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| Plan Name | SHELTERING ARMS LIFE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | REHAB JV, LLC, DBA SHELTERING ARMS INSTITUTE |
| Employer identification number (EIN): | 814446403 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2023-01-01 | AMANDA WORLEY | 2024-06-24 |
| 2023: SHELTERING ARMS LIFE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | Yes |
| 2023-01-01 | This submission is the final filing | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||
| Policy contract number | GL158373 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) | |||||||||||||||||||||
| Policy contract number | 54989 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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