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RIVER VALLEY PRIMARY CARE SERVICES, INC. LIFE INSURANCE PLAN 401k Plan overview

Plan NameRIVER VALLEY PRIMARY CARE SERVICES, INC. LIFE INSURANCE PLAN
Plan identification number 503

RIVER VALLEY PRIMARY CARE SERVICES, INC. LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

RIVER VALLEY PRIMARY CARE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:RIVER VALLEY PRIMARY CARE SERVICES, INC.
Employer identification number (EIN):861082670
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RIVER VALLEY PRIMARY CARE SERVICES, INC. LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032020-03-01

Form 5500 Responses for RIVER VALLEY PRIMARY CARE SERVICES, INC. LIFE INSURANCE PLAN

2020: RIVER VALLEY PRIMARY CARE SERVICES, INC. LIFE INSURANCE PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01First time form 5500 has been submittedYes
2020-03-01Submission has been amendedNo
2020-03-01This submission is the final filingYes
2020-03-01This return/report is a short plan year return/report (less than 12 months)No
2020-03-01Plan is a collectively bargained planNo
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50004095
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BQ72
Policy instance 2

Potentially related plans

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