401k Plan data: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN plan

WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 401k Plan overview

Plan Name	WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN
Plan identification number	501

WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

WELLSTAT MANAGEMENT COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name: WELLSTAT MANAGEMENT COMPANY, LLC

Employer identification number (EIN): 260310344

NAIC Classification: 541700

Additional information about WELLSTAT MANAGEMENT COMPANY, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4365614

More information about WELLSTAT MANAGEMENT COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 NADINE WOHLSTADTER NADINE WOHLSTADTER 2017-04-27
501 2012-01-01 NADINE WOHLSTADTER NADINE WOHLSTADTER 2013-06-26
501 2011-01-01 NADINE WOHLSTADTER
501 2010-01-01 NADINE WOHLSTADTER
501 2009-01-01 NADINE WOHLSTADTER
501 2009-01-01 NADINE WOHLSTADTER

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	NADINE WOHLSTADTER	NADINE WOHLSTADTER	2017-04-27
501	2012-01-01	NADINE WOHLSTADTER	NADINE WOHLSTADTER	2013-06-26
501	2011-01-01	NADINE WOHLSTADTER
501	2010-01-01	NADINE WOHLSTADTER
501	2009-01-01	NADINE WOHLSTADTER
501	2009-01-01	NADINE WOHLSTADTER

Plan Statistics for WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN

401k plan membership statisitcs for WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN

Measure Date Value
2013: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 130
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 130
2011: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 129
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 129
2010: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 138
Number of retired or separated participants receiving benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 140
Total participants 2010-01-01 140
2009: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 170
Total of all active and inactive participants 2009-01-01 170
Total participants 2009-01-01 170

Measure	Date	Value
2013: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	130
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	130
2011: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	129
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	129
2010: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	138
Number of retired or separated participants receiving benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	140
Total participants	2010-01-01	140
2009: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	170
Total of all active and inactive participants	2009-01-01	170
Total participants	2009-01-01	170

Form 5500 Responses for WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN

2013: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WELLSTAT MANAGEMENT COMPANY HEALTH CARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	WELLSTAT MANAGEMENT COMPANY, LLC
Employer identification number (EIN):	260310344
NAIC Classification:	541700

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4365614