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| Plan Name | HOLLIS SEUNARINE, MDPA, LLC |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HOLLIS SEUNARINE, MDPA, LLC |
| Employer identification number (EIN): | 521005414 |
| 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 |
|---|---|---|---|---|---|
| 502 | 2020-02-01 | JAI SEUNARINE | 2021-09-27 |
| 2020: HOLLIS SEUNARINE, MDPA, LLC 2020 form 5500 responses | ||
|---|---|---|
| 2020-02-01 | Type of plan entity | Multi-employer plan |
| 2020-02-01 | First time form 5500 has been submitted | Yes |
| 2020-02-01 | Plan is a collectively bargained plan | Yes |
| 2020-02-01 | Plan funding arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 629023 |
| Policy instance | 1 |
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