Plan Name | OXFORD HEALTH PLANS |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CROWN STAFF LLC |
Employer identification number (EIN): | 831318244 |
NAIC Classification: | 721110 |
NAIC Description: | Hotels (except Casino Hotels) and Motels |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2023-03-01 | BRENT BRADY | 2024-10-16 |
Measure | Date | Value |
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2023: OXFORD HEALTH PLANS 2023 401k membership | ||
Total participants, beginning-of-year | 2023-03-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2023-03-01 | 100 |
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 | 100 |
Number of employers contributing to the scheme | 2023-03-01 | 0 |
2023: OXFORD HEALTH PLANS 2023 form 5500 responses | ||
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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 |
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||
Policy contract number | 348734 | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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