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| Plan Name | HEALTH MINISTRIES CLINIC VISION PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HEALTH MINISTRIES CLINIC INC |
| Employer identification number (EIN): | 481091875 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-12-01 | MATTHEW SCHMIDT | 2024-10-02 | ||
| 504 | 2021-12-01 | MATTHEW SCHMIDT | 2024-10-02 | ||
| 504 | 2020-12-01 | MATTHEW SCHMIDT | 2024-10-02 | ||
| 504 | 2019-12-01 | MATTHEW SCHMIDT | 2024-10-02 |
| 2022: HEALTH MINISTRIES CLINIC VISION PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-12-01 | Type of plan entity | Single employer plan |
| 2022-12-01 | This submission is the final filing | Yes |
| 2022-12-01 | Plan funding arrangement – Insurance | Yes |
| 2022-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: HEALTH MINISTRIES CLINIC VISION PLAN 2021 form 5500 responses | ||
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | Plan funding arrangement – Insurance | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: HEALTH MINISTRIES CLINIC VISION PLAN 2020 form 5500 responses | ||
| 2020-12-01 | Type of plan entity | Single employer plan |
| 2020-12-01 | Plan funding arrangement – Insurance | Yes |
| 2020-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: HEALTH MINISTRIES CLINIC VISION PLAN 2019 form 5500 responses | ||
| 2019-12-01 | Type of plan entity | Single employer plan |
| 2019-12-01 | First time form 5500 has been submitted | Yes |
| 2019-12-01 | Plan funding arrangement – Insurance | Yes |
| 2019-12-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30062460 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30062460 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30062460 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30062460 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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