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| Plan Name | ANTHEM BLUE ACCESS PPO HSA |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | G & W PRODUCTS, LLC |
| Employer identification number (EIN): | 205239349 |
| NAIC Classification: | 332300 |
Additional information about G & W PRODUCTS, LLC
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 2006-07-18 |
| Company Identification Number: | 1636267 |
| Legal Registered Office Address: |
1 E 4TH ST. SUITE 1400 CINCINNATI United States of America (USA) 45202 |
More information about G & W PRODUCTS, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | ||||
| 502 | 2022-01-01 | KEN VANCE | 2023-05-30 |
| Measure | Date | Value |
|---|---|---|
| 2023: ANTHEM BLUE ACCESS PPO HSA 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 201 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 202 |
| 2022: ANTHEM BLUE ACCESS PPO HSA 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 117 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 117 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2023: ANTHEM BLUE ACCESS PPO HSA 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | Yes |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: ANTHEM BLUE ACCESS PPO HSA 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | L04822 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | TM05393568 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | L04822 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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