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| Plan Name | COMPREHENSIVE HEALTHCARE PROGRAMS |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TATUM HOLDING COMPANY, INC. |
| Employer identification number (EIN): | 453307858 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-01-01 | NANCY KLEITSCH | |||
| 502 | 2018-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: COMPREHENSIVE HEALTHCARE PROGRAMS 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 262 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 9 |
| Total of all active and inactive participants | 2019-01-01 | 9 |
| 2018: COMPREHENSIVE HEALTHCARE PROGRAMS 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 175 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 262 |
| Total of all active and inactive participants | 2018-01-01 | 262 |
| 2019: COMPREHENSIVE HEALTHCARE PROGRAMS 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: COMPREHENSIVE HEALTHCARE PROGRAMS 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||
| Policy contract number | 913106 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||
| Policy contract number | 913106 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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