| Plan Name | GROUP HEALTH PLAN, INC. LIFE INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GROUP HEALTH PLAN, INC. |
| Employer identification number (EIN): | 410797853 |
| NAIC Classification: | 621491 |
| NAIC Description: | HMO Medical Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2013-01-01 | CALVIN ALLEN | 2014-07-24 | CALVIN ALLEN | 2014-07-24 |
| 503 | 2012-01-01 | CALVIN ALLEN | 2013-10-07 | CALVIN ALLEN | 2013-10-07 |
| 503 | 2011-01-01 | CALVIN ALLEN | 2012-09-30 | CALVIN ALLEN | 2012-09-30 |
| 503 | 2010-01-01 | CALVIN ALLEN | 2011-07-21 | CALVIN ALLEN | 2011-07-21 |
| 503 | 2009-01-01 | CALVIN ALLEN | 2010-10-13 | CALVIN ALLEN | 2010-10-13 |
| 2013: GROUP HEALTH PLAN, INC. LIFE INSURANCE PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | This submission is the final filing | Yes |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP HEALTH PLAN, INC. LIFE INSURANCE PLAN 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: GROUP HEALTH PLAN, INC. LIFE INSURANCE PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GROUP HEALTH PLAN, INC. LIFE INSURANCE PLAN 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP HEALTH PLAN, INC. LIFE INSURANCE PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |