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Plan Name | INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | INTEGRATED REHABILITATION GROUP, P.C. |
Employer identification number (EIN): | 911745305 |
NAIC Classification: | 621340 |
NAIC Description: | Offices of Physical, Occupational and Speech Therapists, and Audiologists |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-07-01 | ||||
501 | 2021-07-01 | ||||
501 | 2020-07-01 | M. SHANNON O'KELLEY | 2021-10-21 | ||
501 | 2019-07-01 |
Measure | Date | Value |
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2022: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-07-01 | 185 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 160 |
Number of retired or separated participants receiving benefits | 2022-07-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2022-07-01 | 0 |
Total of all active and inactive participants | 2022-07-01 | 161 |
2021: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-07-01 | 157 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 177 |
Number of retired or separated participants receiving benefits | 2021-07-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2021-07-01 | 0 |
Total of all active and inactive participants | 2021-07-01 | 178 |
2020: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-07-01 | 153 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 153 |
Number of retired or separated participants receiving benefits | 2020-07-01 | 4 |
Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
Total of all active and inactive participants | 2020-07-01 | 157 |
2019: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-07-01 | 171 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 148 |
Number of retired or separated participants receiving benefits | 2019-07-01 | 5 |
Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
Total of all active and inactive participants | 2019-07-01 | 153 |
2022: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2022 form 5500 responses | ||
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2022-07-01 | Type of plan entity | Single employer plan |
2022-07-01 | Submission has been amended | No |
2022-07-01 | This submission is the final filing | No |
2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-07-01 | Plan is a collectively bargained plan | No |
2022-07-01 | Plan funding arrangement – Insurance | Yes |
2022-07-01 | Plan benefit arrangement – Insurance | Yes |
2021: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2021 form 5500 responses | ||
2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | Submission has been amended | No |
2021-07-01 | This submission is the final filing | No |
2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-07-01 | Plan is a collectively bargained plan | No |
2021-07-01 | Plan funding arrangement – Insurance | Yes |
2021-07-01 | Plan benefit arrangement – Insurance | Yes |
2020: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2020 form 5500 responses | ||
2020-07-01 | Type of plan entity | Single employer plan |
2020-07-01 | Submission has been amended | No |
2020-07-01 | This submission is the final filing | No |
2020-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-07-01 | Plan is a collectively bargained plan | No |
2020-07-01 | Plan funding arrangement – Insurance | Yes |
2020-07-01 | Plan benefit arrangement – Insurance | Yes |
2019: INTEGRATED REHABILITATION GROUP HEALTH AND DENTAL PLAN 2019 form 5500 responses | ||
2019-07-01 | Type of plan entity | Single employer plan |
2019-07-01 | First time form 5500 has been submitted | Yes |
2019-07-01 | Submission has been amended | No |
2019-07-01 | This submission is the final filing | No |
2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-07-01 | Plan is a collectively bargained plan | No |
2019-07-01 | Plan funding arrangement – Insurance | Yes |
2019-07-01 | Plan benefit arrangement – Insurance | Yes |
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 10050643 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 10050643 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 4018347 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 4018347 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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