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| Plan Name | THE ALFRED AND ADELE DAVIS ACADEMY, INC. |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | THE ALFRED AND ADELE DAVIS ACADEMY ,INC. |
| Employer identification number (EIN): | 581970181 |
| NAIC Classification: | 611000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2020-07-01 | ||||
| 502 | 2019-07-01 | ||||
| 502 | 2019-05-01 | ||||
| 502 | 2019-05-01 | ||||
| 502 | 2018-05-01 | ||||
| 502 | 2018-05-01 | ||||
| 502 | 2017-05-01 | BONNIE VAVRA | |||
| 502 | 2016-05-01 | BONNIE VAVRA |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |
| Policy contract number | 839397 |
| Policy instance | 1 |
| HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. (National Association of Insurance Commissioners NAIC id number: 95519 ) | |
| Policy contract number | 839397 |
| Policy instance | 2 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 0918365 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 0224263 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 0224263 |
| Policy instance | 1 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 0224263 |
| Policy instance | 1 |
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