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| Plan Name | PULSE CLINICAL ALLIANCE HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PULSE CLINICAL ALLIANCE, LLC |
| Employer identification number (EIN): | 814370993 |
| NAIC Classification: | 561300 |
Additional information about PULSE CLINICAL ALLIANCE, LLC
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 2016-11-02 |
| Company Identification Number: | L16000202245 |
| Legal Registered Office Address: |
6440 SOUTHPOINT PARKWAY, JACKSONVILLE 32216 |
More information about PULSE CLINICAL ALLIANCE, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-10-01 | TERRI ZEISS | 2023-06-26 | ||
| 501 | 2021-10-01 | TERRI ZEISS | 2024-02-05 |
| Measure | Date | Value |
|---|---|---|
| 2021: PULSE CLINICAL ALLIANCE HEALTH & WELFARE PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 104 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 104 |
| Number of employers contributing to the scheme | 2021-10-01 | 0 |
| 2021: PULSE CLINICAL ALLIANCE HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | First time form 5500 has been submitted | Yes |
| 2021-10-01 | Submission has been amended | Yes |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 947616 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | J8731 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 1145534 | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
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