THREE RIVERS HOME HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.
Additional information about THREE RIVERS HOME HEALTH SERVICES, INC.
Submission information for form 5500 for 401k plan THREE RIVERS HOME HEALTH SERVICES
| Measure | Date | Value |
|---|
| 2012: THREE RIVERS HOME HEALTH SERVICES 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 110 |
| Total of all active and inactive participants | 2012-10-01 | 110 |
| Total participants | 2012-10-01 | 0 |
| 2011: THREE RIVERS HOME HEALTH SERVICES 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 121 |
| Total of all active and inactive participants | 2011-10-01 | 121 |
| Total participants | 2011-10-01 | 121 |
| 2010: THREE RIVERS HOME HEALTH SERVICES 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-10-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-10-01 | 124 |
| Total of all active and inactive participants | 2010-10-01 | 124 |
| Total participants | 2010-10-01 | 124 |
| 2009: THREE RIVERS HOME HEALTH SERVICES 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 85 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 81 |
| Total of all active and inactive participants | 2009-10-01 | 81 |
| Total participants | 2009-10-01 | 81 |
| Measure | Date | Value |
|---|
| 2013 : THREE RIVERS HOME HEALTH SERVICES 2013 401k financial data |
|---|
| Value of total assets at end of year | 2013-09-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-09-30 | No |
| Was this plan covered by a fidelity bond | 2013-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-09-30 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-09-30 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-09-30 | No |
| Value of interest in common/collective trusts at end of year | 2013-09-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-09-30 | No |
| Did the plan have assets held for investment | 2013-09-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-09-30 | No |
| 2012 : THREE RIVERS HOME HEALTH SERVICES 2012 401k financial data |
|---|
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-09-30 | No |
| Was this plan covered by a fidelity bond | 2012-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-09-30 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-09-30 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-09-30 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-09-30 | No |
| Did the plan have assets held for investment | 2012-09-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-09-30 | No |
| 2011 : THREE RIVERS HOME HEALTH SERVICES 2011 401k financial data |
|---|
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-09-30 | No |
| Was this plan covered by a fidelity bond | 2011-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-09-30 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-09-30 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-09-30 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-09-30 | No |
| Did the plan have assets held for investment | 2011-09-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-09-30 | No |
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | 1037925000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1037925000 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,298 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | GA7060 |
| Policy instance | 2 |
| Insurance contract or identification number | GA7060 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $256,895 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | GA7060 |
| Policy instance | 3 |
| Insurance contract or identification number | GA7060 | | Number of Individuals Covered | 201 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $16,017 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $51,273 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,017 | | Insurance broker organization code? | 3 | | Insurance broker name | WILLIS INS SVCS OF GA INC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 480660 |
| Policy instance | 4 |
| Insurance contract or identification number | 480660 | | Number of Individuals Covered | 53 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $7,124 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | NON EXPERIENCE RATED CONTRACTS | | Welfare Benefit Premiums Paid to Carrier | USD $43,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,124 | | Insurance broker organization code? | 3 | | Insurance broker name | WILLIS INS SVCS OF GA |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 103792500 |
| Policy instance | 3 |
| Insurance contract or identification number | 103792500 | | Number of Individuals Covered | 205 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $17,295 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $355,746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) |
| Policy contract number | 1037925000 |
| Policy instance | 2 |
| Insurance contract or identification number | 1037925000 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $4,536 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $256,059 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) |
| Policy contract number | 1037925000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1037925000 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,728 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 480660 |
| Policy instance | 4 |
| Insurance contract or identification number | 480660 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $7,045 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | NON EXPERIENCE RATED CONTRACTS | | Welfare Benefit Premiums Paid to Carrier | USD $47,383 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF GEORGIA, INC/ (G0385) (National Association of Insurance Commissioners NAIC id number: 54801 ) |
| Policy contract number | 1037925000 |
| Policy instance | 4 |
| Insurance contract or identification number | 1037925000 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-02-28 | | Total amount of commissions paid to insurance broker | USD $9,875 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | NON EXPERIENCE RATED CONTRACTS | | Welfare Benefit Premiums Paid to Carrier | USD $218,482 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 480660 |
| Policy instance | 2 |
| Insurance contract or identification number | 480660 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $3,939 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | NON EXPERIENCE RATED CONTRACTS | | Welfare Benefit Premiums Paid to Carrier | USD $12,644 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 480660 |
| Policy instance | 1 |
| Insurance contract or identification number | 480660 | | Number of Individuals Covered | 53 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | NON EXPERIENCE RATED CONTRACTS | | Welfare Benefit Premiums Paid to Carrier | USD $26,725 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 53801 |
| Policy instance | 3 |
| Insurance contract or identification number | 53801 | | Number of Individuals Covered | 75 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-02-28 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | NON EXPERIENCE RATED CONTRACTS | | Welfare Benefit Premiums Paid to Carrier | USD $7,131 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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