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Plan Name | G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | G.A. CARMICHAEL FAMILY HEALTH CENTER, INC. |
Employer identification number (EIN): | 640580940 |
NAIC Classification: | 621112 |
NAIC Description: | Offices of Physicians, Mental Health Specialists |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2022-03-01 | WILLIAM EDWARDS | 2023-09-14 | JOSEPH DAVIS, JR. | 2023-09-18 |
502 | 2021-03-01 | WILLIAM EDWARDS | 2022-12-13 | JOSEPH DAVIS, JR. | 2022-12-13 |
502 | 2020-03-01 | WILLIAM EDWARDS | 2021-09-27 | JOSEPH DAVIS, JR. | 2021-09-27 |
Measure | Date | Value |
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2022: G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-03-01 | 131 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-03-01 | 100 |
Number of retired or separated participants receiving benefits | 2022-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-03-01 | 0 |
Total of all active and inactive participants | 2022-03-01 | 100 |
2021: G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-03-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-03-01 | 131 |
Number of retired or separated participants receiving benefits | 2021-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-03-01 | 0 |
Total of all active and inactive participants | 2021-03-01 | 131 |
2020: G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-03-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-03-01 | 109 |
Number of retired or separated participants receiving benefits | 2020-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-03-01 | 0 |
Total of all active and inactive participants | 2020-03-01 | 109 |
2022: G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
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2022-03-01 | Type of plan entity | Single employer plan |
2022-03-01 | Submission has been amended | No |
2022-03-01 | This submission is the final filing | No |
2022-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-03-01 | Plan is a collectively bargained plan | No |
2022-03-01 | Plan funding arrangement – Insurance | Yes |
2022-03-01 | Plan benefit arrangement – Insurance | Yes |
2021: G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN 2021 form 5500 responses | ||
2021-03-01 | Type of plan entity | Single employer plan |
2021-03-01 | Submission has been amended | No |
2021-03-01 | This submission is the final filing | No |
2021-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-03-01 | Plan is a collectively bargained plan | No |
2021-03-01 | Plan funding arrangement – Insurance | Yes |
2021-03-01 | Plan benefit arrangement – Insurance | Yes |
2020: G. A. CARMICHAEL FAMILY HEALTH CENTER WELFARE BENEFIT PLAN 2020 form 5500 responses | ||
2020-03-01 | Type of plan entity | Single employer plan |
2020-03-01 | First time form 5500 has been submitted | Yes |
2020-03-01 | Submission has been amended | No |
2020-03-01 | This submission is the final filing | No |
2020-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-03-01 | Plan is a collectively bargained plan | No |
2020-03-01 | Plan funding arrangement – Insurance | Yes |
2020-03-01 | Plan benefit arrangement – Insurance | Yes |
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 443212 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 424183 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 424182 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 424183 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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