| Plan Name | ELECTRONIC TECHNOLOGY INCORPORATED HEALTH/PRESCRIPTION INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ELECTRONIC TECHNOLOGY, LLC |
| Employer identification number (EIN): | 872299303 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2022-07-01 | MICHAEL DODDS | 2023-10-24 |
| 2022: ELECTRONIC TECHNOLOGY INCORPORATED HEALTH/PRESCRIPTION INSURANCE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | First time form 5500 has been submitted | Yes |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 82053 |
| Policy instance | 1 |