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BEAUMONT HOME HEALTH SERVICES, INC. 401k Plan overview

Plan NameBEAUMONT HOME HEALTH SERVICES, INC.
Plan identification number 501

BEAUMONT HOME HEALTH SERVICES, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BEAUMONT HOME HEALTH SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BEAUMONT HOME HEALTH SERVICE, INC.
Employer identification number (EIN):760116561
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about BEAUMONT HOME HEALTH SERVICE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1984-08-23
Company Identification Number: 0071783800
Legal Registered Office Address: 3202 SAM HOUSTON DR

VICTORIA
United States of America (USA)
77904

More information about BEAUMONT HOME HEALTH SERVICE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEAUMONT HOME HEALTH SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-06-01RUTH L. CONSTANT
5012015-06-01RUTH L CONSTANT
5012014-06-01RUTH L. CONSTANT

Plan Statistics for BEAUMONT HOME HEALTH SERVICES, INC.

401k plan membership statisitcs for BEAUMONT HOME HEALTH SERVICES, INC.

Measure Date Value
2016: BEAUMONT HOME HEALTH SERVICES, INC. 2016 401k membership
Total participants, beginning-of-year2016-06-0191
Total number of active participants reported on line 7a of the Form 55002016-06-01107
Total of all active and inactive participants2016-06-01107
Total participants2016-06-01107
2015: BEAUMONT HOME HEALTH SERVICES, INC. 2015 401k membership
Total participants, beginning-of-year2015-06-01124
Total number of active participants reported on line 7a of the Form 55002015-06-0191
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-0191
2014: BEAUMONT HOME HEALTH SERVICES, INC. 2014 401k membership
Total participants, beginning-of-year2014-06-01100
Total number of active participants reported on line 7a of the Form 55002014-06-01124
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01124

Financial Data on BEAUMONT HOME HEALTH SERVICES, INC.

Measure Date Value
2017 : BEAUMONT HOME HEALTH SERVICES, INC. 2017 401k financial data
Total income from all sources2017-05-31$725,021
Expenses. Total of all expenses incurred2017-05-31$725,021
Benefits paid (including direct rollovers)2017-05-31$650,674
Expenses. Other expenses not covered elsewhere2017-05-31$74,347
Contributions received from other sources (not participants or employers)2017-05-31$725,021

Form 5500 Responses for BEAUMONT HOME HEALTH SERVICES, INC.

2016: BEAUMONT HOME HEALTH SERVICES, INC. 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: BEAUMONT HOME HEALTH SERVICES, INC. 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: BEAUMONT HOME HEALTH SERVICES, INC. 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01First time form 5500 has been submittedYes
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number20784/20777
Policy instance 1
Insurance contract or identification number20784/20777
Number of Individuals Covered97
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $6,228
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY BENEFITS
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $19,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,402
Insurance broker organization code?3
Insurance broker nameBRANDON PENKO
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number20777
Policy instance 1
Insurance contract or identification number20777
Number of Individuals Covered24
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $18,222
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY BENEFITS
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $29,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,983
Insurance broker organization code?3
Insurance broker nameTRINIDAD ROSALES

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