| Plan Name | FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LIFE, ADD, STD AND LTD PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FAMILY PRACTICE ASSOCIATES OF LE |
| Employer identification number (EIN): | 611141828 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | LARELLEN JONES | 2024-07-30 | ||
| 501 | 2022-01-01 | MEAGAN R. PARKER | 2023-07-12 | ||
| 501 | 2021-01-01 | MEAGAN R. PARKER | 2022-10-10 |
| 2023: FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LIFE, ADD, STD AND LTD PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LIFE, ADD, STD AND LTD PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LIFE, ADD, STD AND LTD PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||
| Policy contract number | 766345G | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||
| Policy contract number | 766345G | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||
| Policy contract number | 766345 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||