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TRI-COUNTY CARE, LLC 401(K) PLAN 401k Plan overview

Plan NameTRI-COUNTY CARE, LLC 401(K) PLAN
Plan identification number 001

TRI-COUNTY CARE, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

TRI-COUNTY CARE LLC. has sponsored the creation of one or more 401k plans.

Company Name:TRI-COUNTY CARE LLC.
Employer identification number (EIN):371874331
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI-COUNTY CARE, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01BLIMI KORNBLUH2020-04-01

Plan Statistics for TRI-COUNTY CARE, LLC 401(K) PLAN

401k plan membership statisitcs for TRI-COUNTY CARE, LLC 401(K) PLAN

Measure Date Value
2022: TRI-COUNTY CARE, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01687
Total number of active participants reported on line 7a of the Form 55002022-07-01604
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-0136
Total of all active and inactive participants2022-07-01640
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-010
Total participants2022-07-01640
Number of participants with account balances2022-07-01265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-010
2021: TRI-COUNTY CARE, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01637
Total number of active participants reported on line 7a of the Form 55002021-07-01533
Number of retired or separated participants receiving benefits2021-07-011
Number of other retired or separated participants entitled to future benefits2021-07-0133
Total of all active and inactive participants2021-07-01567
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01567
Number of participants with account balances2021-07-01226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-010
2020: TRI-COUNTY CARE, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01603
Total number of active participants reported on line 7a of the Form 55002020-07-01501
Number of retired or separated participants receiving benefits2020-07-011
Number of other retired or separated participants entitled to future benefits2020-07-0120
Total of all active and inactive participants2020-07-01522
Total participants2020-07-01522
Number of participants with account balances2020-07-01183
2019: TRI-COUNTY CARE, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01483
Total number of active participants reported on line 7a of the Form 55002019-07-01460
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0120
Total of all active and inactive participants2019-07-01480
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01480
Number of participants with account balances2019-07-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010

Financial Data on TRI-COUNTY CARE, LLC 401(K) PLAN

Measure Date Value
2022 : TRI-COUNTY CARE, LLC 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$598,335
Total of all expenses incurred2022-12-31$50,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$35,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$576,287
Value of total assets at end of year2022-12-31$2,748,633
Value of total assets at beginning of year2022-12-31$2,200,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$14,968
Total interest from all sources2022-12-31$1,305
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$523,361
Participant contributions at end of year2022-12-31$49,066
Participant contributions at beginning of year2022-12-31$38,352
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$52,926
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$548,226
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,748,633
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,200,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$1,045
Value of interest in pooled separate accounts at end of year2022-12-31$2,699,567
Value of interest in pooled separate accounts at beginning of year2022-12-31$2,162,055
Interest on participant loans2022-12-31$1,305
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$20,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$35,141
Contract administrator fees2022-12-31$13,923
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31FASTEN HALBERSTAM
Accountancy firm EIN2022-12-31472319109
Total income from all sources (including contributions)2022-06-30$556,929
Total of all expenses incurred2022-06-30$97,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$72,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$900,693
Value of total assets at end of year2022-06-30$2,200,407
Value of total assets at beginning of year2022-06-30$1,741,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$25,085
Total interest from all sources2022-06-30$1,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$1,300
Was this plan covered by a fidelity bond2022-06-30No
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$796,946
Participant contributions at end of year2022-06-30$38,352
Participant contributions at beginning of year2022-06-30$29,098
Participant contributions at beginning of year2022-06-30$35
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$103,747
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$459,316
Value of net assets at end of year (total assets less liabilities)2022-06-30$2,200,407
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$1,741,091
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$413
Value of interest in pooled separate accounts at end of year2022-06-30$2,162,055
Value of interest in pooled separate accounts at beginning of year2022-06-30$1,711,958
Interest on participant loans2022-06-30$1,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-345,237
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$72,528
Contract administrator fees2022-06-30$23,372
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Disclaimer
Accountancy firm name2022-06-30FASTEN HALBERSTAM
Accountancy firm EIN2022-06-30472319109
2021 : TRI-COUNTY CARE, LLC 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-06-30$1,068,033
Total of all expenses incurred2021-06-30$93,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$77,876
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$767,025
Value of total assets at end of year2021-06-30$1,741,091
Value of total assets at beginning of year2021-06-30$766,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$15,417
Total interest from all sources2021-06-30$1,269
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$1,050
Was this plan covered by a fidelity bond2021-06-30No
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$636,079
Participant contributions at end of year2021-06-30$29,098
Participant contributions at beginning of year2021-06-30$21,504
Participant contributions at end of year2021-06-30$35
Participant contributions at beginning of year2021-06-30$10,894
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$130,946
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$974,740
Value of net assets at end of year (total assets less liabilities)2021-06-30$1,741,091
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$766,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$248
Value of interest in pooled separate accounts at end of year2021-06-30$1,711,958
Value of interest in pooled separate accounts at beginning of year2021-06-30$733,953
Interest on participant loans2021-06-30$1,269
Net investment gain/loss from pooled separate accounts2021-06-30$299,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Employer contributions (assets) at beginning of year2021-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$77,876
Contract administrator fees2021-06-30$14,119
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30FASTEN HALBERSTAM
Accountancy firm EIN2021-06-30472319109
2020 : TRI-COUNTY CARE, LLC 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-06-30$481,145
Total of all expenses incurred2020-06-30$40,006
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$30,856
Expenses. Certain deemed distributions of participant loans2020-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$464,122
Value of total assets at end of year2020-06-30$766,351
Value of total assets at beginning of year2020-06-30$325,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$9,150
Total interest from all sources2020-06-30$991
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$0
Administrative expenses professional fees incurred2020-06-30$584
Was this plan covered by a fidelity bond2020-06-30No
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$296,151
Participant contributions at end of year2020-06-30$21,504
Participant contributions at end of year2020-06-30$10,894
Participant contributions at beginning of year2020-06-30$10,342
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$167,971
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$441,139
Value of net assets at end of year (total assets less liabilities)2020-06-30$766,351
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$325,212
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$108
Value of interest in pooled separate accounts at end of year2020-06-30$733,953
Value of interest in pooled separate accounts at beginning of year2020-06-30$314,870
Interest on participant loans2020-06-30$991
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$16,032
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$0
Employer contributions (assets) at end of year2020-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$30,856
Contract administrator fees2020-06-30$8,458
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30FASTEN HALBERSTAM LLP
Accountancy firm EIN2020-06-30472311910

Form 5500 Responses for TRI-COUNTY CARE, LLC 401(K) PLAN

2022: TRI-COUNTY CARE, LLC 401(K) PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement - TrustYes
2021: TRI-COUNTY CARE, LLC 401(K) PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: TRI-COUNTY CARE, LLC 401(K) PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: TRI-COUNTY CARE, LLC 401(K) PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number133646501
Policy instance 1
Insurance contract or identification number133646501
Number of Individuals Covered381
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $5,903
Total amount of fees paid to insurance companyUSD $1,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,903
Insurance broker organization code?4
Amount paid for insurance broker fees1404
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number
Policy instance 1
Number of Individuals Covered306
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $10,137
Total amount of fees paid to insurance companyUSD $2,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,137
Insurance broker organization code?4
Amount paid for insurance broker fees2330
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number
Policy instance 1
Number of Individuals Covered250
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $5,797
Total amount of fees paid to insurance companyUSD $1,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,797
Insurance broker organization code?4
Amount paid for insurance broker fees1643
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number
Policy instance 1
Number of Individuals Covered134
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $4,232
Total amount of fees paid to insurance companyUSD $584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,554
Insurance broker organization code?4
Amount paid for insurance broker fees584

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