Plan Name | MEDICAL |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | HIGH WATCH RECOVERY CENTER |
Employer identification number (EIN): | 060674970 |
NAIC Classification: | 624200 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
504 | 2021-10-01 | DEREK TRANZILLO | 2023-02-13 |
Measure | Date | Value |
---|---|---|
2021: MEDICAL 2021 401k membership | ||
Total participants, beginning-of-year | 2021-10-01 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 106 |
Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
Total of all active and inactive participants | 2021-10-01 | 106 |
Number of employers contributing to the scheme | 2021-10-01 | 0 |
2021: MEDICAL 2021 form 5500 responses | ||
---|---|---|
2021-10-01 | Type of plan entity | Single employer plan |
2021-10-01 | First time form 5500 has been submitted | Yes |
2021-10-01 | Plan funding arrangement – Insurance | Yes |
2021-10-01 | Plan benefit arrangement – Insurance | Yes |
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 ) | |||||||||||||||||||||||||
Policy contract number | 1103835 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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