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| Plan Name | CHAMPIONS ONCOLOGY DENTAL VISION |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHAMPIONS ONCOLOGY |
| Employer identification number (EIN): | 521401755 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about CHAMPIONS ONCOLOGY
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2015-12-17 |
| Company Identification Number: | 0802351729 |
| Legal Registered Office Address: |
1 UNIVERSITY PLZ STE 307 HACKENSACK United States of America (USA) 07601 |
More information about CHAMPIONS ONCOLOGY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2021-08-01 | ||||
| 503 | 2020-08-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: CHAMPIONS ONCOLOGY DENTAL VISION 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-08-01 | 190 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 230 |
| Number of retired or separated participants receiving benefits | 2021-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 0 |
| Total of all active and inactive participants | 2021-08-01 | 230 |
| 2020: CHAMPIONS ONCOLOGY DENTAL VISION 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-08-01 | 190 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 190 |
| Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
| Total of all active and inactive participants | 2020-08-01 | 190 |
| 2021: CHAMPIONS ONCOLOGY DENTAL VISION 2021 form 5500 responses | ||
|---|---|---|
| 2021-08-01 | Type of plan entity | Single employer plan |
| 2021-08-01 | Submission has been amended | No |
| 2021-08-01 | This submission is the final filing | No |
| 2021-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-08-01 | Plan is a collectively bargained plan | No |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: CHAMPIONS ONCOLOGY DENTAL VISION 2020 form 5500 responses | ||
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | First time form 5500 has been submitted | Yes |
| 2020-08-01 | Submission has been amended | No |
| 2020-08-01 | This submission is the final filing | No |
| 2020-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-08-01 | Plan is a collectively bargained plan | No |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0742883 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0742883 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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