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| Plan Name | VALLEY HEALTH PARTNERS HEALTH AND WELFARE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | VALLEY HEALTH PARTNERS |
| Employer identification number (EIN): | 844777617 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-06-01 | ALYSSA BENNETT | 2024-10-11 |
| Measure | Date | Value |
|---|---|---|
| 2023: VALLEY HEALTH PARTNERS HEALTH AND WELFARE 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-06-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-06-01 | 145 |
| Number of retired or separated participants receiving benefits | 2023-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-06-01 | 0 |
| Total of all active and inactive participants | 2023-06-01 | 145 |
| Number of employers contributing to the scheme | 2023-06-01 | 0 |
| 2023: VALLEY HEALTH PARTNERS HEALTH AND WELFARE 2023 form 5500 responses | ||
|---|---|---|
| 2023-06-01 | Type of plan entity | Single employer plan |
| 2023-06-01 | First time form 5500 has been submitted | Yes |
| 2023-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-06-01 | Plan funding arrangement – Insurance | Yes |
| 2023-06-01 | Plan benefit arrangement – Insurance | Yes |
| HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 ) | |||||||||||||||||||||||||||||
| Policy contract number | 294341 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||
| Policy contract number | 1158679 | ||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||
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