| Plan Name | GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | AMERICA'S COMMUNITY COUNCIL |
| Employer identification number (EIN): | 382311840 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2023-03-01 | ODIE FAKHOURI | 2024-10-07 | ||
| 504 | 2022-03-01 | ODIE FAKHOURI | 2023-10-03 | ||
| 504 | 2021-03-01 | ODIE FAKHOURI | 2022-07-21 | ||
| 504 | 2020-03-01 | HAIFA FAKHOURI | 2021-07-26 | ||
| 504 | 2019-03-01 | HAIFA FAKHOURI | 2020-11-09 | ||
| 504 | 2018-03-01 | HAIFA FAKHOURI | 2020-11-09 |
| 2023: GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL 2022 form 5500 responses | ||
| 2022-03-01 | Type of plan entity | Single employer plan |
| 2022-03-01 | Plan funding arrangement – Insurance | Yes |
| 2022-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL 2021 form 5500 responses | ||
| 2021-03-01 | Type of plan entity | Single employer plan |
| 2021-03-01 | Plan funding arrangement – Insurance | Yes |
| 2021-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL 2020 form 5500 responses | ||
| 2020-03-01 | Type of plan entity | Single employer plan |
| 2020-03-01 | Plan funding arrangement – Insurance | Yes |
| 2020-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL 2019 form 5500 responses | ||
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | Plan funding arrangement – Insurance | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GROUP HEALTH PLAN OF AMERICA'S COMMUNITY COUNCIL 2018 form 5500 responses | ||
| 2018-03-01 | Type of plan entity | Single employer plan |
| 2018-03-01 | First time form 5500 has been submitted | Yes |
| 2018-03-01 | Plan funding arrangement – Insurance | Yes |
| 2018-03-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| |||||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| |||||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||||
| Policy contract number | 111721 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||