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KAISER HEALTH PLAN 401k Plan overview

Plan NameKAISER HEALTH PLAN
Plan identification number 507

KAISER HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CHILDREN'S HOME SOCIETY OF CALIFORNIA has sponsored the creation of one or more 401k plans.

Company Name:CHILDREN'S HOME SOCIETY OF CALIFORNIA
Employer identification number (EIN):951690976
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KAISER HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-07-01
5072021-07-01
5072020-07-01
5072020-07-01
5072014-07-01BEVERLY TIDWELL
5072013-07-01BEVERLY TIDWELL
5072012-07-01BEVERLY TIDWELL
5072011-07-01SHERYL JONES DAVIS
5072010-07-01DENNIS KOGA CONTROLLER
5072009-07-01DENNIS KOGA CONTROLLER

Plan Statistics for KAISER HEALTH PLAN

401k plan membership statisitcs for KAISER HEALTH PLAN

Measure Date Value
2022: KAISER HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01124
Total number of active participants reported on line 7a of the Form 55002022-07-01142
Total of all active and inactive participants2022-07-01142
2021: KAISER HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01106
Total number of active participants reported on line 7a of the Form 55002021-07-01124
Total of all active and inactive participants2021-07-01124
Total participants2021-07-01124
2020: KAISER HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01106
Total number of active participants reported on line 7a of the Form 55002020-07-01106
Total of all active and inactive participants2020-07-01106
Total participants2020-07-01106
2014: KAISER HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01145
Total number of active participants reported on line 7a of the Form 55002014-07-01162
Total of all active and inactive participants2014-07-01162
Total participants2014-07-010
2013: KAISER HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01161
Total number of active participants reported on line 7a of the Form 55002013-07-01145
Total of all active and inactive participants2013-07-01145
Total participants2013-07-010
2012: KAISER HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01186
Total number of active participants reported on line 7a of the Form 55002012-07-01161
Total of all active and inactive participants2012-07-01161
Total participants2012-07-010
2011: KAISER HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01189
Total number of active participants reported on line 7a of the Form 55002011-07-01186
Total of all active and inactive participants2011-07-01186
Total participants2011-07-01186
2010: KAISER HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01204
Total number of active participants reported on line 7a of the Form 55002010-07-01189
Total of all active and inactive participants2010-07-01189
Total participants2010-07-01189
2009: KAISER HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01213
Total number of active participants reported on line 7a of the Form 55002009-07-01204
Total of all active and inactive participants2009-07-01204
Total participants2009-07-01204

Form 5500 Responses for KAISER HEALTH PLAN

2022: KAISER HEALTH PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: KAISER HEALTH PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: KAISER HEALTH PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2014: KAISER HEALTH PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: KAISER HEALTH PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: KAISER HEALTH PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: KAISER HEALTH PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: KAISER HEALTH PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: KAISER HEALTH PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number101756
Policy instance 1
Insurance contract or identification number101756
Number of Individuals Covered314
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $90,937
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,300,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $90,937
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number101756
Policy instance 1
Insurance contract or identification number101756
Number of Individuals Covered278
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $72,177
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,613,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,177
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number101756
Policy instance 1
Insurance contract or identification number101756
Number of Individuals Covered106
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $63,676
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,270,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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