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| Plan Name | CATHEDRAL HILL ASSOCIATES, INC. HEALTHCARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CATHEDRAL HILL ASSOCIATES C/O DOUBLE TREE SUITES BY HILTON |
| Employer identification number (EIN): | 911553299 |
| NAIC Classification: | 721110 |
| NAIC Description: | Hotels (except Casino Hotels) and Motels |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-06-01 | JIM DAVIS | 2024-11-05 | ||
| 501 | 2022-06-01 | JIM DAVIS | 2023-10-16 |
| Measure | Date | Value |
|---|---|---|
| 2023: CATHEDRAL HILL ASSOCIATES, INC. HEALTHCARE PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-06-01 | 95 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-06-01 | 100 |
| Number of retired or separated participants receiving benefits | 2023-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-06-01 | 0 |
| Total of all active and inactive participants | 2023-06-01 | 100 |
| Number of employers contributing to the scheme | 2023-06-01 | 0 |
| 2022: CATHEDRAL HILL ASSOCIATES, INC. HEALTHCARE PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-06-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 95 |
| Number of retired or separated participants receiving benefits | 2022-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 0 |
| Total of all active and inactive participants | 2022-06-01 | 95 |
| Number of employers contributing to the scheme | 2022-06-01 | 0 |
| 2023: CATHEDRAL HILL ASSOCIATES, INC. HEALTHCARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-06-01 | Type of plan entity | Single employer plan |
| 2023-06-01 | Plan funding arrangement – Insurance | Yes |
| 2023-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: CATHEDRAL HILL ASSOCIATES, INC. HEALTHCARE PLAN 2022 form 5500 responses | ||
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | First time form 5500 has been submitted | Yes |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 921568 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 154806 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 921568 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 154806 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
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