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ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN 401k Plan overview

Plan NameANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN
Plan identification number 501

ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

ANAISKUS LLC has sponsored the creation of one or more 401k plans.

Company Name:ANAISKUS LLC
Employer identification number (EIN):842253789
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01JULIANNE WILLIAMS2020-06-25

Plan Statistics for ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN

401k plan membership statisitcs for ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN

Measure Date Value
2019: ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,599
Total number of active participants reported on line 7a of the Form 55002019-01-01899
Number of retired or separated participants receiving benefits2019-01-017
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01906
Number of employers contributing to the scheme2019-01-010

Form 5500 Responses for ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN

2019: ANAISKUS LLC DBA DYCORA TRANSITIONAL HEALTH AND LIVING HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909629
Policy instance 1
Insurance contract or identification number909629
Number of Individuals Covered791
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $147,013
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,674,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $147,013
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30071266
Policy instance 2
Insurance contract or identification number30071266
Number of Individuals Covered548
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number681033G
Policy instance 3
Insurance contract or identification number681033G
Number of Individuals Covered899
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $47,245
Total amount of fees paid to insurance companyUSD $8,915
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $297,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,622
Amount paid for insurance broker fees8915
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0668434
Policy instance 4
Insurance contract or identification numberR0668434
Number of Individuals Covered1083
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $35,544
Total amount of fees paid to insurance companyUSD $4,847
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $152,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,772
Amount paid for insurance broker fees2427
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number11245974
Policy instance 5
Insurance contract or identification number11245974
Number of Individuals Covered249
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,073
Total amount of fees paid to insurance companyUSD $1,631
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,536
Amount paid for insurance broker fees818
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number605388
Policy instance 6
Insurance contract or identification number605388
Number of Individuals Covered250
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $73,027
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $1,522,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,027
Amount paid for insurance broker fees0
Insurance broker organization code?3

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