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Plan Name | LOYAL HEALTH, INC. WELFARE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | LOYAL HEALTH, INC |
Employer identification number (EIN): | 475146583 |
NAIC Classification: | 541600 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-04-01 | CHAD MALLORY | 2023-08-07 |
Measure | Date | Value |
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2022: LOYAL HEALTH, INC. WELFARE BENEFIT PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-04-01 | 141 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-04-01 | 172 |
Number of retired or separated participants receiving benefits | 2022-04-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2022-04-01 | 45 |
Total of all active and inactive participants | 2022-04-01 | 220 |
Number of employers contributing to the scheme | 2022-04-01 | 0 |
2022: LOYAL HEALTH, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
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2022-04-01 | Type of plan entity | Single employer plan |
2022-04-01 | First time form 5500 has been submitted | Yes |
2022-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2022-04-01 | Plan funding arrangement – Insurance | Yes |
2022-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-04-01 | Plan benefit arrangement – Insurance | Yes |
2022-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | L05441 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | LOYAL | ||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||
Policy contract number | 10270317 | ||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||
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