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| Plan Name | BASIC LIFE & AD&D |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | VOYAGE HEALTHCARE, LLC |
| Employer identification number (EIN): | 204600072 |
| NAIC Classification: | 621399 |
| NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-08-01 | BETH CURLEY | 2024-02-20 | ||
| 502 | 2021-08-01 | BETH CURLEY | 2023-02-17 |
| Measure | Date | Value |
|---|---|---|
| 2022: BASIC LIFE & AD&D 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-08-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 64 |
| Number of retired or separated participants receiving benefits | 2022-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 0 |
| Total of all active and inactive participants | 2022-08-01 | 64 |
| Number of employers contributing to the scheme | 2022-08-01 | 0 |
| 2021: BASIC LIFE & AD&D 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-08-01 | 105 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 108 |
| Number of retired or separated participants receiving benefits | 2021-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 0 |
| Total of all active and inactive participants | 2021-08-01 | 108 |
| Number of employers contributing to the scheme | 2021-08-01 | 0 |
| 2022: BASIC LIFE & AD&D 2022 form 5500 responses | ||
|---|---|---|
| 2022-08-01 | Type of plan entity | Single employer plan |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BASIC LIFE & AD&D 2021 form 5500 responses | ||
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | First time form 5500 has been submitted | Yes |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||
| Policy contract number | 864957 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||
| Policy contract number | 864957 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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