Plan Name | COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC. HEALTH AND WELFARE PLAN |
Plan identification number | 505 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | COMMUNITY ACTION PROGRAM - BELKNAP MERRIMACK COUNTIES INC. |
Employer identification number (EIN): | 020270376 |
NAIC Classification: | 624200 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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505 | 2022-07-01 | CHRISTINE MARIE | 2023-10-26 |
Measure | Date | Value |
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2022: COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC. HEALTH AND WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-07-01 | 156 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 173 |
Number of retired or separated participants receiving benefits | 2022-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
Total of all active and inactive participants | 2022-07-01 | 173 |
Number of employers contributing to the scheme | 2022-07-01 | 0 |
2022: COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, INC. HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
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2022-07-01 | Type of plan entity | Single employer plan |
2022-07-01 | First time form 5500 has been submitted | Yes |
2022-07-01 | Plan funding arrangement – Insurance | Yes |
2022-07-01 | Plan benefit arrangement – Insurance | Yes |
NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 13650 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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RED TREE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 13646 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 913650 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 169197 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||
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HARVARD PILGRIM HEALTH CARE OF NE, INC. (National Association of Insurance Commissioners NAIC id number: 96917 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 1134990000 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||
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