COLORADO HEALTH BENEFIT EXCHANGE EMPLOYEE BENEFITS PLAN
|
2022
|
453733823
|
2023-07-10
|
COLORADO HEALTH BENEFIT EXCHANGE
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3034962530
|
Plan sponsor’s mailing address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Plan sponsor’s
address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
51 |
Signature of
Role |
Plan administrator |
Date |
2023-07-10 |
Name of individual signing |
BRIAN BRAUN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO HEALTH BENEFIT EXCHANGE EMPLOYER PAID LIFE AND AD&D
|
2021
|
453733823
|
2022-10-05
|
COLORADO HEALTH BENEFIT EXCHANGE
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3034962530
|
Plan sponsor’s mailing address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Plan sponsor’s
address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-10-05 |
Name of individual signing |
BRIAN BRAUN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO HEALTH BENEFIT EXCHANGE EMPLOYER LTD
|
2020
|
453733823
|
2021-07-31
|
COLORADO HEALTH BENEFIT EXCHANGE
|
115
|
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
7204962530
|
Plan sponsor’s mailing address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Plan sponsor’s
address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-31 |
Name of individual signing |
NYLE BOYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-31 |
Name of individual signing |
NYLE BOYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO HEALTH BENEFIT EXCHANGE EMPLOYER PAID LIFE AND AD&D
|
2020
|
453733823
|
2021-07-31
|
COLORADO HEALTH BENEFIT EXCHANGE
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3034962530
|
Plan sponsor’s mailing address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Plan sponsor’s
address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-31 |
Name of individual signing |
NYLE BOYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-31 |
Name of individual signing |
NYLE BOYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO HEALTH BENEFIT EXCHANGE EMPLOYER STD
|
2020
|
453733823
|
2021-07-31
|
COLORADO HEALTH BENEFIT EXCHANGE
|
115
|
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
7204962530
|
Plan sponsor’s mailing address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Plan sponsor’s
address |
4600 S ULSTER ST STE 300, DENVER, CO, 802373333
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-31 |
Name of individual signing |
NYLE BOYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-31 |
Name of individual signing |
NYLE BOYD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLORADO HEALTH BENEFIT EXCHANGE 403(B) PLAN
|
2020
|
453733823
|
2021-04-05
|
COLORADO HEALTH BENEFIT EXCHANGE
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-08-01
|
Business code |
454110
|
Sponsor’s telephone number |
7204962554
|
Plan sponsor’s
address |
4600 S. ULSTER ST., STE 300, DENVER, CO, 80237
|
|
COLORADO HEALTH BENEFIT EXCHANGE 403(B) PLAN
|
2018
|
453733823
|
2019-10-03
|
COLORADO HEALTH BENEFIT EXCHANGE
|
108
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-08-01
|
Business code |
454110
|
Sponsor’s telephone number |
7204962554
|
Plan sponsor’s
address |
3773 CHERRY CREEK N. DR., STE 1025, DENVER, CO, 80209
|
|
COLORADO HEALTH BENEFIT EXCHANGE 403(B) PLAN
|
2017
|
453733823
|
2018-09-28
|
COLORADO HEALTH BENEFIT EXCHANGE
|
104
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-08-01
|
Business code |
454110
|
Sponsor’s telephone number |
7204962554
|
Plan sponsor’s
address |
4600 S. ULSTER ST., STE 300, DENVER, CO, 80237
|
|
COLORADO HEALTH BENEFIT EXCHANGE 403(B) PLAN
|
2016
|
453733823
|
2017-10-16
|
COLORADO HEALTH BENEFIT EXCHANGE
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-08-01
|
Business code |
454110
|
Sponsor’s telephone number |
7204962555
|
Plan sponsor’s
address |
3773 CHERRY CREEK N. DR., STE 1025, DENVER, CO, 80209
|
|
COLORADO HEALTH BENEFIT EXCHANGE
|
2015
|
453733823
|
2016-07-14
|
COLORADO HEALTH BENEFIT EXCHANGE
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-08-01
|
Business code |
454110
|
Sponsor’s telephone number |
7204962554
|
Plan sponsor’s
address |
3773 CHERRY CREEK N. DR. STE 1025, DENVER, CO, 80209
|
|