Note: Health and welfare plans are numbered consecutively starting with 501. Generally, once a plan number is used for a particular plan/program, it should always be used in connection with that plan/program and should not be used for any other plan/program, even if the first plan/program to use the number is later terminated.
Please identify the start date of the 12-month record-keeping period selected for the Wrap Plan (i.e., the “Plan Year”), which may vary from the plan year/policy period/period of coverage that applies to one or more of the benefit programs included in the Wrap Plan.