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| Plan Name | REPLIMUNE HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | REPLIMUNE INC |
| Employer identification number (EIN): | 474303094 |
| NAIC Classification: | 325410 |
Additional information about REPLIMUNE INC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 5711367 |
More information about REPLIMUNE INC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-12-01 | CAMILO GARCIA | 2023-06-16 |
| Measure | Date | Value |
|---|---|---|
| 2021: REPLIMUNE HEALTH AND WELFARE PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-12-01 | 129 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 195 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
| Total of all active and inactive participants | 2021-12-01 | 196 |
| Number of employers contributing to the scheme | 2021-12-01 | 0 |
| 2021: REPLIMUNE HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | First time form 5500 has been submitted | Yes |
| 2021-12-01 | Plan funding arrangement – Insurance | Yes |
| 2021-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 ) | |||||||||||||||||||||||||||
| Policy contract number | 8069003 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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