ADVANCED REHAB MGT INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-10-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 9 |
| Number of retired or separated participants receiving benefits | 2022-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 0 |
| Total of all active and inactive participants | 2022-10-01 | 9 |
| 2021: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-10-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 9 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 9 |
| 2020: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 8 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
| Total of all active and inactive participants | 2020-10-01 | 8 |
| 2019: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 9 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
| Total of all active and inactive participants | 2019-10-01 | 9 |
| 2018: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2018-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 0 |
| Total of all active and inactive participants | 2018-10-01 | 7 |
| 2017: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 5 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
| Total of all active and inactive participants | 2017-10-01 | 5 |
| 2016: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 5 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 0 |
| Total of all active and inactive participants | 2016-10-01 | 5 |
| 2015: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 0 |
| Total of all active and inactive participants | 2015-10-01 | 7 |
| 2014: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 6 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 0 |
| Total of all active and inactive participants | 2014-10-01 | 6 |
| 2013: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 8 |
| Total of all active and inactive participants | 2013-10-01 | 8 |
| 2012: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 10 |
| Total of all active and inactive participants | 2012-10-01 | 10 |
| 2011: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 8 |
| Number of retired or separated participants receiving benefits | 2011-10-01 | 0 |
| Total of all active and inactive participants | 2011-10-01 | 8 |
| Total participants | 2011-10-01 | 8 |
| 2010: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-10-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-10-01 | 4 |
| Number of retired or separated participants receiving benefits | 2010-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-10-01 | 0 |
| Total of all active and inactive participants | 2010-10-01 | 4 |
| Total participants | 2010-10-01 | 4 |
| 2009: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 2 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 0 |
| Total of all active and inactive participants | 2009-10-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-10-01 | 0 |
| Total participants | 2009-10-01 | 2 |
| Number of participants with account balances | 2009-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-10-01 | 0 |
| Measure | Date | Value |
|---|
| 2023 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2023 401k financial data |
|---|
| Total income from all sources | 2023-09-30 | $38,075 |
| Expenses. Total of all expenses incurred | 2023-09-30 | $38,075 |
| Benefits paid (including direct rollovers) | 2023-09-30 | $38,075 |
| Total plan assets at end of year | 2023-09-30 | $0 |
| Total plan assets at beginning of year | 2023-09-30 | $0 |
| Total contributions received or receivable from participants | 2023-09-30 | $16,977 |
| Net plan assets at end of year (total assets less liabilities) | 2023-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2023-09-30 | $21,098 |
| 2022 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-09-30 | $49,818 |
| Expenses. Total of all expenses incurred | 2022-09-30 | $49,818 |
| Benefits paid (including direct rollovers) | 2022-09-30 | $49,818 |
| Total plan assets at end of year | 2022-09-30 | $0 |
| Total plan assets at beginning of year | 2022-09-30 | $0 |
| Total contributions received or receivable from participants | 2022-09-30 | $13,635 |
| Net plan assets at end of year (total assets less liabilities) | 2022-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2022-09-30 | $36,183 |
| 2021 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-09-30 | $57,633 |
| Expenses. Total of all expenses incurred | 2021-09-30 | $57,633 |
| Benefits paid (including direct rollovers) | 2021-09-30 | $57,633 |
| Total plan assets at end of year | 2021-09-30 | $0 |
| Total plan assets at beginning of year | 2021-09-30 | $0 |
| Total contributions received or receivable from participants | 2021-09-30 | $15,696 |
| Net plan assets at end of year (total assets less liabilities) | 2021-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2021-09-30 | $41,937 |
| 2020 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-09-30 | $67,318 |
| Expenses. Total of all expenses incurred | 2020-09-30 | $67,318 |
| Benefits paid (including direct rollovers) | 2020-09-30 | $67,318 |
| Total plan assets at end of year | 2020-09-30 | $0 |
| Total plan assets at beginning of year | 2020-09-30 | $0 |
| Total contributions received or receivable from participants | 2020-09-30 | $26,863 |
| Net plan assets at end of year (total assets less liabilities) | 2020-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2020-09-30 | $40,455 |
| 2019 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-09-30 | $47,404 |
| Expenses. Total of all expenses incurred | 2019-09-30 | $47,404 |
| Benefits paid (including direct rollovers) | 2019-09-30 | $47,404 |
| Total plan assets at end of year | 2019-09-30 | $0 |
| Total plan assets at beginning of year | 2019-09-30 | $0 |
| Total contributions received or receivable from participants | 2019-09-30 | $17,499 |
| Net plan assets at end of year (total assets less liabilities) | 2019-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2019-09-30 | $29,905 |
| 2017 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-09-30 | $53,680 |
| Expenses. Total of all expenses incurred | 2017-09-30 | $53,680 |
| Benefits paid (including direct rollovers) | 2017-09-30 | $53,680 |
| Total plan assets at end of year | 2017-09-30 | $0 |
| Total plan assets at beginning of year | 2017-09-30 | $0 |
| Total contributions received or receivable from participants | 2017-09-30 | $20,068 |
| Net plan assets at end of year (total assets less liabilities) | 2017-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2017-09-30 | $33,612 |
| 2016 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-09-30 | $50,730 |
| Expenses. Total of all expenses incurred | 2016-09-30 | $50,730 |
| Benefits paid (including direct rollovers) | 2016-09-30 | $50,730 |
| Total plan assets at end of year | 2016-09-30 | $0 |
| Total plan assets at beginning of year | 2016-09-30 | $0 |
| Total contributions received or receivable from participants | 2016-09-30 | $21,135 |
| Net plan assets at end of year (total assets less liabilities) | 2016-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2016-09-30 | $29,595 |
| 2015 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-09-30 | $56,827 |
| Expenses. Total of all expenses incurred | 2015-09-30 | $56,827 |
| Benefits paid (including direct rollovers) | 2015-09-30 | $56,827 |
| Total plan assets at end of year | 2015-09-30 | $0 |
| Total plan assets at beginning of year | 2015-09-30 | $0 |
| Total contributions received or receivable from participants | 2015-09-30 | $19,643 |
| Net plan assets at end of year (total assets less liabilities) | 2015-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2015-09-30 | $37,184 |
| 2014 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-09-30 | $57,140 |
| Expenses. Total of all expenses incurred | 2014-09-30 | $57,140 |
| Benefits paid (including direct rollovers) | 2014-09-30 | $57,140 |
| Total plan assets at end of year | 2014-09-30 | $0 |
| Total plan assets at beginning of year | 2014-09-30 | $0 |
| Total contributions received or receivable from participants | 2014-09-30 | $21,645 |
| Net plan assets at end of year (total assets less liabilities) | 2014-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2014-09-30 | $35,495 |
| 2013 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-09-30 | $63,215 |
| Expenses. Total of all expenses incurred | 2013-09-30 | $63,215 |
| Benefits paid (including direct rollovers) | 2013-09-30 | $63,215 |
| Total plan assets at end of year | 2013-09-30 | $0 |
| Total plan assets at beginning of year | 2013-09-30 | $0 |
| Total contributions received or receivable from participants | 2013-09-30 | $22,278 |
| Net plan assets at end of year (total assets less liabilities) | 2013-09-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2013-09-30 | $40,937 |
| 2012 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-09-30 | $62,388 |
| Expenses. Total of all expenses incurred | 2012-09-30 | $0 |
| Benefits paid (including direct rollovers) | 2012-09-30 | $0 |
| Total contributions received or receivable from participants | 2012-09-30 | $15,789 |
| Expenses. Other expenses not covered elsewhere | 2012-09-30 | $0 |
| Other income received | 2012-09-30 | $0 |
| Net income (gross income less expenses) | 2012-09-30 | $62,388 |
| Total contributions received or receivable from employer(s) | 2012-09-30 | $46,599 |
| 2011 : ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-09-30 | $44,913 |
| Expenses. Total of all expenses incurred | 2011-09-30 | $0 |
| Total contributions received or receivable from participants | 2011-09-30 | $8,879 |
| Other income received | 2011-09-30 | $0 |
| Net income (gross income less expenses) | 2011-09-30 | $44,913 |
| Total contributions received or receivable from employer(s) | 2011-09-30 | $36,034 |
| 2022: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Plan funding arrangement – Trust | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Trust | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Trust | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Trust | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Trust | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Trust | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Trust | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Trust | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – Trust | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Plan funding arrangement – Trust | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Plan funding arrangement – Trust | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Plan funding arrangement – Trust | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2010 form 5500 responses |
|---|
| 2010-10-01 | Type of plan entity | Single employer plan |
| 2010-10-01 | Plan funding arrangement – Trust | Yes |
| 2010-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | Plan funding arrangement – Trust | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: ADVANCED REHAB MGT FLEXIBLE BENEFIT PLAN 2008 form 5500 responses |
|---|
| 2008-10-01 | Type of plan entity | Single employer plan |
| 2008-10-01 | Submission has been amended | No |
| 2008-10-01 | This submission is the final filing | No |
| 2008-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-10-01 | Plan is a collectively bargained plan | No |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 4 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Dental Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 3 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 7 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 7 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 4 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
