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DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NameDIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN
Plan identification number 501

DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

DIALYSIS CARE CENTER MANAGEMENT has sponsored the creation of one or more 401k plans.

Company Name:DIALYSIS CARE CENTER MANAGEMENT
Employer identification number (EIN):822837479
NAIC Classification:621492
NAIC Description:Kidney Dialysis Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01MICHELE CRNICH MICHELE CRNICH2019-06-20

Plan Statistics for DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN

Measure Date Value
2018: DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01167
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010

Form 5500 Responses for DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN

2018: DIALYSIS CARE CENTER MANAGEMENT, LLC GROUP HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number221726, B21726
Policy instance 1
Insurance contract or identification number221726, B21726
Number of Individuals Covered369
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $73,902
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,946,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,902
Insurance broker organization code?3

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