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| Plan Name | ALLIANCE HEALTHCARE SERVICES LIFE, DISABILITY, AND ACCIDENTAL DEATH WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ALLIANCE HEALTHCARE SERVICES |
| Employer identification number (EIN): | 630911518 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2018-10-01 | LAURIE POWELL | 2020-04-28 | ||
| 501 | 2017-10-01 | LAURIE POWELL | 2019-04-29 | ||
| 501 | 2016-10-01 | ||||
| 501 | 2015-10-01 |
| 2018: ALLIANCE HEALTHCARE SERVICES LIFE, DISABILITY, AND ACCIDENTAL DEATH WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ALLIANCE HEALTHCARE SERVICES LIFE, DISABILITY, AND ACCIDENTAL DEATH WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ALLIANCE HEALTHCARE SERVICES LIFE, DISABILITY, AND ACCIDENTAL DEATH WELFARE BENEFIT PLAN 2016 form 5500 responses | ||
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ALLIANCE HEALTHCARE SERVICES LIFE, DISABILITY, AND ACCIDENTAL DEATH WELFARE BENEFIT PLAN 2015 form 5500 responses | ||
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 874927G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 874927G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 874927G |
| Policy instance | 1 |
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