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| Plan Name | KAISER PERMANENTE HEALTH PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GUARDSMARK, LLC |
| Employer identification number (EIN): | 621043970 |
| NAIC Classification: | 561600 |
Additional information about GUARDSMARK, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2002-11-12 |
| Company Identification Number: | 0800141960 |
| Legal Registered Office Address: |
1551 N TUSTIN AVE STE 650 SANTA ANA United States of America (USA) 92705 |
More information about GUARDSMARK, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2014-06-01 | STEPHANIE B. ROBERTS | STEPHANIE B. ROBERTS | 2016-01-20 |
| Measure | Date | Value |
|---|---|---|
| 2014: KAISER PERMANENTE HEALTH PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-06-01 | 344 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 318 |
| Total of all active and inactive participants | 2014-06-01 | 318 |
| Total participants | 2014-06-01 | 318 |
| 2014: KAISER PERMANENTE HEALTH PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Submission has been amended | No |
| 2014-06-01 | This submission is the final filing | No |
| 2014-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-06-01 | Plan is a collectively bargained plan | No |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 602822 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 5868 |
| Policy instance | 1 |