurance policy end date2021-09-01
Total amount of commissions paid to insurance brokerUSD $2,379
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
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 $28,528
Commission paid to Insurance BrokerUSD $2,379
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000015 03
Policy instance 1
Insurance contract or identification numberESL 4000015 03
Number of Individuals Covered1286
Insurance policy start date2020-04-01
Insurance policy end date2020-05-31
Welfare Benefit Premiums Paid to CarrierUSD $511,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000015 03
Policy instance 1
Insurance contract or identification numberESL 4000015 03
Number of Individuals Covered1294
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Welfare Benefit Premiums Paid to CarrierUSD $1,711,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000015 02
Policy instance 1
Insurance contract or identification numberESL 4000015 02
Number of Individuals Covered623
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Welfare Benefit Premiums Paid to CarrierUSD $374,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL 4000015 01
Policy instance 1
Insurance contract or identification numberESL 4000015 01
Number of Individuals Covered523
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Welfare Benefit Premiums Paid to CarrierUSD $643,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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