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| Plan Name | UP TO DATE LAUNDRY, LLC MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | UP TO DATE LAUNDRY, LLC |
| Employer identification number (EIN): | 520656952 |
| NAIC Classification: | 812320 |
| NAIC Description: | Drycleaning and Laundry Services (except Coin-Operated) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-09-01 | MATTHEW MILLER | 2024-02-28 | ||
| 501 | 2021-09-01 | MARK CARTER | 2023-03-03 | ||
| 501 | 2021-09-01 | MARK CARTER | 2023-10-06 | ||
| 501 | 2021-09-01 | MATTHEW MILLER | 2024-02-28 | ||
| 501 | 2020-09-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2020-09-01 | MARK CARTER | 2023-03-03 | ||
| 501 | 2019-09-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2019-09-01 | MARK CARTER | 2023-03-03 | ||
| 501 | 2018-09-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2018-04-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2017-04-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2016-04-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2015-04-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2014-04-01 | MARK CARTER | 2022-05-02 | ||
| 501 | 2013-04-01 | MARK CARTER | 2022-05-02 |
| 2022: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2021 form 5500 responses | ||
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | Submission has been amended | Yes |
| 2021-09-01 | This submission is the final filing | Yes |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2020 form 5500 responses | ||
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Submission has been amended | Yes |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2019 form 5500 responses | ||
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Submission has been amended | Yes |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2018 form 5500 responses | ||
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2017 form 5500 responses | ||
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2016 form 5500 responses | ||
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2015 form 5500 responses | ||
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2014 form 5500 responses | ||
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: UP TO DATE LAUNDRY, LLC MEDICAL PLAN 2013 form 5500 responses | ||
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | First time form 5500 has been submitted | Yes |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 28312 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 28312 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 028312 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 28312 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| |||||||||||||||||||||
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||
| Policy contract number | 108500 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 ) | |||||||||||||||||||||
| Policy contract number | 108500 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 6068187 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 21986 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 6068187 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 21986 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 6068187 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 21986 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 21986 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 6068187 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 6068187 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 21986 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 ) | |||||||||||||||||||||
| Policy contract number | 21986 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||
| Policy contract number | 6068187 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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