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MEDICAL PLAN 401k Plan overview

Plan NameMEDICAL PLAN
Plan identification number 501

MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

WHOLE FAMILY HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:WHOLE FAMILY HEALTH CENTER
Employer identification number (EIN):650715258
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-03-01THERESA MALONE2024-10-11

Plan Statistics for MEDICAL PLAN

401k plan membership statisitcs for MEDICAL PLAN

Measure Date Value
2023: MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-01105
Total number of active participants reported on line 7a of the Form 55002023-03-01115
Number of retired or separated participants receiving benefits2023-03-010
Number of other retired or separated participants entitled to future benefits2023-03-010
Total of all active and inactive participants2023-03-01115
Number of employers contributing to the scheme2023-03-010

Form 5500 Responses for MEDICAL PLAN

2023: MEDICAL PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01First time form 5500 has been submittedYes
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number03805
Policy instance 1
Insurance contract or identification number03805
Number of Individuals Covered115
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $79,726
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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