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| Plan Name | CALIFORNIA FAIR PLAN KAISER PERMANENTE HEALTH & WELFARE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CALIFORNIA FAIR PLAN ASSOCIATION |
| Employer identification number (EIN): | 952553538 |
| NAIC Classification: | 525100 |
| NAIC Description: | Insurance and Employee Benefit Funds |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | VICTORIA ROACH | 2024-05-15 | ||
| 502 | 2022-01-01 | MICHAEL SCHALK | 2023-05-08 | ||
| 502 | 2021-01-01 | MICHAEL SCHALK | 2022-07-24 |
| 2023: CALIFORNIA FAIR PLAN KAISER PERMANENTE HEALTH & WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: CALIFORNIA FAIR PLAN KAISER PERMANENTE HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: CALIFORNIA FAIR PLAN KAISER PERMANENTE HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 346786 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 346786 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 346786 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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