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Plan Name | BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC GROUP INSURANCE PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER, LLC |
Employer identification number (EIN): | 830517812 |
NAIC Classification: | 621498 |
NAIC Description: | All Other Outpatient Care Centers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2021-07-01 | ||||
502 | 2020-08-01 |
Measure | Date | Value |
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2021: BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC GROUP INSURANCE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-07-01 | 135 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 144 |
Number of retired or separated participants receiving benefits | 2021-07-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
Total of all active and inactive participants | 2021-07-01 | 145 |
2020: BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC GROUP INSURANCE PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-08-01 | 122 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 135 |
Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
Total of all active and inactive participants | 2020-08-01 | 135 |
2021: BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC GROUP INSURANCE PLAN 2021 form 5500 responses | ||
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2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | Submission has been amended | No |
2021-07-01 | This submission is the final filing | No |
2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-07-01 | Plan is a collectively bargained plan | No |
2021-07-01 | Plan funding arrangement – Insurance | Yes |
2021-07-01 | Plan benefit arrangement – Insurance | Yes |
2020: BROOKDALE DRUG & ALCOHOL REHABILITATION CENTER LLC GROUP INSURANCE PLAN 2020 form 5500 responses | ||
2020-08-01 | Type of plan entity | Single employer plan |
2020-08-01 | First time form 5500 has been submitted | Yes |
2020-08-01 | Submission has been amended | No |
2020-08-01 | This submission is the final filing | No |
2020-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2020-08-01 | Plan is a collectively bargained plan | No |
2020-08-01 | Plan funding arrangement – Insurance | Yes |
2020-08-01 | Plan benefit arrangement – Insurance | Yes |
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 263839 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 941049 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 891419G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 263839 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 941049 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 891419G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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