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CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 401k Plan overview

Plan NameCAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN
Plan identification number 001

CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

CAMBRIDGE HOSPICE OF RIVERSIDE, LLC has sponsored the creation of one or more 401k plans.

Company Name:CAMBRIDGE HOSPICE OF RIVERSIDE, LLC
Employer identification number (EIN):463822361
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-11-01FELISA MARTIN FELISA MARTIN2018-07-23

Plan Statistics for CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN

401k plan membership statisitcs for CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN

Measure Date Value
2019: CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0141
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0141
Total number of active participants reported on line 7a of the Form 55002018-01-0157
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0157
Number of participants with account balances2018-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-010
Total number of active participants reported on line 7a of the Form 55002017-11-0138
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-0138
Total participants2017-11-0138
Number of participants with account balances2017-11-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-11-010

Financial Data on CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN

Measure Date Value
2019 : CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$-82,563
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$24,052
Expenses. Total of all expenses incurred2019-12-31$722
Benefits paid (including direct rollovers)2019-12-31$0
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$59,233
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$15,809
Contributions received from other sources (not participants or employers)2019-12-31$6,796
Other income received2019-12-31$1,447
Net income (gross income less expenses)2019-12-31$23,330
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$59,233
Total contributions received or receivable from employer(s)2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$722
2018 : CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$250
Total income from all sources2018-12-31$41,918
Expenses. Total of all expenses incurred2018-12-31$1,711
Total plan assets at end of year2018-12-31$59,233
Total plan assets at beginning of year2018-12-31$19,276
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$23,564
Contributions received from other sources (not participants or employers)2018-12-31$15,551
Other income received2018-12-31$-3,088
Net income (gross income less expenses)2018-12-31$40,207
Net plan assets at end of year (total assets less liabilities)2018-12-31$59,233
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$19,026
Total contributions received or receivable from employer(s)2018-12-31$5,891
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$1,711
2017 : CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$250
Total income from all sources2017-12-31$19,235
Expenses. Total of all expenses incurred2017-12-31$209
Total plan assets at end of year2017-12-31$19,276
Total plan assets at beginning of year2017-12-31$0
Value of fidelity bond covering the plan2017-12-31$250,000
Total contributions received or receivable from participants2017-12-31$312
Contributions received from other sources (not participants or employers)2017-12-31$17,596
Other income received2017-12-31$77
Net income (gross income less expenses)2017-12-31$19,026
Net plan assets at end of year (total assets less liabilities)2017-12-31$19,026
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$1,250
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$209

Form 5500 Responses for CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN

2019: CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAMBRIDGE HOSPICE OF RIVERSIDE, LLC EMPLOYEE RETIREMENT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01First time form 5500 has been submittedYes
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number132134
Policy instance 1
Insurance contract or identification number132134
Number of Individuals Covered0
Insurance policy start date2019-11-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number132134
Policy instance 1
Insurance contract or identification number132134
Number of Individuals Covered18
Insurance policy start date2018-11-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $199
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees199
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number132134
Policy instance 1
Insurance contract or identification number132134
Number of Individuals Covered2
Insurance policy start date2017-11-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $8
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees8
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker organization code?5
Insurance broker nameWAKE FINANCIAL GROUP, INC

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