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Plan Name | PACIFIC CONSOLIDATED HOLDINGS 2022 WRAP PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PACIFIC CONSOLIDATED HOLDINGS |
Employer identification number (EIN): | 850824680 |
NAIC Classification: | 551112 |
NAIC Description: | Offices of Other Holding Companies |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-03-01 | SANDY TAO | 2023-12-07 |
Measure | Date | Value |
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2022: PACIFIC CONSOLIDATED HOLDINGS 2022 WRAP PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-03-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-03-01 | 59 |
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 | 59 |
Number of employers contributing to the scheme | 2022-03-01 | 0 |
2022: PACIFIC CONSOLIDATED HOLDINGS 2022 WRAP PLAN 2022 form 5500 responses | ||
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2022-03-01 | Type of plan entity | Single employer plan |
2022-03-01 | First time form 5500 has been submitted | Yes |
2022-03-01 | Plan funding arrangement – Insurance | Yes |
2022-03-01 | Plan benefit arrangement – Insurance | Yes |
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) | |||||||||||||||||||||||||||||||
Policy contract number | W8001444 | ||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||
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KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) | |||||||||||||||||||||||||||||||
Policy contract number | 235731 | ||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||
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ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||||||
Policy contract number | G43625 | ||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||
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