401k Plan data: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN plan

FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	FAMILY FIRST HEALTH WELFARE BENEFIT PLAN
Plan identification number	503

FAMILY FIRST HEALTH WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

FAMILY FIRST HEALTH has sponsored the creation of one or more 401k plans.

Company Name: FAMILY FIRST HEALTH

Employer identification number (EIN): 237118262

NAIC Classification: 621498
NAIC Description: All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY FIRST HEALTH WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2023-10-01 BRENT DOORES
503 2022-10-01
503 2022-10-01 BRENT DOORES
503 2021-10-01
503 2021-10-01 BRENT DOORES
503 2020-10-01
503 2019-10-01
503 2017-10-01 JENNIFER ENGLERTH
503 2016-10-01 JENNIFER ENGLERTH
503 2015-10-01 JENNIFER ENGLERTH
503 2014-10-01 JENNIFER ENGLERTH
503 2013-10-01 JENNIFER ENGLERTH
503 2012-10-01 JENNIFER ENGLERTH
503 2011-10-01 JENNIFER ENGLERTH
503 2010-10-01 JENNIFER ENGLERTH
503 2009-10-01 JENNIFER ENGLERTH

Plan Statistics for FAMILY FIRST HEALTH WELFARE BENEFIT PLAN

401k plan membership statisitcs for FAMILY FIRST HEALTH WELFARE BENEFIT PLAN

Measure Date Value
2022: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 218
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 217
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 217
2021: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 226
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 218
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 218
2020: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 170
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 226
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 226
2019: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 200
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 169
Number of retired or separated participants receiving benefits 2019-10-01 1
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 170
2017: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-10-01 183
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 208
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 208
2016: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 161
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 182
Number of retired or separated participants receiving benefits 2016-10-01 1
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 183
2015: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 151
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 161
Number of retired or separated participants receiving benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-10-01 0
2014: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 153
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 151
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 151
2013: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 138
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 153
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-10-01 0
2012: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 137
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 138
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-10-01 0
2011: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 126
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 137
Number of retired or separated participants receiving benefits 2011-10-01 0
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-10-01 0
Total participants 2011-10-01 137
2010: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-10-01 121
Total number of active participants reported on line 7a of the Form 5500 2010-10-01 126
Number of retired or separated participants receiving benefits 2010-10-01 0
Number of other retired or separated participants entitled to future benefits 2010-10-01 0
Total of all active and inactive participants 2010-10-01 126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-10-01 0
2009: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 120
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 121
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 121
Total participants 2009-10-01 121

Measure	Date	Value
2022: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	218
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	217
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	217
2021: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	226
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	218
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	218
2020: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	170
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	226
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	226
2019: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	200
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	169
Number of retired or separated participants receiving benefits	2019-10-01	1
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	170
2017: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-10-01	183
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	208
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	208
2016: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	161
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	182
Number of retired or separated participants receiving benefits	2016-10-01	1
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	183
2015: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	151
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	161
Number of retired or separated participants receiving benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-10-01	0
2014: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	153
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	151
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	151
2013: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	138
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	153
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-10-01	0
2012: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	137
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	138
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-10-01	0
2011: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	126
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	137
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	137
2010: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-10-01	121
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	126
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	0
Total of all active and inactive participants	2010-10-01	126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
2009: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	120
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	121
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	121
Total participants	2009-10-01	121

Form 5500 Responses for FAMILY FIRST HEALTH WELFARE BENEFIT PLAN

2022: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2015: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2010: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-10-01	Type of plan entity	Single employer plan
2010-10-01	Submission has been amended	No
2010-10-01	This submission is the final filing	No
2010-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-10-01	Plan is a collectively bargained plan	No
2010-10-01	Plan funding arrangement – Insurance	Yes
2010-10-01	Plan benefit arrangement – Insurance	Yes
2009: FAMILY FIRST HEALTH WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	First time form 5500 has been submitted	Yes
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000400001000255
Policy instance	5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010256199
Policy instance	4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010256200
Policy instance	3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10256198
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10256198
Policy instance	1
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010256200
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010256199
Policy instance	4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000400001000255
Policy instance	5
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number	00525927
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10256198
Policy instance	2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010256200
Policy instance	4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010256199
Policy instance	5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000400001000255
Policy instance	6
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	10256198
Policy instance	2
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number	00525927
Policy instance	1
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5261165
Policy instance	2
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number	00525927
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5261165
Policy instance	3
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	4
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number	02545994
Policy instance	1
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number	06153
Policy instance	2
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number	06153
Policy instance	1
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	3
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number	02545994
Policy instance	4
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5261165
Policy instance	2
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number	00518414
Policy instance	4
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5261165
Policy instance	2
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number	6153
Policy instance	1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5261165
Policy instance	3
HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract number	1806070000
Policy instance	2
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number	6153
Policy instance	1
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	4
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number	5261165
Policy instance	4
HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	1806070000
Policy instance	3
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number	1806070000
Policy instance	2
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number	6153
Policy instance	1
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number	2757
Policy instance	5

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Company Name:	FAMILY FIRST HEALTH
Employer identification number (EIN):	237118262
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Plan id#	Filing Submission Date	Name of Administrator
503	2023-10-01	BRENT DOORES
503	2022-10-01
503	2022-10-01	BRENT DOORES
503	2021-10-01
503	2021-10-01	BRENT DOORES
503	2020-10-01
503	2019-10-01
503	2017-10-01	JENNIFER ENGLERTH
503	2016-10-01	JENNIFER ENGLERTH
503	2015-10-01	JENNIFER ENGLERTH
503	2014-10-01	JENNIFER ENGLERTH
503	2013-10-01	JENNIFER ENGLERTH
503	2012-10-01	JENNIFER ENGLERTH
503	2011-10-01	JENNIFER ENGLERTH
503	2010-10-01	JENNIFER ENGLERTH
503	2009-10-01	JENNIFER ENGLERTH