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| Plan Name | CROWN HEALTHCARE MANAGEMENT |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CROWN HEALTHCARE MANAGEMENT |
| Employer identification number (EIN): | 831284179 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-10-01 | ||||
| 501 | 2020-10-01 | ||||
| 501 | 2019-10-01 | ||||
| 501 | 2018-10-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: CROWN HEALTHCARE MANAGEMENT 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 635 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 630 |
| Total of all active and inactive participants | 2021-10-01 | 630 |
| Total participants | 2021-10-01 | 630 |
| 2020: CROWN HEALTHCARE MANAGEMENT 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-10-01 | 450 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 565 |
| Total of all active and inactive participants | 2020-10-01 | 565 |
| Total participants | 2020-10-01 | 565 |
| 2019: CROWN HEALTHCARE MANAGEMENT 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-10-01 | 484 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 449 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 1 |
| Total of all active and inactive participants | 2019-10-01 | 450 |
| Total participants | 2019-10-01 | 450 |
| 2018: CROWN HEALTHCARE MANAGEMENT 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-10-01 | 185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 437 |
| Total of all active and inactive participants | 2018-10-01 | 437 |
| Total participants | 2018-10-01 | 437 |
| 2021: CROWN HEALTHCARE MANAGEMENT 2021 form 5500 responses | ||
|---|---|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: CROWN HEALTHCARE MANAGEMENT 2020 form 5500 responses | ||
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: CROWN HEALTHCARE MANAGEMENT 2019 form 5500 responses | ||
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: CROWN HEALTHCARE MANAGEMENT 2018 form 5500 responses | ||
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | First time form 5500 has been submitted | Yes |
| 2018-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||
| Policy contract number | 917685 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||
| Policy contract number | 917685 | ||||||||||||||||||
| 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 | 917685 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||
| Policy contract number | 917685 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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