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| Plan Name | UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES |
| Employer identification number (EIN): | 593166042 |
| NAIC Classification: | 611000 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2020-01-01 | REBECCA KANGAS | 2021-10-08 | ||
| 505 | 2020-01-01 | REBECCA KANGAS | 2022-05-17 | ||
| 505 | 2019-02-01 | REBECCA KANGAS | 2021-10-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 362 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 479 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 479 |
| Number of employers contributing to the scheme | 2020-01-01 | 0 |
| 2019: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-02-01 | 371 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-02-01 | 350 |
| Number of retired or separated participants receiving benefits | 2019-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-02-01 | 0 |
| Total of all active and inactive participants | 2019-02-01 | 350 |
| Number of employers contributing to the scheme | 2019-02-01 | 0 |
| 2020: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | Yes |
| 2020-01-01 | This submission is the final filing | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2019 form 5500 responses | ||
| 2019-02-01 | Type of plan entity | Single employer plan |
| 2019-02-01 | First time form 5500 has been submitted | Yes |
| 2019-02-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-02-01 | Plan funding arrangement – Insurance | Yes |
| 2019-02-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTHIEST YOU (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | HY7491 |
| Policy instance | 1 |
| TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | HY7491 |
| Policy instance | 1 |