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Plan Name | WELBROOK SENIOR LIVING LLC WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | WELBROOK SENIOR LIVING LLC |
Employer identification number (EIN): | 471842688 |
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 |
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501 | 2020-01-01 | MATT RASBAND | 2021-10-12 | ||
501 | 2019-01-01 | MATT RASBAND | 2020-09-15 | ||
501 | 2018-01-01 | MATT RASBAND | 2019-09-24 |
Measure | Date | Value |
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2020: WELBROOK SENIOR LIVING LLC WELFARE PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 149 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 100 |
Total of all active and inactive participants | 2020-01-01 | 100 |
2019: WELBROOK SENIOR LIVING LLC WELFARE PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-01-01 | 135 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 148 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
Total of all active and inactive participants | 2019-01-01 | 149 |
2018: WELBROOK SENIOR LIVING LLC WELFARE PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-01-01 | 88 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 134 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 135 |
2020: WELBROOK SENIOR LIVING LLC WELFARE PLAN 2020 form 5500 responses | ||
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: WELBROOK SENIOR LIVING LLC WELFARE PLAN 2019 form 5500 responses | ||
2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: WELBROOK SENIOR LIVING LLC WELFARE PLAN 2018 form 5500 responses | ||
2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | First time form 5500 has been submitted | Yes |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||
Policy contract number | 00622862 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||
Policy contract number | 00622862 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||
Policy contract number | 00622862 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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