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OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN 401k Plan overview

Plan NameOSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN
Plan identification number 501

OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

THE OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING has sponsored the creation of one or more 401k plans.

Company Name:THE OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING
Employer identification number (EIN):521624834
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-11-01BOB BARRY2024-06-10
5012021-11-01KRISTI SAVELL2023-08-08

Form 5500 Responses for OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN

2022: OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – InsuranceYes
2021: OSCAR AND ELLA WILF CAMPUS FOR SENIOR LIVING HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01First time form 5500 has been submittedYes
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number633704
Policy instance 1
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number10581
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number40151424
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BB4G
Policy instance 4
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number633704
Policy instance 1
HEALTHCARE DENTAL, INC. (National Association of Insurance Commissioners NAIC id number: 11146 )
Policy contract number80284
Policy instance 2
HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )
Policy contract number80284
Policy instance 3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number80284
Policy instance 4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0B9VT
Policy instance 5

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