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Plan Name | FIRST COAST HEART & VASCULAR HEALTH & WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | FIRST COAST HEART & VASCULAR CENTER, P.A. |
Employer identification number (EIN): | 460692160 |
NAIC Classification: | 621111 |
NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about FIRST COAST HEART & VASCULAR CENTER, P.A.
Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
Incorporation Date: | 2012-07-25 |
Company Identification Number: | P12000065181 |
Legal Registered Office Address: |
3901 UNIVERSITY BLVD SOUTH JACKSONVILLE 32216 |
More information about FIRST COAST HEART & VASCULAR CENTER, P.A.
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-02-01 | THOMAS PULZONE | 2023-10-26 |
Measure | Date | Value |
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2022: FIRST COAST HEART & VASCULAR HEALTH & WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-02-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-02-01 | 110 |
Number of retired or separated participants receiving benefits | 2022-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-02-01 | 0 |
Total of all active and inactive participants | 2022-02-01 | 110 |
Number of employers contributing to the scheme | 2022-02-01 | 0 |
2022: FIRST COAST HEART & VASCULAR HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
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2022-02-01 | Type of plan entity | Single employer plan |
2022-02-01 | First time form 5500 has been submitted | Yes |
2022-02-01 | Plan funding arrangement – Insurance | Yes |
2022-02-01 | Plan benefit arrangement – Insurance | Yes |
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | 927278 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | E4755179 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | LIFE-0000062088 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||
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