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RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN 401k Plan overview

Plan NameRESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN
Plan identification number 502

RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN Benefits

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

401k Sponsoring company profile

RESIDENTIAL HOME HEALTH ILLINOIS, LLC has sponsored the creation of one or more 401k plans.

Company Name:RESIDENTIAL HOME HEALTH ILLINOIS, LLC
Employer identification number (EIN):270179825
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01JONATHAN HAUSER2023-07-18
5022021-01-01JONATHAN HAUSER2022-08-22

Plan Statistics for RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN

401k plan membership statisitcs for RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN

Measure Date Value
2022: RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01168
Total number of active participants reported on line 7a of the Form 55002022-01-01217
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01217
Number of employers contributing to the scheme2022-01-010
2021: RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01100
Total number of active participants reported on line 7a of the Form 55002021-01-01168
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01168
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN

2022: RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: RESIDENTIAL HOME HEALTH ILLINOIS WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number96872
Policy instance 1
Insurance contract or identification number96872
Number of Individuals Covered511
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $33,941
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $170,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,941
Amount paid for insurance broker fees0
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number96872
Policy instance 1
Insurance contract or identification number96872
Number of Individuals Covered395
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $21,862
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedHOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $109,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,862
Amount paid for insurance broker fees0
Insurance broker organization code?3

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