Plan Name | DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | DENALI MIDCO 2 LLC |
Employer identification number (EIN): | 873906696 |
NAIC Classification: | 811190 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
501 | 2022-11-01 | CHARMAINE BRINEGAR | 2024-05-09 | ||
501 | 2021-11-01 | CHARMAINE BRINEGAR | 2023-05-26 |
Measure | Date | Value |
---|---|---|
2022: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-11-01 | 147 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-11-01 | 133 |
Number of retired or separated participants receiving benefits | 2022-11-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-11-01 | 0 |
Total of all active and inactive participants | 2022-11-01 | 133 |
Number of employers contributing to the scheme | 2022-11-01 | 0 |
2021: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-11-01 | 119 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-11-01 | 114 |
Number of retired or separated participants receiving benefits | 2021-11-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-11-01 | 0 |
Total of all active and inactive participants | 2021-11-01 | 114 |
Number of employers contributing to the scheme | 2021-11-01 | 0 |
2022: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
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2022-11-01 | Type of plan entity | Single employer plan |
2022-11-01 | Plan funding arrangement – Insurance | Yes |
2022-11-01 | Plan benefit arrangement – Insurance | Yes |
2021: DENALI MIDCO 2 LLC HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
2021-11-01 | Type of plan entity | Single employer plan |
2021-11-01 | First time form 5500 has been submitted | Yes |
2021-11-01 | Plan funding arrangement – Insurance | Yes |
2021-11-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||
Policy contract number | 23961 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||
Policy contract number | 23961 | ||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||
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