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| Plan Name | COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMMUNITY HEALTH AIDE SERVICES, INC. |
| Employer identification number (EIN): | 141694451 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-04-01 | ||||
| 501 | 2018-04-01 | ||||
| 501 | 2017-04-01 | CHAIM LIEBERMAN | |||
| 501 | 2016-05-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-04-01 | 928 |
| Total of all active and inactive participants | 2019-04-01 | 0 |
| Total participants | 2019-04-01 | 0 |
| 2018: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-04-01 | 812 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 928 |
| Total of all active and inactive participants | 2018-04-01 | 928 |
| Total participants | 2018-04-01 | 928 |
| 2017: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-04-01 | 556 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 812 |
| Total of all active and inactive participants | 2017-04-01 | 812 |
| Total participants | 2017-04-01 | 812 |
| 2016: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-05-01 | 410 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 556 |
| Total of all active and inactive participants | 2016-05-01 | 556 |
| Total participants | 2016-05-01 | 556 |
| 2019: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | This submission is the final filing | Yes |
| 2019-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2018 form 5500 responses | ||
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2017 form 5500 responses | ||
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: COMMUNITY HOME HEALTH CARE PREVENTIVE CARE MEDICAL PLAN 2016 form 5500 responses | ||
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | First time form 5500 has been submitted | Yes |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 ) | |||||||||||||
| Policy contract number | ESL-4000027-03 | ||||||||||||
| Policy instance | 1 | ||||||||||||
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| WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 ) | |||||||||||||
| Policy contract number | ESL-4000027-02 | ||||||||||||
| Policy instance | 1 | ||||||||||||
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| WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 ) | |||||||||||||
| Policy contract number | ESL-4000027-01 | ||||||||||||
| Policy instance | 1 | ||||||||||||
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