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| Plan Name | 2019 CEDARHURST LIVING BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CEDARHURST LIVING, LLC |
| Employer identification number (EIN): | 383957516 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-03-01 | ||||
| 501 | 2023-03-01 | ALY RICCI | |||
| 501 | 2022-03-01 | ||||
| 501 | 2022-03-01 | ALY RICCI | |||
| 501 | 2021-01-01 | ||||
| 501 | 2021-01-01 | ALY RICCI | |||
| 501 | 2019-03-01 |
| Measure | Date | Value |
|---|---|---|
| 2023: 2019 CEDARHURST LIVING BENEFIT PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-03-01 | 2,054 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 1,867 |
| Total of all active and inactive participants | 2023-03-01 | 1,867 |
| Total participants | 2023-03-01 | 1,867 |
| 2022: 2019 CEDARHURST LIVING BENEFIT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-03-01 | 1,940 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-03-01 | 2,054 |
| Total of all active and inactive participants | 2022-03-01 | 2,054 |
| Total participants | 2022-03-01 | 2,054 |
| 2021: 2019 CEDARHURST LIVING BENEFIT PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 1,235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1,940 |
| Total of all active and inactive participants | 2021-01-01 | 1,940 |
| Total participants | 2021-01-01 | 1,940 |
| 2019: 2019 CEDARHURST LIVING BENEFIT PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-03-01 | 603 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 1,265 |
| Total of all active and inactive participants | 2019-03-01 | 1,265 |
| Total participants | 2019-03-01 | 1,265 |
| 2023: 2019 CEDARHURST LIVING BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: 2019 CEDARHURST LIVING BENEFIT PLAN 2022 form 5500 responses | ||
| 2022-03-01 | Type of plan entity | Single employer plan |
| 2022-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: 2019 CEDARHURST LIVING BENEFIT PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: 2019 CEDARHURST LIVING BENEFIT PLAN 2019 form 5500 responses | ||
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | Submission has been amended | No |
| 2019-03-01 | This submission is the final filing | No |
| 2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-03-01 | Plan is a collectively bargained plan | No |
| 2019-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 ) | |||||||||||||||||||
| Policy contract number | L02545 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||
| Policy contract number | CM100002464 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||
| Policy contract number | 10164911001 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 ) | |||||||||||||||||||
| Policy contract number | L02545 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 ) | |||||||||||||||||||
| Policy contract number | 954996 | ||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||
| Policy contract number | 954994 | ||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||
| PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 ) | |||||||||||||||||||
| Policy contract number | 954995 | ||||||||||||||||||
| Policy instance | 5 | ||||||||||||||||||
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