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Plan Name | ANTHEM PEO VOLUNTARY WELFARE BENEFITS PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ANDREW LASHER, M.D. MEDICAL CORPORATION, P.C. |
Employer identification number (EIN): | 810977818 |
NAIC Classification: | 621399 |
NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2021-01-01 | SUSAN AVERY | 2022-11-16 | ||
502 | 2020-01-01 | SUSAN AVERY | 2022-11-16 |
Measure | Date | Value |
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2021: ANTHEM PEO VOLUNTARY WELFARE BENEFITS PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 372 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 565 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 565 |
2020: ANTHEM PEO VOLUNTARY WELFARE BENEFITS PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 352 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 372 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 372 |
2021: ANTHEM PEO VOLUNTARY WELFARE BENEFITS PLAN 2021 form 5500 responses | ||
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | Submission has been amended | No |
2021-01-01 | This submission is the final filing | No |
2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-01-01 | Plan is a collectively bargained plan | No |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: ANTHEM PEO VOLUNTARY WELFARE BENEFITS PLAN 2020 form 5500 responses | ||
2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Submission has been amended | No |
2020-01-01 | This submission is the final filing | No |
2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-01-01 | Plan is a collectively bargained plan | No |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 6408-35-88 | ||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | C00415 | ||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||
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FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 6408-35-88 | ||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | C00415 | ||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||
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