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| Plan Name | MILE SQUARE EARLY LEARNING CENTER MEDICAL BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MILE SQUARE EARLY LEARNING CENTER |
| Employer identification number (EIN): | 222221257 |
| NAIC Classification: | 624410 |
| NAIC Description: | Child Day Care Services |
Additional information about MILE SQUARE EARLY LEARNING CENTER
| Jurisdiction of Incorporation: | New Jersey Division of Revenue and Enterprise Services |
| Incorporation Date: | |
| Company Identification Number: | 0100069162 |
More information about MILE SQUARE EARLY LEARNING CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-10-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: MILE SQUARE EARLY LEARNING CENTER MEDICAL BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-10-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 105 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
| Total of all active and inactive participants | 2017-10-01 | 105 |
| 2017: MILE SQUARE EARLY LEARNING CENTER MEDICAL BENEFIT PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | First time form 5500 has been submitted | Yes |
| 2017-10-01 | Submission has been amended | No |
| 2017-10-01 | This submission is the final filing | No |
| 2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-10-01 | Plan is a collectively bargained plan | No |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 81287 |
| Policy instance | 2 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 81287 |
| Policy instance | 1 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 81287 |
| Policy instance | 3 |
| HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 ) | |
| Policy contract number | 81287 |
| Policy instance | 4 |
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