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| Plan Name | HELLO HEART, INC HEALTH & WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HELLO DOCTOR INC. |
| Employer identification number (EIN): | 823489727 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2023-07-01 | VALARIE ARISMENDEZ | 2024-07-12 |
| Measure | Date | Value |
|---|---|---|
| 2023: HELLO HEART, INC HEALTH & WELFARE BENEFIT PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-07-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-07-01 | 126 |
| Number of retired or separated participants receiving benefits | 2023-07-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2023-07-01 | 8 |
| Total of all active and inactive participants | 2023-07-01 | 142 |
| Number of employers contributing to the scheme | 2023-07-01 | 0 |
| 2023: HELLO HEART, INC HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | First time form 5500 has been submitted | Yes |
| 2023-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: ) | |||||||||||||||||||||||||||||
| Policy contract number | L08298 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||
| Policy contract number | 607820 | ||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||
| Policy contract number | 00051979 | ||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||
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