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Plan Name | I2M HEALTH PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CRESTWOOOD MEMBRANES, INC T/A I2M |
Employer identification number (EIN): | 264817013 |
NAIC Classification: | 423300 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2019-08-01 | CHRISTOPHER HACKETT | 2021-01-27 |
Measure | Date | Value |
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2019: I2M HEALTH PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-08-01 | 0 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 122 |
Total of all active and inactive participants | 2019-08-01 | 122 |
2019: I2M HEALTH PLAN 2019 form 5500 responses | ||
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2019-08-01 | Type of plan entity | Single employer plan |
2019-08-01 | First time form 5500 has been submitted | Yes |
2019-08-01 | Plan funding arrangement – Insurance | Yes |
2019-08-01 | Plan benefit arrangement – Insurance | Yes |
GEISINGER QUALITY OPTIONS, INC (National Association of Insurance Commissioners NAIC id number: 95923 ) | |||||||||||||||||||||||||||||
Policy contract number | |||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||
Policy contract number | 00504546 | ||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||
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