| Plan Name | TRIDIA HOSPICE CARE WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TRIDIA HOSPICE CARE, INC. |
| Employer identification number (EIN): | 263451047 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-01-01 | JOHN KRYSTOWSKI | |||
| 501 | 2023-01-01 | ||||
| 501 | 2023-01-01 | JOHN KRYSTOWSKI |
| 2023: TRIDIA HOSPICE CARE WELFARE BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | 0200983 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||
| Policy contract number | 246530 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||
| Policy contract number | 695971 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
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