401k Plan data: VSP plan

VSP 401k Plan overview

Plan Name	VSP
Plan identification number	504

VSP Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

CARE HAWAII, INC. has sponsored the creation of one or more 401k plans.

Company Name: CARE HAWAII, INC.

Employer identification number (EIN): 990339749

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VSP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2014-09-01 ROSE VIGGAYAN
504 2013-09-01 ROSE VIGGAYAN
504 2012-01-01 ROSE VIGGAYAN
504 2011-01-01 ROSE VIGGAYAN
504 2010-09-01 ROSE VIGGAYAN

Plan id#	Filing Submission Date	Name of Administrator
504	2014-09-01	ROSE VIGGAYAN
504	2013-09-01	ROSE VIGGAYAN
504	2012-01-01	ROSE VIGGAYAN
504	2011-01-01	ROSE VIGGAYAN
504	2010-09-01	ROSE VIGGAYAN

Plan Statistics for VSP

401k plan membership statisitcs for VSP

Measure Date Value
2014: VSP 2014 401k membership
Total participants, beginning-of-year 2014-09-01 121
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 108
Total of all active and inactive participants 2014-09-01 108
Total participants 2014-09-01 108
2013: VSP 2013 401k membership
Total participants, beginning-of-year 2013-09-01 89
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 121
Total of all active and inactive participants 2013-09-01 121
Total participants 2013-09-01 121
2012: VSP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 50
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 115
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 115
Total participants 2012-01-01 115
2011: VSP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 65
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 65
Total participants 2011-01-01 65
2010: VSP 2010 401k membership
Total participants, beginning-of-year 2010-09-01 63
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 56
Number of retired or separated participants receiving benefits 2010-09-01 0
Number of other retired or separated participants entitled to future benefits 2010-09-01 0
Total of all active and inactive participants 2010-09-01 56
Total participants 2010-09-01 56

Measure	Date	Value
2014: VSP 2014 401k membership
Total participants, beginning-of-year	2014-09-01	121
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	108
Total of all active and inactive participants	2014-09-01	108
Total participants	2014-09-01	108
2013: VSP 2013 401k membership
Total participants, beginning-of-year	2013-09-01	89
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	121
Total of all active and inactive participants	2013-09-01	121
Total participants	2013-09-01	121
2012: VSP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	50
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	115
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	115
Total participants	2012-01-01	115
2011: VSP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	65
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	65
Total participants	2011-01-01	65
2010: VSP 2010 401k membership
Total participants, beginning-of-year	2010-09-01	63
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	56
Number of retired or separated participants receiving benefits	2010-09-01	0
Number of other retired or separated participants entitled to future benefits	2010-09-01	0
Total of all active and inactive participants	2010-09-01	56
Total participants	2010-09-01	56

Form 5500 Responses for VSP

2014: VSP 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: VSP 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	First time form 5500 has been submitted	Yes
2013-09-01	Submission has been amended	No
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: VSP 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: VSP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: VSP 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	First time form 5500 has been submitted	Yes
2010-09-01	Submission has been amended	No
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – Insurance	Yes
2010-09-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CARE HAWAII, INC.
Employer identification number (EIN):	990339749
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists