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| Plan Name | GOODWILL INDUSTRIES VOCATIONAL ENTERPRISES, INC. EMPLOYEE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GOODWILL INDUSTRIES VOCATIONAL ENTE RPRISES, INC |
| Employer identification number (EIN): | 410919602 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | JESSICA THAO | 2023-12-07 | ||
| 501 | 2022-01-01 | JESSICA THAO | 2023-08-25 |
| 2023: GOODWILL INDUSTRIES VOCATIONAL ENTERPRISES, INC. EMPLOYEE BENEFITS PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: GOODWILL INDUSTRIES VOCATIONAL ENTERPRISES, INC. EMPLOYEE BENEFITS 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 |
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||
| Policy contract number | 422511 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||
| Policy contract number | 818351 | ||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||
| Policy contract number | 907317 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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