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Plan Name | MEDICAL PPO |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | BIRD DOG EQUITY PARTNERS, LLC |
Employer identification number (EIN): | 271971101 |
NAIC Classification: | 721110 |
NAIC Description: | Hotels (except Casino Hotels) and Motels |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2021-01-01 | KRISTI BAUMGARTNER | 2022-04-22 |
Measure | Date | Value |
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2021: MEDICAL PPO 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 41 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 41 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2021: MEDICAL PPO 2021 form 5500 responses | ||
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2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | First time form 5500 has been submitted | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 60128 ) | |||||||||||||||||||||||
Policy contract number | B74 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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