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| Plan Name | MAD RIVER VETERINARY HOSPITAL LLC EMPLOYEE GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MAD RIVER VETERINARY HOSPITAL LLC |
| Employer identification number (EIN): | 454899359 |
| NAIC Classification: | 541940 |
| NAIC Description: | Veterinary Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: MAD RIVER VETERINARY HOSPITAL LLC EMPLOYEE GROUP HEALTH PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 9 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 9 |
| 2020: MAD RIVER VETERINARY HOSPITAL LLC EMPLOYEE GROUP HEALTH PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||
| Policy contract number | |||||||||||
| Policy instance | 1 | ||||||||||
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| SOUTHERN SCRIPTS (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||
| Policy contract number | |||||||||||
| Policy instance | 3 | ||||||||||
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