HEALTH FIRST, INC. HEALTH CARE FLEXIBLE SPENDING
|
2023
|
593336894
|
2024-10-07
|
HEALTH FIRST SHARED SERVICES, INC.
|
1515
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1987-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214346022
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. DEPENDENT CARE FLEX SPENDING ACCOUNT
|
2023
|
593336894
|
2024-10-07
|
HEALTH FIRST SHARED SERVICES, INC.
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1987-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214346022
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. LIFE INSURANCE PLAN
|
2023
|
593336894
|
2024-10-07
|
HEALTH FIRST SHARED SERVICES, INC.
|
7643
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-03-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214346022
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. EMPLOYEE DENTAL PLAN
|
2023
|
593336894
|
2024-10-07
|
HEALTH FIRST SHARED SERVICES, INC.
|
6879
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
1986-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214346022
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Active participants |
6911 |
Retired or separated participants receiving
benefits |
76 |
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST HEALTH BENEFITS PLAN
|
2023
|
593336894
|
2024-10-07
|
HEALTH FIRST SHARED SERVICES, INC.
|
6945
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2004-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214346022
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Active participants |
6956 |
Retired or separated participants receiving
benefits |
58 |
Signature of
Role |
Plan administrator |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-06 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. DEPENDENT CARE FLEX SPENDING ACCOUNT
|
2022
|
593336894
|
2023-10-13
|
HEALTH FIRST SHARED SERVICES, INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1987-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214345150
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. HEALTH CARE FLEXIBLE SPENDING
|
2022
|
593336894
|
2023-10-13
|
HEALTH FIRST SHARED SERVICES, INC.
|
1698
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1987-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214345150
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. LIFE INSURANCE PLAN
|
2022
|
593336894
|
2023-10-13
|
HEALTH FIRST SHARED SERVICES, INC.
|
7157
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1985-03-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214345150
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST, INC. EMPLOYEE DENTAL PLAN
|
2022
|
593336894
|
2023-10-13
|
HEALTH FIRST SHARED SERVICES, INC.
|
6517
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
1986-02-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214345150
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Active participants |
6771 |
Retired or separated participants receiving
benefits |
108 |
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FIRST HEALTH BENEFITS PLAN
|
2022
|
593336894
|
2023-10-13
|
HEALTH FIRST SHARED SERVICES, INC.
|
6420
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2004-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
3214345150
|
Plan sponsor’s mailing address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Plan sponsor’s
address |
3300 S FISKE BLVD, BLDG B, ROCKLEDGE, FL, 329554306
|
Number of participants as of the end of the plan year
Active participants |
6858 |
Retired or separated participants receiving
benefits |
87 |
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-13 |
Name of individual signing |
PAULA JUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|