Plan Name | FOUR WINDS HEALTH LLC DBA WELLSTREET URGENT CARE DENTAL PLAN |
Plan identification number | 506 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | FOUR WINDS HEALTH LLC |
Employer identification number (EIN): | 451273930 |
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 |
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506 | 2021-01-01 | JENNIFER HALL | 2022-07-27 | ||
506 | 2020-01-01 | JENNIFER HALL | 2021-09-28 |
Measure | Date | Value |
---|---|---|
2021: FOUR WINDS HEALTH LLC DBA WELLSTREET URGENT CARE DENTAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 191 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 0 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2020: FOUR WINDS HEALTH LLC DBA WELLSTREET URGENT CARE DENTAL PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 143 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 191 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 191 |
Number of employers contributing to the scheme | 2020-01-01 | 0 |
2021: FOUR WINDS HEALTH LLC DBA WELLSTREET URGENT CARE DENTAL PLAN 2021 form 5500 responses | ||
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | This submission is the final filing | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2020: FOUR WINDS HEALTH LLC DBA WELLSTREET URGENT CARE DENTAL PLAN 2020 form 5500 responses | ||
2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | First time form 5500 has been submitted | Yes |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||||||||||
Policy contract number | 010-050331 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) | |||||||||||||||||||||||||||||
Policy contract number | 010-050331 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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