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SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 401k Plan overview

Plan NameSKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC
Plan identification number 501

SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

SKY VIEW REHABILITATION AND HEALTH CARE CENTER LLC has sponsored the creation of one or more 401k plans.

Company Name:SKY VIEW REHABILITATION AND HEALTH CARE CENTER LLC
Employer identification number (EIN):571184584
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-08-01
5012019-08-01
5012018-08-01
5012017-08-01LIZER JOZEFOVIC
5012016-08-01LIZER JOZEFOVIC
5012015-08-01LIZER JOZEFOVIC
5012013-07-01LIZER JOZEFOVIC

Plan Statistics for SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC

401k plan membership statisitcs for SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC

Measure Date Value
2019: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2019 401k membership
Total participants, beginning-of-year2019-08-01192
Total number of active participants reported on line 7a of the Form 55002019-08-010
Total of all active and inactive participants2019-08-010
Total participants2019-08-010
2018: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2018 401k membership
Total participants, beginning-of-year2018-08-01198
Total number of active participants reported on line 7a of the Form 55002018-08-01192
Total of all active and inactive participants2018-08-01192
Total participants2018-08-01192
2017: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2017 401k membership
Total participants, beginning-of-year2017-08-01199
Total number of active participants reported on line 7a of the Form 55002017-08-01198
Total of all active and inactive participants2017-08-01198
Total participants2017-08-01198
2016: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2016 401k membership
Total participants, beginning-of-year2016-08-01198
Total number of active participants reported on line 7a of the Form 55002016-08-01199
Total of all active and inactive participants2016-08-01199
Total participants2016-08-01199
2015: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2015 401k membership
Total participants, beginning-of-year2015-08-01113
Total number of active participants reported on line 7a of the Form 55002015-08-01198
Total of all active and inactive participants2015-08-01198
Total participants2015-08-01198
2013: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2013 401k membership
Total participants, beginning-of-year2013-07-010
Total number of active participants reported on line 7a of the Form 55002013-07-01113
Total of all active and inactive participants2013-07-01113
Total participants2013-07-01113

Form 5500 Responses for SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC

2019: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Submission has been amendedYes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 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: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 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: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 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: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2013: SKY VIEW REHABILIATION AND HEALTH CARE CENTER LLC 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01First time form 5500 has been submittedYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 135566
Policy instance 1
Insurance contract or identification numberGL 135566
Number of Individuals Covered0
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Vision Insurance Welfare BenefitYes
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number
Policy instance 3
Long Term Disability Insurance Welfare BenefitYes
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 135566
Policy instance 2
Insurance contract or identification numberGL 135566
Number of Individuals Covered192
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $662
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,413
Commission paid to Insurance BrokerUSD $662
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020865
Policy instance 1
Insurance contract or identification number1020865
Dental Insurance Welfare BenefitYes
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number
Policy instance 3
Number of Individuals Covered60
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $2,899
Total amount of fees paid to insurance companyUSD $463
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,329
Commission paid to Insurance BrokerUSD $2,899
Amount paid for insurance broker fees463
Insurance broker namePROFESSIONAL GROUP PLANS INC
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 135566
Policy instance 2
Insurance contract or identification numberGL 135566
Number of Individuals Covered198
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $2,420
Total amount of fees paid to insurance companyUSD $409
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $16,134
Commission paid to Insurance BrokerUSD $2,420
Amount paid for insurance broker fees409
Insurance broker namePROFESSIONAL GROUP PLANS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020865
Policy instance 1
Insurance contract or identification number1020865
Number of Individuals Covered108
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $3,118
Total amount of fees paid to insurance companyUSD $2,744
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,720
Commission paid to Insurance BrokerUSD $3,118
Amount paid for insurance broker fees2744
Insurance broker namePROFESSIONAL GROUP PLANS INC
HM LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60213 )
Policy contract number
Policy instance 4
Number of Individuals Covered61
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $374
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,481
Commission paid to Insurance BrokerUSD $374
Insurance broker nameZEV WYLER
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberLTD 109467
Policy instance 3
Insurance contract or identification numberLTD 109467
Number of Individuals Covered59
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,723
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract numberGL 135566
Policy instance 2
Insurance contract or identification numberGL 135566
Number of Individuals Covered198
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $2,461
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $16,409
Commission paid to Insurance BrokerUSD $2,461
Insurance broker namePROFESSIONAL GROUP PLANS
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020865
Policy instance 1
Insurance contract or identification number1020865
Number of Individuals Covered110
Insurance policy start date2015-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $2,944
Total amount of fees paid to insurance companyUSD $2,815
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,780
Commission paid to Insurance BrokerUSD $2,944
Amount paid for insurance broker fees2815
Insurance broker namePROFESSIONAL GROUP PLANS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1020865
Policy instance 2
Insurance contract or identification number1020865
Number of Individuals Covered113
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $2,675
Total amount of fees paid to insurance companyUSD $2,118
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,406
Commission paid to Insurance BrokerUSD $2,675
Amount paid for insurance broker fees2118
Insurance broker namePROFESSIONAL GROUP PLANS INC
HM LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60213 )
Policy contract number5001180010
Policy instance 1
Insurance contract or identification number5001180010
Number of Individuals Covered60
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $432
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,637
Commission paid to Insurance BrokerUSD $432
Insurance broker nameZEV WYLER

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