| Plan Name | ETAIROS HEALTH INC WELLFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ETAIROS HEALTH, INC. |
| Employer identification number (EIN): | 822155130 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-12-01 | ||||
| 501 | 2021-12-01 | RICHARD BUTLER | |||
| 501 | 2020-12-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: ETAIROS HEALTH INC WELLFARE BENEFIT PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-12-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 147 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
| Total of all active and inactive participants | 2021-12-01 | 147 |
| 2020: ETAIROS HEALTH INC WELLFARE BENEFIT PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-12-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 155 |
| Number of retired or separated participants receiving benefits | 2020-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-12-01 | 0 |
| Total of all active and inactive participants | 2020-12-01 | 155 |
| 2021: ETAIROS HEALTH INC WELLFARE BENEFIT PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | Plan funding arrangement – Insurance | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ETAIROS HEALTH INC WELLFARE BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-12-01 | Type of plan entity | Single employer plan |
| 2020-12-01 | Plan funding arrangement – Insurance | Yes |
| 2020-12-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 923441 |
| Policy instance | 1 |
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) | |
| Policy contract number | 0108668HNO |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 0108668 |
| Policy instance | 3 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 923441 |
| Policy instance | 1 |
| AETNA HEALTH INC (National Association of Insurance Commissioners NAIC id number: 95088 ) | |
| Policy contract number | 0108668HNO |
| Policy instance | 2 |