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| Plan Name | REVOLUTIONARY CLINICS II, INC. HEALTH AND WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | REVOLUTIONARY CLINICS II, INC. |
| Employer identification number (EIN): | 263198554 |
| NAIC Classification: | 111900 |
| NAIC Description: | Other Crop Farming |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-04-01 | KAREN RINALDI | |||
| 501 | 2024-04-01 | KAREN RINALDI | |||
| 501 | 2023-04-01 | ||||
| 501 | 2023-04-01 | KAREN RINALDI | |||
| 501 | 2020-04-01 |
| Measure | Date | Value |
|---|---|---|
| 2023: REVOLUTIONARY CLINICS II, INC. HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-04-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-04-01 | 149 |
| Number of retired or separated participants receiving benefits | 2023-04-01 | 1 |
| Total of all active and inactive participants | 2023-04-01 | 150 |
| 2020: REVOLUTIONARY CLINICS II, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-04-01 | 163 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 236 |
| Total of all active and inactive participants | 2020-04-01 | 236 |
| Total participants | 2020-04-01 | 236 |
| 2023: REVOLUTIONARY CLINICS II, INC. HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | First time form 5500 has been submitted | Yes |
| 2023-04-01 | Submission has been amended | No |
| 2023-04-01 | This submission is the final filing | No |
| 2023-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-04-01 | Plan is a collectively bargained plan | No |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: REVOLUTIONARY CLINICS II, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | First time form 5500 has been submitted | Yes |
| 2020-04-01 | Submission has been amended | No |
| 2020-04-01 | This submission is the final filing | No |
| 2020-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-04-01 | Plan is a collectively bargained plan | No |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
| ALTUS DENTAL INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 52632 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 22841 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| ALTUS DENTAL INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 52632 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2284-9001 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | C75135 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | C004518955C01 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| FALLON HEALTH AND LIFE INSURANCE COMPANY - FHLAC (National Association of Insurance Commissioners NAIC id number: 66828 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | C004518955C01 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| ALTUS DENTAL INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 52632 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 2284_1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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