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FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan NameFAMILY ELDERCARE INC. HEALTH & WELFARE PLAN
Plan identification number 501

FAMILY ELDERCARE INC. 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)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

FAMILY ELDERCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name:FAMILY ELDERCARE, INC.
Employer identification number (EIN):742286387
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Additional information about FAMILY ELDERCARE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1982-08-13
Company Identification Number: 0061863001
Legal Registered Office Address: 1700 RUTHERFORD LN

AUSTIN
United States of America (USA)
78754

More information about FAMILY ELDERCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JENNIFER KOEHLER2023-05-26

Plan Statistics for FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN

401k plan membership statisitcs for FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN

Measure Date Value
2022: FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01100
Total number of active participants reported on line 7a of the Form 55002022-01-01114
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01114
Number of employers contributing to the scheme2022-01-010

Form 5500 Responses for FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN

2022: FAMILY ELDERCARE INC. HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number335925
Policy instance 1
Insurance contract or identification number335925
Number of Individuals Covered114
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $62,871
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $759,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $50,889
Amount paid for insurance broker fees0
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF027176
Policy instance 2
Insurance contract or identification numberVF027176
Number of Individuals Covered114
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,737
Total amount of fees paid to insurance companyUSD $2,345
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $48,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,225
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerADDTIONAL COMPENSATION

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