| Plan Name | WABASH VALLEY ALLIANCE INC VOLUNTARY LIFE INSUR PL |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | VALLEY OAKS HEALTH, INC. |
| Employer identification number (EIN): | 350988724 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2012-01-01 | JAN SHAW | |||
| 505 | 2011-01-01 | JAN SHAW |
| 2012: WABASH VALLEY ALLIANCE INC VOLUNTARY LIFE INSUR PL 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: WABASH VALLEY ALLIANCE INC VOLUNTARY LIFE INSUR PL 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | First time form 5500 has been submitted | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |