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Plan Name | NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, EMPLOYEE HEALTH AND WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | NEIGHBORHOOD OUTREACH ACCESS TO HEALTH |
Employer identification number (EIN): | 273188239 |
NAIC Classification: | 621498 |
NAIC Description: | All Other Outpatient Care Centers |
Additional information about NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Jurisdiction of Incorporation: | Arizona Corporation Commission |
Incorporation Date: | |
Company Identification Number: | 16173198 |
More information about NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-01-01 | WENDY ARMENDARIZ | 2023-10-09 |
Measure | Date | Value |
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2022: NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, EMPLOYEE HEALTH AND WELFARE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 383 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 384 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 21 |
Total of all active and inactive participants | 2022-01-01 | 406 |
Number of employers contributing to the scheme | 2022-01-01 | 0 |
2022: NEIGHBORHOOD OUTREACH ACCESS TO HEALTH, EMPLOYEE HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | First time form 5500 has been submitted | Yes |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||
Policy contract number | 30107133 | ||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||
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HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||
Policy contract number | 676659 | ||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||
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UNITED BEHAVIORAL HEALTH DBA OPTUM (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||
Policy contract number | NOAH | ||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||
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METROPOLITAN GENERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 39950 ) | |||||||||||||||||||||||||||||||||
Policy contract number | 5392558 | ||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||
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