COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2022
|
2022
|
050312278
|
2023-05-05
|
COMMUNITY CARE ALLIANCE
|
236
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-05-05 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-05 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2021
|
2021
|
050312278
|
2022-03-28
|
COMMUNITY CARE ALLIANCE
|
272
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-03-28 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-28 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2021
|
2021
|
050312278
|
2022-03-17
|
COMMUNITY CARE ALLIANCE
|
272
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-03-17 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-17 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2020
|
2020
|
050312278
|
2021-07-19
|
COMMUNITY CARE ALLIANCE
|
290
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN
|
2019
|
050312278
|
2020-07-27
|
COMMUNITY CARE ALLIANCE
|
299
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2019-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Plan administrator’s name and address
Administrator’s EIN |
050312278 |
Plan administrator’s name |
COMMUNITY CARE ALLIANCE |
Plan administrator’s
address |
PO BOX 1700, WOONSOCKET, RI, 028950856 |
Administrator’s telephone number |
4012357000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN
|
2018
|
050312278
|
2019-07-31
|
COMMUNITY CARE ALLIANCE
|
278
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2018-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Plan administrator’s name and address
Administrator’s EIN |
050312278 |
Plan administrator’s name |
COMMUNITY CARE ALLIANCE |
Plan administrator’s
address |
PO BOX 1700, WOONSOCKET, RI, 028950856 |
Administrator’s telephone number |
4012357000 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN
|
2017
|
050312278
|
2018-07-05
|
COMMUNITY CARE ALLIANCE
|
222
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN
|
2016
|
050312278
|
2017-06-27
|
COMMUNITY CARE ALLIANCE
|
299
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-27 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN
|
2015
|
050312278
|
2016-07-19
|
COMMUNITY CARE ALLIANCE
|
316
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
PO BOX 1700, WOONSOCKET, RI, 028950856
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN
|
2014
|
050312278
|
2015-07-31
|
COMMUNITY CARE ALLIANCE
|
301
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
4012357000
|
Plan sponsor’s mailing address |
P.O. BOX 1700, WOONSOCKET, RI, 02895
|
Plan sponsor’s
address |
800 CLINTON STREET, WOONSOCKET, RI, 02895
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
RITA GANDHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|