401k Plan data: MEDICAL INSURANCE plan

MEDICAL INSURANCE 401k Plan overview

Plan Name	MEDICAL INSURANCE
Plan identification number	501

MEDICAL INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CARE 1ST HEALTH PLAN has sponsored the creation of one or more 401k plans.

Company Name: CARE 1ST HEALTH PLAN

Employer identification number (EIN): 954468482

NAIC Classification: 524290

Additional information about CARE 1ST HEALTH PLAN

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C1870888

More information about CARE 1ST HEALTH PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01
501 2017-01-01
501 2016-07-01 JOSIE G TAMEZ
501 2015-07-01 CELIA LEUNG
501 2014-07-01 BROOKS JONES
501 2013-07-01 JANET JAN
501 2012-07-01 BROOK JONES
501 2011-07-01 JANET JAN
501 2010-07-01 JANET JAN
501 2009-07-01 JANET JAN

Plan Statistics for MEDICAL INSURANCE

401k plan membership statisitcs for MEDICAL INSURANCE

Measure Date Value
2018: MEDICAL INSURANCE 2018 401k membership
Total participants, beginning-of-year 2018-01-01 715
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
2017: MEDICAL INSURANCE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 602
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 715
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 715
2016: MEDICAL INSURANCE 2016 401k membership
Total participants, beginning-of-year 2016-07-01 617
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 602
Number of retired or separated participants receiving benefits 2016-07-01 0
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 602
2015: MEDICAL INSURANCE 2015 401k membership
Total participants, beginning-of-year 2015-07-01 342
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 617
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 617
2014: MEDICAL INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-07-01 720
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 342
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 342
2013: MEDICAL INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-07-01 766
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 720
Total of all active and inactive participants 2013-07-01 720
Total participants 2013-07-01 720
2012: MEDICAL INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-07-01 39
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 39
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 39
2011: MEDICAL INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-07-01 389
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 766
Total of all active and inactive participants 2011-07-01 766
Total participants 2011-07-01 766
2010: MEDICAL INSURANCE 2010 401k membership
Total participants, beginning-of-year 2010-07-01 279
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 389
Total of all active and inactive participants 2010-07-01 389
Total participants 2010-07-01 389
2009: MEDICAL INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-07-01 282
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 318
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 318
Number of participants with account balances 2009-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0
Number of employers contributing to the scheme 2009-07-01 0

Measure	Date	Value
2018: MEDICAL INSURANCE 2018 401k membership
Total participants, beginning-of-year	2018-01-01	715
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
2017: MEDICAL INSURANCE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	602
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	715
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	715
2016: MEDICAL INSURANCE 2016 401k membership
Total participants, beginning-of-year	2016-07-01	617
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	602
Number of retired or separated participants receiving benefits	2016-07-01	0
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	602
2015: MEDICAL INSURANCE 2015 401k membership
Total participants, beginning-of-year	2015-07-01	342
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	617
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	617
2014: MEDICAL INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-07-01	720
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	342
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	342
2013: MEDICAL INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-07-01	766
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	720
Total of all active and inactive participants	2013-07-01	720
Total participants	2013-07-01	720
2012: MEDICAL INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-07-01	39
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	39
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	39
2011: MEDICAL INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-07-01	389
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	766
Total of all active and inactive participants	2011-07-01	766
Total participants	2011-07-01	766
2010: MEDICAL INSURANCE 2010 401k membership
Total participants, beginning-of-year	2010-07-01	279
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	389
Total of all active and inactive participants	2010-07-01	389
Total participants	2010-07-01	389
2009: MEDICAL INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-07-01	282
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	318
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	318
Number of participants with account balances	2009-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0
Number of employers contributing to the scheme	2009-07-01	0

Form 5500 Responses for MEDICAL INSURANCE

2018: MEDICAL INSURANCE 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: MEDICAL INSURANCE 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: MEDICAL INSURANCE 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: MEDICAL INSURANCE 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: MEDICAL INSURANCE 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: MEDICAL INSURANCE 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: MEDICAL INSURANCE 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	First time form 5500 has been submitted	Yes
2012-07-01	Submission has been amended	Yes
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: MEDICAL INSURANCE 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: MEDICAL INSURANCE 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: MEDICAL INSURANCE 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	W0054181
Policy instance	1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	W0054181
Policy instance	1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number	W0054181
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	755301
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	755301
Policy instance	1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number	847020
Policy instance	1
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	US439940
Policy instance	1
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	275090
Policy instance	1

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Company Name:	CARE 1ST HEALTH PLAN
Employer identification number (EIN):	954468482
NAIC Classification:	524290

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C1870888