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| Plan Name | AVELO AIRLINES INC EAP PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | AVELO AIRLINES, INC. |
| Employer identification number (EIN): | 911387913 |
| NAIC Classification: | 423800 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-06-01 | VICTORIA STENNES | 2023-11-14 | ||
| 502 | 2021-06-01 | HUNTER KEAY | 2023-01-04 |
| Measure | Date | Value |
|---|---|---|
| 2022: AVELO AIRLINES INC EAP PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-06-01 | 261 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 606 |
| Number of retired or separated participants receiving benefits | 2022-06-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 153 |
| Total of all active and inactive participants | 2022-06-01 | 761 |
| Number of employers contributing to the scheme | 2022-06-01 | 0 |
| 2021: AVELO AIRLINES INC EAP PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-06-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-06-01 | 241 |
| Number of retired or separated participants receiving benefits | 2021-06-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2021-06-01 | 13 |
| Total of all active and inactive participants | 2021-06-01 | 255 |
| Number of employers contributing to the scheme | 2021-06-01 | 0 |
| 2022: AVELO AIRLINES INC EAP PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: AVELO AIRLINES INC EAP PLAN 2021 form 5500 responses | ||
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | First time form 5500 has been submitted | Yes |
| 2021-06-01 | Plan funding arrangement – Insurance | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||
| Policy contract number | 21295 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 00 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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