Plan Name | MEDICAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | WHOLE FAMILY HEALTH CENTER |
Employer identification number (EIN): | 650715258 |
NAIC Classification: | 621498 |
NAIC Description: | All Other Outpatient Care Centers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
501 | 2023-03-01 | THERESA MALONE | 2024-10-11 |
Measure | Date | Value |
---|---|---|
2023: MEDICAL PLAN 2023 401k membership | ||
Total participants, beginning-of-year | 2023-03-01 | 105 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 115 |
Number of retired or separated participants receiving benefits | 2023-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2023-03-01 | 0 |
Total of all active and inactive participants | 2023-03-01 | 115 |
Number of employers contributing to the scheme | 2023-03-01 | 0 |
2023: MEDICAL PLAN 2023 form 5500 responses | ||
---|---|---|
2023-03-01 | Type of plan entity | Single employer plan |
2023-03-01 | First time form 5500 has been submitted | Yes |
2023-03-01 | Plan funding arrangement – Insurance | Yes |
2023-03-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||
Policy contract number | 03805 | ||||||||||||||||
Policy instance | 1 | ||||||||||||||||
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