Plan Name | LIFESTREAM BEHAVIORAL CENTER MEDICAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | LIFESTREAM BEHAVIORAL CENTER, INC. |
Employer identification number (EIN): | 591561501 |
NAIC Classification: | 624100 |
NAIC Description: | Individual and Family Services |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2020-10-01 | CAROL E. DOZIER | 2022-06-02 |
Measure | Date | Value |
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2020: LIFESTREAM BEHAVIORAL CENTER MEDICAL PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-10-01 | 435 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 0 |
Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
Total of all active and inactive participants | 2020-10-01 | 0 |
Number of employers contributing to the scheme | 2020-10-01 | 0 |
2020: LIFESTREAM BEHAVIORAL CENTER MEDICAL PLAN 2020 form 5500 responses | ||
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2020-10-01 | Type of plan entity | Single employer plan |
2020-10-01 | This submission is the final filing | Yes |
2020-10-01 | Plan funding arrangement – Insurance | Yes |
2020-10-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||
Policy contract number | 34075 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |||||||||||||||||||||||
Policy contract number | 34075 | ||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||
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