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| Plan Name | MAPLE HEALTH AND REHABILITATION CENTERS, INC HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MAPLE HEALTH AND REHABILITATION CENTERS INC |
| Employer identification number (EIN): | 472207131 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-07-01 | CINDY DELMONTE | 2024-10-22 | ||
| 501 | 2022-07-01 | CINDY DELMONTE | 2024-01-09 |
| 2023: MAPLE HEALTH AND REHABILITATION CENTERS, INC HEALTH AND WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: MAPLE HEALTH AND REHABILITATION CENTERS, INC HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | First time form 5500 has been submitted | Yes |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) | |||||||||||||||||||||||||
| Policy contract number | 01-020469-00 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) | |||||||||||||||||||||||||
| Policy contract number | 01-20469-00 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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