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| Plan Name | GOLDEN BEAR PHYSICAL THERAPY HEALTH PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GOLDEN BEAR PHYSICAL THERAPY |
| Employer identification number (EIN): | 770581305 |
| NAIC Classification: | 621340 |
| NAIC Description: | Offices of Physical, Occupational and Speech Therapists, and Audiologists |
Additional information about GOLDEN BEAR PHYSICAL THERAPY
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | 2001-09-01 |
| Company Identification Number: | C2357290 |
| Legal Registered Office Address: |
4318 Spyres Way Modeso United States of America (USA) 95356 |
More information about GOLDEN BEAR PHYSICAL THERAPY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2021-12-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: GOLDEN BEAR PHYSICAL THERAPY HEALTH PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-12-01 | 587 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
| 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 | 0 |
| 2021: GOLDEN BEAR PHYSICAL THERAPY HEALTH 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 | Submission has been amended | No |
| 2021-12-01 | This submission is the final filing | Yes |
| 2021-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-12-01 | Plan is a collectively bargained plan | No |
| 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 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 922804 | ||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||
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