| Plan Name | HEALTH AND WELFARE WRAP CARE OPTIONS MANAGEMENT PLANS DBA COMPASS, LLC AND SUPPORTIVE SERVICES LLC |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMPASS, LLC |
| Employer identification number (EIN): | 680390518 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2023-01-01 | VALERIE LEGG | 2024-06-13 |
| 2023: HEALTH AND WELFARE WRAP CARE OPTIONS MANAGEMENT PLANS DBA COMPASS, LLC AND SUPPORTIVE SERVICES LLC 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | 10429251001 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||
| Policy contract number | L06929 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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