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| Plan Name | HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | HEMATOLOGY ONCOLOGY ASSOCIATES, P.C. |
| Employer identification number (EIN): | 931272455 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about HEMATOLOGY ONCOLOGY ASSOCIATES, P.C.
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 1999-07-06 |
| Company Identification Number: | 69903285 |
| Legal Registered Office Address: |
2828 BARNETT RD MEDFORD United States of America (USA) 97504 |
More information about HEMATOLOGY ONCOLOGY ASSOCIATES, P.C.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-01-01 | MUJAHID A RIZVI | 2022-07-11 | ||
| 501 | 2021-01-01 | MUJAHID A. RIZVI MD | 2022-09-13 | ||
| 501 | 2020-04-01 | DEBBIE MCNAMARA | 2021-06-14 | ||
| 501 | 2019-04-01 | MARISSA M. RIVERA | 2020-10-01 | ||
| 501 | 2018-04-01 | MARISSA M. RIVERA | 2019-10-22 |
| Measure | Date | Value |
|---|---|---|
| 2021: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 114 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 114 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2020: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-04-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 114 |
| Number of retired or separated participants receiving benefits | 2020-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-04-01 | 0 |
| Total of all active and inactive participants | 2020-04-01 | 114 |
| Number of employers contributing to the scheme | 2020-04-01 | 0 |
| 2019: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-04-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 98 |
| Number of retired or separated participants receiving benefits | 2019-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-04-01 | 0 |
| Total of all active and inactive participants | 2019-04-01 | 98 |
| Number of employers contributing to the scheme | 2019-04-01 | 0 |
| 2018: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-04-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 91 |
| Number of retired or separated participants receiving benefits | 2018-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-04-01 | 0 |
| Total of all active and inactive participants | 2018-04-01 | 91 |
| Number of employers contributing to the scheme | 2018-04-01 | 0 |
| 2021: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2020 form 5500 responses | ||
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2019 form 5500 responses | ||
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | Plan funding arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: HEMATOLOGY ONCOLOGY ASSOCIATES PC GROUP MEDICAL PLAN 2018 form 5500 responses | ||
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | First time form 5500 has been submitted | Yes |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 ) | |
| Policy contract number | 10038239 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5951574 |
| Policy instance | 2 |
| REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 ) | |
| Policy contract number | 10038239 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5951574 |
| Policy instance | 2 |
| REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 ) | |
| Policy contract number | 10038239 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5951574 |
| Policy instance | 2 |
| REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 ) | |
| Policy contract number | 10038239 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5951574 |
| Policy instance | 2 |