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| Plan Name | HEART OF OHIO FAMILY HEALTH CENTERS BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HEART OF OHIO FAMILY HEALTH CENTERS |
| Employer identification number (EIN): | 383765541 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | JACLYN WOODARD | 2024-10-15 | ||
| 501 | 2022-01-01 | ANGELITA THOMAS | 2023-10-23 |
| 2023: HEART OF OHIO FAMILY HEALTH CENTERS BENEFIT PLAN 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: HEART OF OHIO FAMILY HEALTH CENTERS BENEFIT PLAN 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 |
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||
| Policy contract number | F024219 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) | |||||||||||||||||||||||
| Policy contract number | F024219 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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