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| Plan Name | COMMUNITY HEALTH PLAN, INC. |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMMUNITY HEALTH PROGRAMS, INC. |
| Employer identification number (EIN): | 042582119 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about COMMUNITY HEALTH PROGRAMS, INC.
| Jurisdiction of Incorporation: | Michigan Department of Licensing & Regulatory Affairs |
| Incorporation Date: | |
| Company Identification Number: | 024095 |
More information about COMMUNITY HEALTH PROGRAMS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-12-01 | EVA SHERIDAN | |||
| 502 | 2022-12-01 | ||||
| 502 | 2022-12-01 | EVA SHERIDAN |
| 2022: COMMUNITY HEALTH PLAN, INC. 2022 form 5500 responses | ||
|---|---|---|
| 2022-12-01 | Type of plan entity | Single employer plan |
| 2022-12-01 | First time form 5500 has been submitted | Yes |
| 2022-12-01 | Submission has been amended | No |
| 2022-12-01 | This submission is the final filing | No |
| 2022-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-12-01 | Plan is a collectively bargained plan | No |
| 2022-12-01 | Plan funding arrangement – Insurance | Yes |
| 2022-12-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 ) | |
| Policy contract number | 117369 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00472675 |
| Policy instance | 2 |
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