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| Plan Name | NHS NORTHSTAR LIFE INSURANCE AND SHORT TERM DISABI |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NHS NORTHSTAR, INC. |
| Employer identification number (EIN): | 411942787 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: NHS NORTHSTAR LIFE INSURANCE AND SHORT TERM DISABI 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 0 |
| 2021: NHS NORTHSTAR LIFE INSURANCE AND SHORT TERM DISABI 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||
| Policy contract number | 168372 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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