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BENSON HOUSE INC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameBENSON HOUSE INC HEALTH AND WELFARE PLAN
Plan identification number 501

BENSON HOUSE INC HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

BENSON HOUSE INC has sponsored the creation of one or more 401k plans.

Company Name:BENSON HOUSE INC
Employer identification number (EIN):330660319
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENSON HOUSE INC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-11-01CHRISTINA MOSS2024-03-08
5012021-11-01JACK HINCHMAN2023-05-23
5012020-11-01JACK C. HINCHMAN2022-02-14
5012019-11-01JACK C. HINCHMAN2021-08-06

Plan Statistics for BENSON HOUSE INC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for BENSON HOUSE INC HEALTH AND WELFARE PLAN

Measure Date Value
2022: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01169
Total number of active participants reported on line 7a of the Form 55002022-11-01186
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-01186
Number of employers contributing to the scheme2022-11-010
2021: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01168
Total number of active participants reported on line 7a of the Form 55002021-11-01169
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-01169
Number of employers contributing to the scheme2021-11-010
2020: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01116
Total number of active participants reported on line 7a of the Form 55002020-11-01168
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01168
Number of employers contributing to the scheme2020-11-010
2019: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01106
Total number of active participants reported on line 7a of the Form 55002019-11-01126
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01126
Number of employers contributing to the scheme2019-11-010

Form 5500 Responses for BENSON HOUSE INC HEALTH AND WELFARE PLAN

2022: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – InsuranceYes
2021: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: BENSON HOUSE INC HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01First time form 5500 has been submittedYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number228567
Policy instance 1
Insurance contract or identification number228567
Number of Individuals Covered186
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $61,157
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,677,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,157
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5391852
Policy instance 2
Insurance contract or identification number5391852
Number of Individuals Covered228
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $12,552
Total amount of fees paid to insurance companyUSD $4,700
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,541
Amount paid for insurance broker fees4697
Additional information about fees paid to insurance brokerPRODUCER SERVICE FEES, NON-MONETARY COMPENSATION, SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number228567
Policy instance 1
Insurance contract or identification number228567
Number of Individuals Covered169
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $53,205
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,463,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,205
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5391852
Policy instance 2
Insurance contract or identification number5391852
Number of Individuals Covered81
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $9,650
Total amount of fees paid to insurance companyUSD $2,523
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,763
Amount paid for insurance broker fees2466
Additional information about fees paid to insurance brokerPRODUCER SERVICES FEES, NON-MONETARY COMPENSATION
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number228567
Policy instance 1
Insurance contract or identification number228567
Number of Individuals Covered121
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $47,580
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $885,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,752
Amount paid for insurance broker fees0
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number675898
Policy instance 2
Insurance contract or identification number675898
Number of Individuals Covered122
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $2,928
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,928
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number228567
Policy instance 1
Insurance contract or identification number228567
Number of Individuals Covered116
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $45,321
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $852,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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