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| Plan Name | PERFORM AIR INTERNATIONAL, LLC MEDICAL HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PERFORM AIR INTERNATIONAL, INC. |
| Employer identification number (EIN): | 860587499 |
| NAIC Classification: | 336410 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-04-01 | CINDY MCGOWN | 2024-10-07 | ||
| 501 | 2022-04-01 | CINDY MCGOWN | 2024-06-18 | ||
| 501 | 2021-04-01 | CINDY MCGOWN | 2024-06-25 | ||
| 501 | 2020-04-01 | CINDY MCGOWN | 2024-06-25 | ||
| 501 | 2019-04-01 | CINDY MCGOWN | 2024-06-18 |
| 2023: PERFORM AIR INTERNATIONAL, LLC MEDICAL HEALTH & WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: PERFORM AIR INTERNATIONAL, LLC MEDICAL HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
| 2022-04-01 | Type of plan entity | Single employer plan |
| 2022-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: PERFORM AIR INTERNATIONAL, LLC MEDICAL HEALTH & WELFARE PLAN 2021 form 5500 responses | ||
| 2021-04-01 | Type of plan entity | Single employer plan |
| 2021-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: PERFORM AIR INTERNATIONAL, LLC MEDICAL HEALTH & WELFARE PLAN 2020 form 5500 responses | ||
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PERFORM AIR INTERNATIONAL, LLC MEDICAL HEALTH & WELFARE PLAN 2019 form 5500 responses | ||
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | First time form 5500 has been submitted | Yes |
| 2019-04-01 | Plan funding arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 561089 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||
| Policy contract number | 632526 | ||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||
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| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||
| Policy contract number | 516205 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| BANNER HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16058 ) | |||||||||||||||||||||||
| Policy contract number | 516205BH | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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