Plan Name | JEFFREY N HOLLEY MD PC EMPLOYEE GROUP HEALTH PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | JEFFREY N HOLLEY MD PC EMPLOYEE GROUP HEALTH PLAN |
Employer identification number (EIN): | 582509125 |
NAIC Classification: | 621111 |
NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
501 | 2019-01-01 | TINA VARNUM | 2020-07-15 | TINA VARNUM | 2020-07-15 |
501 | 2018-01-01 | TINA VARNUM | 2019-10-14 |