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AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN 401k Plan overview

Plan NameAMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN
Plan identification number 504

AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

AMERICAN HEALTH STAFFING GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN HEALTH STAFFING GROUP, INC.
Employer identification number (EIN):813839913
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-01-01TONYA THOMPSON2020-10-14
5042018-03-01TONYA THOMPSON2019-09-26

Plan Statistics for AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN

401k plan membership statisitcs for AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN

Measure Date Value
2019: AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01264
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01205
Total number of active participants reported on line 7a of the Form 55002018-03-01461
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01461
Number of employers contributing to the scheme2018-03-010

Form 5500 Responses for AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN

2019: AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: AMERICAN HEALTH STAFFING GROUP, INC BASIC LIFE PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01First time form 5500 has been submittedYes
2018-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number305898
Policy instance 1
Insurance contract or identification number305898
Number of Individuals Covered1249
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,452
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,452
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number05950499
Policy instance 1
Insurance contract or identification number05950499
Number of Individuals Covered609
Insurance policy start date2018-03-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,826
Total amount of fees paid to insurance companyUSD $651
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,826
Amount paid for insurance broker fees651
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3

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