| Plan Name | PALM BEACH COUNTY MEDICAL SOCIETY, INC EMPLOYEE ANCILLARY BENEFIT(S) PLAN |
| Plan identification number | 510 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PALM BEACH COUNTY MEDICAL SOCIETY, INC. |
| Employer identification number (EIN): | 300130804 |
| NAIC Classification: | 561110 |
| NAIC Description: | Office Administrative Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 510 | 2021-03-01 | KELLY SKIDMORE | 2022-11-29 | ||
| 510 | 2021-03-01 | KELLY SKIDMORE | 2023-07-06 | ||
| 510 | 2020-03-01 | KELLY SKIDMORE | 2021-12-03 |
| 2021: PALM BEACH COUNTY MEDICAL SOCIETY, INC EMPLOYEE ANCILLARY BENEFIT(S) PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-03-01 | Type of plan entity | Mulitple employer plan |
| 2021-03-01 | Submission has been amended | Yes |
| 2021-03-01 | This submission is the final filing | Yes |
| 2021-03-01 | Plan funding arrangement – Insurance | Yes |
| 2021-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PALM BEACH COUNTY MEDICAL SOCIETY, INC EMPLOYEE ANCILLARY BENEFIT(S) PLAN 2020 form 5500 responses | ||
| 2020-03-01 | Type of plan entity | Mulitple employer plan |
| 2020-03-01 | First time form 5500 has been submitted | Yes |
| 2020-03-01 | Plan funding arrangement – Insurance | Yes |
| 2020-03-01 | Plan benefit arrangement – Insurance | Yes |
| STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) | |
| Policy contract number | 640354 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 608121 |
| Policy instance | 2 |
| STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) | |
| Policy contract number | 640354 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |
| Policy contract number | 608121 |
| Policy instance | 2 |