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| Plan Name | LIONSTONE CARE MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LIONSTONE CARE |
| Employer identification number (EIN): | 844046951 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2023-02-01 | ||||
| 501 | 2023-02-01 | EPHRAM LAHASKY | |||
| 501 | 2023-02-01 | EZZIE GOLDISH | |||
| 501 | 2022-02-01 | ||||
| 501 | 2022-02-01 | EPHRAM LAHASKY |
| 2023: LIONSTONE CARE MEDICAL PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-02-01 | Type of plan entity | Single employer plan |
| 2023-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: LIONSTONE CARE MEDICAL PLAN 2022 form 5500 responses | ||
| 2022-02-01 | Type of plan entity | Single employer plan |
| 2022-02-01 | First time form 5500 has been submitted | Yes |
| 2022-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| NATIONAL HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 82538 ) | |||||||||||||
| Policy contract number | AX1026-2023R2 | ||||||||||||
| Policy instance | 1 | ||||||||||||
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| NATIONAL HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 82538 ) | |||||||||||||
| Policy contract number | NGX1005-2022 | ||||||||||||
| Policy instance | 1 | ||||||||||||
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