0001806351-25-000003.txt : 20251007 0001806351-25-000003.hdr.sgml : 20251007 20251007144411 ACCESSION NUMBER: 0001806351-25-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20251007 DATE AS OF CHANGE: 20251007 EFFECTIVENESS DATE: 20251007 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Self Fund Health Plan, Inc. CENTRAL INDEX KEY: 0001806351 ORGANIZATION NAME: EIN: 844739592 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-560045 FILM NUMBER: 251379433 BUSINESS ADDRESS: STREET 1: PO BOX 930283 CITY: VERONA STATE: WI ZIP: 53593 BUSINESS PHONE: 513-503-9319 MAIL ADDRESS: STREET 1: PO BOX 930283 CITY: VERONA STATE: WI ZIP: 53593 FORMER COMPANY: FORMER CONFORMED NAME: Carebot Health, Inc. DATE OF NAME CHANGE: 20200311 D 1 primary_doc.xml X0708 D LIVE 0001806351 Self Fund Health Plan, Inc. 2747 Prairie Circle Verona WI WISCONSIN 53593 513-503-9319 DELAWARE Carebot Health, Inc. Corporation true Jonathan Baran 2747 Prairie Circle Verona WI WISCONSIN 53593 Executive Officer Director Brian Lindstrom 2747 Prairie Circle Verona WI WISCONSIN 53593 Director Sal Gentile 2747 Prairie Circle Verona WI WISCONSIN 53593 Director Jonathan Phillips 2747 Prairie Circle Verona WI WISCONSIN 53593 Director Other Technology Decline to Disclose 06b false 2025-09-22 false true false 0 2500000 1399998 1100002 false 3 0 0 0 false Self Fund Health Plan, Inc. /s/ Jonathan Baran Jonathan Baran Chief Executive Officer 2025-10-07