| Plan Name | FIRST COAST HEART & VASCULAR HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| 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 |
|---|---|---|---|---|---|
| 501 | 2024-01-01 | SAMANTHA CHRISTIE SANCHEZ | |||
| 501 | 2022-02-01 | THOMAS PULZONE | 2023-10-26 |
| 2022: FIRST COAST HEART & VASCULAR HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 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 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) | |
| Policy contract number | E4755179 |
| Policy instance | 2 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | LIFE-0000062088 |
| Policy instance | 3 |