HEALTH FITNESS CORPORATION VISION BENEFIT PLAN
|
2022
|
411580506
|
2023-10-09
|
HEALTH FITNESS CORPORATION
|
531
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2013-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION EMPLOYEE DENTAL BENEFIT PLAN
|
2022
|
411580506
|
2023-10-09
|
HEALTH FITNESS CORPORATION
|
566
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2007-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION DISABILITY PLAN
|
2022
|
411580506
|
2023-10-09
|
HEALTH FITNESS CORPORATION
|
768
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION LIFE INSURANCE PLAN
|
2022
|
411580506
|
2023-10-09
|
HEALTH FITNESS CORPORATION
|
768
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION FLEXIBLE BENEFITS PLAN
|
2022
|
411580506
|
2023-10-09
|
HEALTH FITNESS CORPORATION
|
566
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-02-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DR., LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DR., LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEATH FITNESS EMPLOYEE MEDICAL BENEFIT PLAN
|
2022
|
411580506
|
2023-10-09
|
HEALTH FITNESS CORPORATION
|
566
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-06-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476049200
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION VISION BENEFIT PLAN
|
2021
|
411580506
|
2022-10-12
|
HEALTH FITNESS CORPORATION
|
544
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2013-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION EMPLOYEE DENTAL BENEFIT PLAN
|
2021
|
411580506
|
2022-10-12
|
HEALTH FITNESS CORPORATION
|
602
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2007-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION DISABILITY PLAN
|
2021
|
411580506
|
2022-10-12
|
HEALTH FITNESS CORPORATION
|
731
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH FITNESS CORPORATION LIFE INSURANCE PLAN
|
2021
|
411580506
|
2022-10-12
|
HEALTH FITNESS CORPORATION
|
732
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1996-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8476151500
|
Plan sponsor’s mailing address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Plan sponsor’s
address |
400 N. FIELD DRIVE, LAKE FOREST, IL, 60045
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
DANIEL MANDARINO, ADMINISTRATOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|