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GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 401k Plan overview

Plan NameGASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN
Plan identification number 501

GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GASTON RESIDENTIAL SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name:GASTON RESIDENTIAL SERVICES INC
Employer identification number (EIN):510138261
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-08-01JAIMEE WEIDERT2020-02-17
5012017-08-01JAIMEE WEIDERT2019-03-27
5012016-08-01
5012015-08-01
5012014-08-01
5012013-08-01
5012012-08-01LYNETTE DEMPERIO
5012011-08-01LYNETTE DEMPERIO
5012010-08-01LYNETTE DEMPERIO
5012009-08-01LYNETTE DEMPERIO

Plan Statistics for GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN

401k plan membership statisitcs for GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN

Measure Date Value
2018: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01100
Total number of active participants reported on line 7a of the Form 55002018-08-01112
Total of all active and inactive participants2018-08-01112
2017: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01113
Total number of active participants reported on line 7a of the Form 55002017-08-01100
Total of all active and inactive participants2017-08-01100
2016: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01109
Total number of active participants reported on line 7a of the Form 55002016-08-01113
Total of all active and inactive participants2016-08-01113
2015: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01123
Total number of active participants reported on line 7a of the Form 55002015-08-01109
Total of all active and inactive participants2015-08-01109
2014: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01153
Total number of active participants reported on line 7a of the Form 55002014-08-01123
Total of all active and inactive participants2014-08-01123
2013: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-0199
Total number of active participants reported on line 7a of the Form 55002013-08-01153
Total of all active and inactive participants2013-08-01153
2012: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01111
Total number of active participants reported on line 7a of the Form 55002012-08-0199
Total of all active and inactive participants2012-08-0199
2011: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01107
Total number of active participants reported on line 7a of the Form 55002011-08-01111
Total of all active and inactive participants2011-08-01111
2010: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-01136
Total number of active participants reported on line 7a of the Form 55002010-08-01107
Total of all active and inactive participants2010-08-01107
2009: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01130
Total number of active participants reported on line 7a of the Form 55002009-08-01136
Total of all active and inactive participants2009-08-01136

Form 5500 Responses for GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN

2018: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: GASTON RESIDENTIAL SERVICES WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01This submission is the final filingNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number688
Policy instance 2
Insurance contract or identification number688
Number of Individuals Covered112
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $3,695
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,695
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number080690
Policy instance 1
Insurance contract or identification number080690
Number of Individuals Covered91
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $25,568
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,568
Insurance broker organization code?3
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number688
Policy instance 2
Insurance contract or identification number688
Number of Individuals Covered100
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $3,283
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number080690
Policy instance 1
Insurance contract or identification number080690
Number of Individuals Covered80
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $21,036
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number688
Policy instance 2
Insurance contract or identification number688
Number of Individuals Covered109
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $3,686
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,686
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (SE), INC.
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number080690
Policy instance 1
Insurance contract or identification number080690
Number of Individuals Covered89
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $14,420
Total amount of fees paid to insurance companyUSD $1,000
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,420
Amount paid for insurance broker fees1000
Additional information about fees paid to insurance brokerAGENT FEE
Insurance broker organization code?3
Insurance broker nameCHRISTINA N BYRON
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number688
Policy instance 2
Insurance contract or identification number688
Number of Individuals Covered123
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $4,465
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,465
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (SE), INC.
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number080690
Policy instance 1
Insurance contract or identification number080690
Number of Individuals Covered101
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $17,769
Total amount of fees paid to insurance companyUSD $5,000
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,769
Amount paid for insurance broker fees5000
Additional information about fees paid to insurance brokerAGENT FEES
Insurance broker organization code?3
Insurance broker nameCHRISTINA N BYRON
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number688
Policy instance 2
Insurance contract or identification number688
Number of Individuals Covered153
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $3,527
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,527
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (SE), INC.
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3183720000
Policy instance 1
Insurance contract or identification number3183720000
Number of Individuals Covered118
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $22,459
Total amount of fees paid to insurance companyUSD $9,600
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $449,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,459
Amount paid for insurance broker fees9600
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameCORPORATE BENEFIT ADVISORS INC
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number592066
Policy instance 2
Insurance contract or identification number592066
Number of Individuals Covered99
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $4,775
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,775
Insurance broker organization code?3
Insurance broker nameCORPORATE BENEFIT ADVISORS INC
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number042143
Policy instance 1
Insurance contract or identification number042143
Number of Individuals Covered93
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $25,349
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,349
Insurance broker organization code?3
Insurance broker nameCHRISTINA BYRON
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number042143
Policy instance 1
Insurance contract or identification number042143
Number of Individuals Covered101
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $24,725
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number592066
Policy instance 2
Insurance contract or identification number592066
Number of Individuals Covered111
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $5,869
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number042143
Policy instance 1
Insurance contract or identification number042143
Number of Individuals Covered107
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $30,324
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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