| Plan Name | ELITE PHYSICAL THERAPY LIFE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ELITE PHYSICAL THERAPY, INC. |
| Employer identification number (EIN): | 010686228 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2019-08-01 | PATRICIA MELKOUN | 2021-02-17 | ||
| 501 | 2018-08-01 | STEPHANIE SENERCHIA | 2019-12-04 |
| 2019: ELITE PHYSICAL THERAPY LIFE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: ELITE PHYSICAL THERAPY LIFE PLAN 2018 form 5500 responses | ||
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | First time form 5500 has been submitted | Yes |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 223752 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | LIF94049 |
| Policy instance | 1 |