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| Plan Name | CALVERT HOME HEALTH CARE, LTD. HEALTH & WELFARE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CALVERT HOME HEALTH CARE, LTD. |
| Employer identification number (EIN): | 201798585 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
Additional information about CALVERT HOME HEALTH CARE, LTD.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2004-10-26 |
| Company Identification Number: | 0800405635 |
More information about CALVERT HOME HEALTH CARE, LTD.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-04-01 | ||||
| 501 | 2017-04-01 | RONALD MADISON |
| 2018: CALVERT HOME HEALTH CARE, LTD. HEALTH & WELFARE BENEFITS PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Submission has been amended | No |
| 2018-04-01 | This submission is the final filing | Yes |
| 2018-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-04-01 | Plan is a collectively bargained plan | No |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: CALVERT HOME HEALTH CARE, LTD. HEALTH & WELFARE BENEFITS PLAN 2017 form 5500 responses | ||
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | First time form 5500 has been submitted | Yes |
| 2017-04-01 | Submission has been amended | No |
| 2017-04-01 | This submission is the final filing | No |
| 2017-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-04-01 | Plan is a collectively bargained plan | No |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 4265530001 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5943780 |
| Policy instance | 2 |
| SHA, L.L.C. (National Association of Insurance Commissioners NAIC id number: 95138 ) | |
| Policy contract number | 62L111 |
| Policy instance | 3 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | R0371658 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | KM05943780 |
| Policy instance | 2 |
| SHA, L.L.C. (National Association of Insurance Commissioners NAIC id number: 95138 ) | |
| Policy contract number | 62L111 |
| Policy instance | 3 |
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