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Plan Name | FORT WAYNE MEDICAL EDUCATION PROGRAM EMPLOYEE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | FORT WAYNE MEDICAL EDUCATION PROGRAM |
Employer identification number (EIN): | 356049685 |
NAIC Classification: | 621498 |
NAIC Description: | All Other Outpatient Care Centers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2019-04-01 |
Measure | Date | Value |
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2019: FORT WAYNE MEDICAL EDUCATION PROGRAM EMPLOYEE BENEFIT PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-04-01 | 101 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 110 |
Number of retired or separated participants receiving benefits | 2019-04-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-04-01 | 0 |
Total of all active and inactive participants | 2019-04-01 | 110 |
2019: FORT WAYNE MEDICAL EDUCATION PROGRAM EMPLOYEE BENEFIT PLAN 2019 form 5500 responses | ||
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2019-04-01 | Type of plan entity | Single employer plan |
2019-04-01 | First time form 5500 has been submitted | Yes |
2019-04-01 | Plan funding arrangement – Insurance | Yes |
2019-04-01 | Plan benefit arrangement – Insurance | Yes |
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||
Policy contract number | 00499155 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA (National Association of Insurance Commissioners NAIC id number: 95436 ) | |||||||||||||||||||||||||||||
Policy contract number | H_190069_L | ||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||||||||||
Policy contract number | 10166041001 | ||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||
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