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Plan Name | WELFARE BENEFIT PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | DYNAMIC PAIN & WELLNESS PLLC |
Employer identification number (EIN): | 475138029 |
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 |
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502 | 2022-02-01 | STEPHANIE SWINT | 2023-09-13 | ||
502 | 2021-02-01 | STEPHANIE SWINT | 2022-11-02 |
Measure | Date | Value |
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2022: WELFARE BENEFIT PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-02-01 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-02-01 | 158 |
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 | 158 |
Number of employers contributing to the scheme | 2022-02-01 | 0 |
2021: WELFARE BENEFIT PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-02-01 | 139 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-02-01 | 129 |
Number of retired or separated participants receiving benefits | 2021-02-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-02-01 | 0 |
Total of all active and inactive participants | 2021-02-01 | 129 |
Number of employers contributing to the scheme | 2021-02-01 | 0 |
2022: WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
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2022-02-01 | Type of plan entity | Single employer plan |
2022-02-01 | Plan funding arrangement – Insurance | Yes |
2022-02-01 | Plan benefit arrangement – Insurance | Yes |
2021: WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
2021-02-01 | Type of plan entity | Single employer plan |
2021-02-01 | First time form 5500 has been submitted | Yes |
2021-02-01 | Plan funding arrangement – Insurance | Yes |
2021-02-01 | Plan benefit arrangement – Insurance | Yes |
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | 1224048 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | B9576 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | 954491 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||
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PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | 1224048 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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