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| Plan Name | MO OPERATIONS HOLDINGS LLC |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MO OPERATIONS HOLDINGS LLC |
| Employer identification number (EIN): | 872090253 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-11-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: MO OPERATIONS HOLDINGS LLC 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-11-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-11-01 | 122 |
| Total of all active and inactive participants | 2021-11-01 | 122 |
| Total participants | 2021-11-01 | 122 |
| 2021: MO OPERATIONS HOLDINGS LLC 2021 form 5500 responses | ||
|---|---|---|
| 2021-11-01 | Type of plan entity | Single employer plan |
| 2021-11-01 | First time form 5500 has been submitted | Yes |
| 2021-11-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-11-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||
| Policy contract number | 26872 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 ) | |||||||||||||||||||||||||||||
| Policy contract number | S1092-2021 | ||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||
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