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FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 401k Plan overview

Plan NameFLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN
Plan identification number 501

FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN Benefits

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

401k Sponsoring company profile

FLESHER'S FAIRVIEW HEALTH CARE CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:FLESHER'S FAIRVIEW HEALTH CARE CENTER, INC.
Employer identification number (EIN):561754005
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-12-01CHERI MITCHELL
5012011-12-01CHERI MITCHELL
5012010-12-01
5012009-12-01

Plan Statistics for FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN

401k plan membership statisitcs for FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN

Measure Date Value
2012: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01132
Total number of active participants reported on line 7a of the Form 55002012-12-01121
Total of all active and inactive participants2012-12-01121
2011: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01144
Total number of active participants reported on line 7a of the Form 55002011-12-01132
Total of all active and inactive participants2011-12-01132
2010: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01144
Total number of active participants reported on line 7a of the Form 55002010-12-01144
Total of all active and inactive participants2010-12-01144
2009: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-010
Total number of active participants reported on line 7a of the Form 55002009-12-01153
Total of all active and inactive participants2009-12-01153

Form 5500 Responses for FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN

2012: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2011: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan benefit arrangement – InsuranceYes
2010: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: FLESHER'S FAIRVIEW HEALTH CARE CENTER LIFE AND LON DISABILITY BENEFIT PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01First time form 5500 has been submittedYes
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110063
Policy instance 1
Insurance contract or identification number000010110063
Number of Individuals Covered93
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $1,064
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,064
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110064
Policy instance 2
Insurance contract or identification number000010110064
Number of Individuals Covered121
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $11,897
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
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $47,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,897
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110063
Policy instance 1
Insurance contract or identification number000010110063
Number of Individuals Covered80
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $993
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $3,974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110064
Policy instance 2
Insurance contract or identification number000010110064
Number of Individuals Covered132
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,672
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
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $46,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110063
Policy instance 1
Insurance contract or identification number000010110063
Number of Individuals Covered86
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $1,329
Total amount of fees paid to insurance companyUSD $117
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,329
Amount paid for insurance broker fees117
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110064
Policy instance 2
Insurance contract or identification number000010110064
Number of Individuals Covered144
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $14,001
Total amount of fees paid to insurance companyUSD $806
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $56,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,001
Amount paid for insurance broker fees806
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110063
Policy instance 1
Insurance contract or identification number000010110063
Number of Individuals Covered107
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $1,474
Total amount of fees paid to insurance companyUSD $106
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,474
Amount paid for insurance broker fees106
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010110064
Policy instance 2
Insurance contract or identification number000010110064
Number of Individuals Covered153
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $10,051
Total amount of fees paid to insurance companyUSD $685
Other welfare benefits providedWEEKLY INCOM
Welfare Benefit Premiums Paid to CarrierUSD $40,205
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,051
Amount paid for insurance broker fees685
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00001D015170
Policy instance 3
Insurance contract or identification number00001D015170
Number of Individuals Covered105
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $6,538
Total amount of fees paid to insurance companyUSD $247
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,538
Amount paid for insurance broker fees247
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameCOMPREHENSIVE BENEFITS SOLUTIONS

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