|
HEALTH INSURANCE ASSOCIATES 401(K) PLAN
|
2020
|
364816928
|
2021-10-19
|
HEALTH INSURANCE ASSOCIATES
|
48
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3868464892
|
| Plan sponsor’s
address |
844 WILLIAMS LANE, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2021-10-19 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEALTH INSURANCE ASSOCIATES 401(K) PLAN
|
2020
|
364816928
|
2022-07-07
|
HEALTH INSURANCE ASSOCIATES
|
48
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3868464892
|
| Plan sponsor’s
address |
844 WILLIAMS LANE, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-07 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEALTH INSURANCE ASSOCIATES 401(K) PLAN
|
2020
|
364816928
|
2022-08-17
|
HEALTH INSURANCE ASSOCIATES
|
48
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3868464892
|
| Plan sponsor’s
address |
844 WILLIAMS LANE, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2022-08-17 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEALTH INSURANCE ASSOCIATES 401(K) PLAN
|
2020
|
364816928
|
2021-10-15
|
HEALTH INSURANCE ASSOCIATES
|
48
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3868464892
|
| Plan sponsor’s
address |
844 WILLIAMS LANE, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2021-10-15 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEALTH INSURANCE ASSOCIATES 401(K) PLAN
|
2019
|
364816928
|
2020-05-12
|
HEALTH INSURANCE ASSOCIATES
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3868464892
|
| Plan sponsor’s
address |
844 WILLIAMS LANE, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2020-05-12 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
