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| Plan Name | THOMAS-SPANN LIFE PLAN BENEFITS |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | THOMAS-SPANN CLINIC, P.A. |
| Employer identification number (EIN): | 742868847 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about THOMAS-SPANN CLINIC, P.A.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1998-02-11 |
| Company Identification Number: | 0081883603 |
| Legal Registered Office Address: |
5802 SARATOGA BLVD # 200 CORPUS CHRISTI United States of America (USA) 78414 |
More information about THOMAS-SPANN CLINIC, P.A.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2019-07-01 | KIMBERLY COOPER | 2020-10-22 | ||
| 504 | 2018-07-01 | KIMBERLY COOPER | 2019-09-23 | ||
| 504 | 2017-07-01 | KIMBERLY COOPER | 2019-04-12 |
| 2019: THOMAS-SPANN LIFE PLAN BENEFITS 2019 form 5500 responses | ||
|---|---|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | This submission is the final filing | Yes |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: THOMAS-SPANN LIFE PLAN BENEFITS 2018 form 5500 responses | ||
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: THOMAS-SPANN LIFE PLAN BENEFITS 2017 form 5500 responses | ||
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | First time form 5500 has been submitted | Yes |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0B2L3 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0B2L3 |
| Policy instance | 1 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GLUG0B2L3 |
| Policy instance | 1 |
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