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| Plan Name | MEDICAL DENTAL AND VISION |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | THE AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION |
| Employer identification number (EIN): | 133271855 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about THE AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1989-12-06 |
| Company Identification Number: | 0008223507 |
| Legal Registered Office Address: |
11503 WHISPER ROCK ST SAN ANTONIO United States of America (USA) 78230 |
More information about THE AMYOTROPHIC LATERAL SCLEROSIS ASSOCIATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | STACEY WEBB | 2024-09-25 | ||
| 501 | 2022-01-01 | MONICA SANTA-CRUZ | 2023-08-29 |
| 2023: MEDICAL DENTAL AND VISION 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: MEDICAL DENTAL AND VISION 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||
| Policy contract number | 3344878 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||
| Policy contract number | 3344878 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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