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HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN 401k Plan overview

Plan NameHEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN
Plan identification number 502

HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT 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
  • Other welfare benefit cover

401k Sponsoring company profile

HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD. AKA BACHAUS, FREMONT has sponsored the creation of one or more 401k plans.

Company Name:HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD. AKA BACHAUS, FREMONT
Employer identification number (EIN):880213519
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-01-01
5022021-01-01SUSAN SCHAUB

Form 5500 Responses for HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN

2021: HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674445G
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number595909 0001
Policy instance 2
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number174620001001
Policy instance 3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10081821001
Policy instance 4
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10081831001
Policy instance 5
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10137441001
Policy instance 6
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343523
Policy instance 7
HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 )
Policy contract number60000252
Policy instance 8

Potentially related plans

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