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| Plan Name | COMPASS HEALTH CENTER WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMPASS HEALTH CENTER, LLC |
| Employer identification number (EIN): | 274967637 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-10-01 | DAVID SCHREIBER | 2020-03-04 | ||
| 501 | 2018-10-01 | BEN HOLDER | 2021-03-04 |
| 2018: COMPASS HEALTH CENTER WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | First time form 5500 has been submitted | Yes |
| 2018-10-01 | Submission has been amended | Yes |
| 2018-10-01 | This submission is the final filing | Yes |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |
| Policy contract number | 0MB347 |
| Policy instance | 1 |
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