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INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 401k Plan overview

Plan NameINTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN
Plan identification number 506

INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN Benefits

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

401k Sponsoring company profile

INTEGRITY HOME CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name:INTEGRITY HOME CARE, LLC
Employer identification number (EIN):431875357
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about INTEGRITY HOME CARE, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1993-03-12
Company Identification Number: 840561
Legal Registered Office Address: 20133 FARNSLEIGH ROAD
-
SHAKER HEIGHTS
United States of America (USA)
44122

More information about INTEGRITY HOME CARE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01
5062021-01-01
5062020-01-01

Plan Statistics for INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN

401k plan membership statisitcs for INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN

Measure Date Value
2022: INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01134
Total number of active participants reported on line 7a of the Form 55002022-01-010
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 participants2022-01-010
2021: INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01139
Total number of active participants reported on line 7a of the Form 55002021-01-01132
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 participants2021-01-01132
2020: INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-010
Total number of active participants reported on line 7a of the Form 55002020-01-01139
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01139

Form 5500 Responses for INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN

2022: INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: INTEGRITY HOME CARE NARROW NETWORK MAJOR MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGLIUME000998
Policy instance 1
Insurance contract or identification numberGLIUME000998
Number of Individuals Covered132
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $30,801
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $249,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees22049
Additional information about fees paid to insurance brokerADMINISTRATION FEES MEDICAL MANAGMENT
Insurance broker organization code?5
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGLIUME000998
Policy instance 1
Insurance contract or identification numberGLIUME000998
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $28,585
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $226,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19833
Additional information about fees paid to insurance brokerADMINISTRATION FEES MEDICAL MANAGMENT
Insurance broker organization code?5

Potentially related plans

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