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| Plan Name | INTERCONTINENTAL CAPITAL VOLUNTARY GROUP ACCIDENT |
| Plan identification number | 507 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | INTERCONTINENTAL CAPITAL GROUP I |
| Employer identification number (EIN): | 202355296 |
| NAIC Classification: | 531190 |
| NAIC Description: | Lessors of Other Real Estate Property |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 507 | 2022-01-01 | HOWARD STEIN | 2023-08-21 | ||
| 507 | 2021-01-01 | HOWARD STEIN | 2022-09-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: INTERCONTINENTAL CAPITAL VOLUNTARY GROUP ACCIDENT 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 1,169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 11 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2021: INTERCONTINENTAL CAPITAL VOLUNTARY GROUP ACCIDENT 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1,169 |
| 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 | 1,169 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2022: INTERCONTINENTAL CAPITAL VOLUNTARY GROUP ACCIDENT 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: INTERCONTINENTAL CAPITAL VOLUNTARY GROUP ACCIDENT 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 |
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||
| Policy contract number | 27500 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) | |||||||||||||||||||||||||
| Policy contract number | 27500 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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