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| Plan Name | RESIDENTIAL HOME HEALTH ILLNOIS ACCIDENT PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | RESIDENTIAL HOME HEALTH ILLINOIS, LLC |
| Employer identification number (EIN): | 270179825 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2023-01-01 | JONATHAN HAUSER | 2024-07-26 | ||
| 503 | 2022-01-01 | JONATHAN HAUSER | 2023-07-18 | ||
| 503 | 2021-01-01 | JONATHAN HAUSER | 2022-08-22 |
| 2023: RESIDENTIAL HOME HEALTH ILLNOIS ACCIDENT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: RESIDENTIAL HOME HEALTH ILLNOIS ACCIDENT PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: RESIDENTIAL HOME HEALTH ILLNOIS ACCIDENT PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||
| Policy contract number | ACC-00000001507 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||
| Policy contract number | ACC-00000001507 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||
| Policy contract number | ACC-00000001507 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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