| Plan Name | TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TWIN CITIES SPINE SURGEONS LTD |
| Employer identification number (EIN): | 410990689 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-01-01 | TAMMRA SIMMONS | |||
| 501 | 2023-01-01 | ||||
| 501 | 2023-01-01 | TAMMRA SIMMONS | |||
| 501 | 2022-01-01 | ||||
| 501 | 2022-01-01 | TAMMRA SIMMONS | |||
| 501 | 2021-01-01 | ||||
| 501 | 2021-01-01 | TAMMRA SIMMONS | |||
| 501 | 2020-01-01 |
| 2023: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||
| Policy contract number | 920709 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| |||||||||||||||||||||
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||
| Policy contract number | 920709 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| |||||||||||||||||||||
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||
| Policy contract number | 920709 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||
| Policy contract number | 920709 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||