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Plan Name | BOCCHI LABORATORIES MEDICAL PLAN |
Plan identification number | 506 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | SHADOW HOLDINGS, LLC DBA BRIGHT INNOVATION LABS |
Employer identification number (EIN): | 261455829 |
NAIC Classification: | 424210 |
NAIC Description: | Drugs and Druggists' Sundries Merchant Wholesalers |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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506 | 2022-06-01 | KYLE CLINE | 2023-10-12 | ||
506 | 2020-06-01 | CHRISTINE BECKER | 2022-01-13 | ||
506 | 2019-06-01 | MICHAEL HUGHES | 2021-02-16 | ||
506 | 2018-06-01 | MICHAEL HUGHES | 2020-03-10 |
Measure | Date | Value |
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2022: BOCCHI LABORATORIES MEDICAL PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-06-01 | 139 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-06-01 | 149 |
Number of retired or separated participants receiving benefits | 2022-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-06-01 | 0 |
Total of all active and inactive participants | 2022-06-01 | 149 |
Number of employers contributing to the scheme | 2022-06-01 | 0 |
2020: BOCCHI LABORATORIES MEDICAL PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-06-01 | 116 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-06-01 | 118 |
Number of retired or separated participants receiving benefits | 2020-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-06-01 | 0 |
Total of all active and inactive participants | 2020-06-01 | 118 |
Number of employers contributing to the scheme | 2020-06-01 | 0 |
2019: BOCCHI LABORATORIES MEDICAL PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-06-01 | 170 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-06-01 | 116 |
Number of retired or separated participants receiving benefits | 2019-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-06-01 | 0 |
Total of all active and inactive participants | 2019-06-01 | 116 |
Number of employers contributing to the scheme | 2019-06-01 | 0 |
2018: BOCCHI LABORATORIES MEDICAL PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-06-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-06-01 | 49 |
Number of retired or separated participants receiving benefits | 2018-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-06-01 | 0 |
Total of all active and inactive participants | 2018-06-01 | 49 |
Number of employers contributing to the scheme | 2018-06-01 | 0 |
2022: BOCCHI LABORATORIES MEDICAL PLAN 2022 form 5500 responses | ||
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2022-06-01 | Type of plan entity | Single employer plan |
2022-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2022-06-01 | Plan funding arrangement – Insurance | Yes |
2022-06-01 | Plan benefit arrangement – Insurance | Yes |
2020: BOCCHI LABORATORIES MEDICAL PLAN 2020 form 5500 responses | ||
2020-06-01 | Type of plan entity | Single employer plan |
2020-06-01 | Plan funding arrangement – Insurance | Yes |
2020-06-01 | Plan benefit arrangement – Insurance | Yes |
2019: BOCCHI LABORATORIES MEDICAL PLAN 2019 form 5500 responses | ||
2019-06-01 | Type of plan entity | Single employer plan |
2019-06-01 | Plan funding arrangement – Insurance | Yes |
2019-06-01 | Plan benefit arrangement – Insurance | Yes |
2018: BOCCHI LABORATORIES MEDICAL PLAN 2018 form 5500 responses | ||
2018-06-01 | Type of plan entity | Single employer plan |
2018-06-01 | First time form 5500 has been submitted | Yes |
2018-06-01 | Plan funding arrangement – Insurance | Yes |
2018-06-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | L00412 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | L00412 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 914684 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 914684 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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