| Plan Name | SHORT TERM AND LONG TERM DISABILITY INSURANCE |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PATHOLOGY MEDICAL SERVICES, P.C. |
| Employer identification number (EIN): | 470549869 |
| NAIC Classification: | 621510 |
| NAIC Description: | Medical and Diagnostic Laboratories |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2016-01-01 | RYAN DEHAAN | RYAN DEHAAN | 2017-10-03 | |
| 503 | 2015-01-01 | RYAN DEHAAN | RYAN DEHAAN | 2016-09-06 | |
| 503 | 2014-01-01 | DEBORAH K. DAVIDSON | DEBORAH K. DAVIDSON | 2015-10-03 | |
| 503 | 2013-01-01 | DEBORAH K. DAVIDSON | DEBORAH K. DAVIDSON | 2014-10-06 | |
| 503 | 2012-01-01 | DEBORAH K. DAVIDSON | DEBORAH K. DAVIDSON | 2013-10-09 | |
| 503 | 2011-01-01 | DEBORAH K. DAVIDSON | DEBORAH K. DAVIDSON | 2012-10-11 | |
| 503 | 2009-01-01 | DEBORAH K. DAVIDSON | DEBORAH K. DAVIDSON | 2010-10-12 |
| 2016: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SHORT TERM AND LONG TERM DISABILITY INSURANCE 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 038105G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 038105G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 038105G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 038105G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 038105G |
| Policy instance | 1 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 038105G |
| Policy instance | 1 |