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PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN
Plan identification number 502

PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

PARTNERS HEALTH PLAN, INC. has sponsored the creation of one or more 401k plans.

Company Name:PARTNERS HEALTH PLAN, INC.
Employer identification number (EIN):461496685
NAIC Classification:524140

Additional information about PARTNERS HEALTH PLAN, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2012-11-14
Company Identification Number: 4319635
Legal Registered Office Address: 655 THIRD AVENUE
SECOND FLOOR
NEW YORK
United States of America (USA)
10017

More information about PARTNERS HEALTH PLAN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-04-01

Plan Statistics for PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN

Measure Date Value
2020: PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01106
Total number of active participants reported on line 7a of the Form 55002020-04-01106
Number of retired or separated participants receiving benefits2020-04-015
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01111

Form 5500 Responses for PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN

2020: PARTNERS HEALTH PLAN, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01First time form 5500 has been submittedYes
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number511181
Policy instance 1
Insurance contract or identification number511181
Number of Individuals Covered106
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $4,881
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOPTIONAL AD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $111,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,881
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3

Potentially related plans

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