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| Plan Name | BROADPATH LLC HEALTH & WELFARE PLANS |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BROADPATH, LLC |
| Employer identification number (EIN): | 263271894 |
| NAIC Classification: | 541600 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | PAMELA BURNS | 2024-06-03 | ||
| 501 | 2022-01-01 | JENNIFER HUMPHREYS | 2023-07-05 | ||
| 501 | 2021-01-01 | DON EDWARDS | 2022-07-05 | ||
| 501 | 2020-01-01 | PAMELA BURNS | 2021-07-29 | ||
| 501 | 2019-01-01 | PAMELA BURNS | 2020-03-09 |
| 2023: BROADPATH LLC HEALTH & WELFARE PLANS 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: BROADPATH LLC HEALTH & WELFARE PLANS 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: BROADPATH LLC HEALTH & WELFARE PLANS 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BROADPATH LLC HEALTH & WELFARE PLANS 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BROADPATH LLC HEALTH & WELFARE PLANS 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||
| Policy contract number | 370728 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5930682 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5930682 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | KM05930682 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||
| Policy contract number | 5930682 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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