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FAMILY CARE CENTER, PLLC HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameFAMILY CARE CENTER, PLLC HEALTH AND WELFARE BENEFITS PLAN
Plan identification number 501

FAMILY CARE CENTER, PLLC HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

FAMILY CARE CENTER, PLLC has sponsored the creation of one or more 401k plans.

Company Name:FAMILY CARE CENTER, PLLC
Employer identification number (EIN):810970561
NAIC Classification:111100
NAIC Description:Oilseed and Grain Farming

Additional information about FAMILY CARE CENTER, PLLC

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2016-01-02
Company Identification Number: 20161001771
Legal Registered Office Address: 2860 S Circle Dr Ste 109

Colorado Springs
United States of America (USA)
80906

More information about FAMILY CARE CENTER, PLLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY CARE CENTER, PLLC HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01BRANDI RIDDLE2023-12-13

Form 5500 Responses for FAMILY CARE CENTER, PLLC HEALTH AND WELFARE BENEFITS PLAN

2022: FAMILY CARE CENTER, PLLC HEALTH AND WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01First time form 5500 has been submittedYes
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1063663
Policy instance 1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-059322
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number170292
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number170292
Policy instance 4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number170292
Policy instance 5
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number170292
Policy instance 6
PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number161997
Policy instance 7

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