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AVENAL COMMUNITY HEALTH CENTER 401k Plan overview

Plan NameAVENAL COMMUNITY HEALTH CENTER
Plan identification number 501

AVENAL COMMUNITY HEALTH CENTER Benefits

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

401k Sponsoring company profile

AVENAL COMMUNITY HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:AVENAL COMMUNITY HEALTH CENTER
Employer identification number (EIN):770425496
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about AVENAL COMMUNITY HEALTH CENTER

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1977252

More information about AVENAL COMMUNITY HEALTH CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVENAL COMMUNITY HEALTH CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01ANDREW MILLER2023-03-13 ANDREW MILLER2023-03-13
5012021-01-01ANDREW MILLER2022-03-01 ANDREW MILLER2022-03-01
5012020-01-01ANDREW MILLER2021-06-03 ANDREW MILLER2021-06-03
5012019-01-01
5012019-01-01HEMANTA MUNGUR2020-03-10 HEMANTA MUNGUR2020-03-10

Plan Statistics for AVENAL COMMUNITY HEALTH CENTER

401k plan membership statisitcs for AVENAL COMMUNITY HEALTH CENTER

Measure Date Value
2022: AVENAL COMMUNITY HEALTH CENTER 2022 401k membership
Total participants, beginning-of-year2022-01-01210
Total number of active participants reported on line 7a of the Form 55002022-01-01240
Total of all active and inactive participants2022-01-01240
2021: AVENAL COMMUNITY HEALTH CENTER 2021 401k membership
Total participants, beginning-of-year2021-01-01230
Total number of active participants reported on line 7a of the Form 55002021-01-01195
Total of all active and inactive participants2021-01-01195
2020: AVENAL COMMUNITY HEALTH CENTER 2020 401k membership
Total participants, beginning-of-year2020-01-01225
Total number of active participants reported on line 7a of the Form 55002020-01-01225
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01225
2019: AVENAL COMMUNITY HEALTH CENTER 2019 401k membership
Total participants, beginning-of-year2019-01-01254
Total number of active participants reported on line 7a of the Form 55002019-01-01289
Total of all active and inactive participants2019-01-01289
Total participants2019-01-01289

Form 5500 Responses for AVENAL COMMUNITY HEALTH CENTER

2022: AVENAL COMMUNITY HEALTH CENTER 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
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
2021: AVENAL COMMUNITY HEALTH CENTER 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: AVENAL COMMUNITY HEALTH CENTER 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: AVENAL COMMUNITY HEALTH CENTER 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169723
Policy instance 1
Insurance contract or identification number169723
Number of Individuals Covered280
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $18,298
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $11,270
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169723
Policy instance 2
Insurance contract or identification number169723
Number of Individuals Covered419
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,206
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $3,337
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169723
Policy instance 3
Insurance contract or identification number169723
Number of Individuals Covered281
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,615
Vision Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $2,365
Insurance broker organization code?3
NATIONAL UNDERWRITING SERVICES (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberEL 108-1074-18
Policy instance 4
Insurance contract or identification numberEL 108-1074-18
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $348,697
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $348,697
Insurance broker organization code?0
NATIONAL UNDERWRITING SERVICES (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberEL 108-1074-18
Policy instance 1
Insurance contract or identification numberEL 108-1074-18
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $311,567
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $311,567
Insurance broker organization code?0
NATIONAL UNDERWRITING SERVICES (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberEL 108-1074-18
Policy instance 1
Insurance contract or identification numberEL 108-1074-18
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $313,190
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $313,190
Insurance broker organization code?0
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1103242
Policy instance 1
Insurance contract or identification number1103242
Number of Individuals Covered28
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $16,246
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,246
Insurance broker organization code?3
NATIONAL UNDERWRITING SERVICES (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberEL 108-1074-18
Policy instance 1
Insurance contract or identification numberEL 108-1074-18
Number of Individuals Covered199
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $227,643
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $227,643
Insurance broker organization code?0

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