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Plan Name | THE MITCHELL GOLD CO. MEDICAL PLAN |
Plan identification number | 511 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | THE MITCHELL GOLD CO. |
Employer identification number (EIN): | 561678942 |
NAIC Classification: | 337000 |
Additional information about THE MITCHELL GOLD CO.
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2013-07-29 |
Company Identification Number: | 0801823879 |
Legal Registered Office Address: |
135 ONE COMFORTABLE PL TAYLORSVILLE United States of America (USA) 28681 |
More information about THE MITCHELL GOLD CO.
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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511 | 2021-01-01 | EVELYN ROSS | 2022-07-25 |
Measure | Date | Value |
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2021: THE MITCHELL GOLD CO. MEDICAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 481 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 521 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 20 |
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 | 541 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2021: THE MITCHELL GOLD CO. MEDICAL PLAN 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 |
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |||||||||||||||||||||||||
Policy contract number | 14167695 - 1001 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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