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Plan Name | PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PREMIER EYE CARE OF FLORIDA, LLC |
Employer identification number (EIN): | 650540341 |
NAIC Classification: | 524290 |
Additional information about PREMIER EYE CARE OF FLORIDA, LLC
Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
Incorporation Date: | |
Company Identification Number: | 2060990 |
More information about PREMIER EYE CARE OF FLORIDA, LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2018-08-01 | ||||
501 | 2017-08-01 | IRIS LUSHAN | |||
501 | 2016-08-01 | ALAN B AKER |
Measure | Date | Value |
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2018: PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-08-01 | 138 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 0 |
Number of retired or separated participants receiving benefits | 2018-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-08-01 | 0 |
Total of all active and inactive participants | 2018-08-01 | 0 |
2017: PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-08-01 | 133 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 142 |
Number of retired or separated participants receiving benefits | 2017-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
Total of all active and inactive participants | 2017-08-01 | 142 |
2016: PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-08-01 | 130 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 134 |
Number of retired or separated participants receiving benefits | 2016-08-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
Total of all active and inactive participants | 2016-08-01 | 136 |
2018: PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN 2018 form 5500 responses | ||
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2018-08-01 | Type of plan entity | Single employer plan |
2018-08-01 | Submission has been amended | No |
2018-08-01 | This submission is the final filing | Yes |
2018-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-08-01 | Plan is a collectively bargained plan | No |
2018-08-01 | Plan funding arrangement – Insurance | Yes |
2018-08-01 | Plan benefit arrangement – Insurance | Yes |
2017: PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN 2017 form 5500 responses | ||
2017-08-01 | Type of plan entity | Single employer plan |
2017-08-01 | Submission has been amended | No |
2017-08-01 | This submission is the final filing | No |
2017-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-08-01 | Plan is a collectively bargained plan | No |
2017-08-01 | Plan funding arrangement – Insurance | Yes |
2017-08-01 | Plan benefit arrangement – Insurance | Yes |
2016: PREMIER EYE CARE OF FLORIDA, LLC MEDICAL PLAN 2016 form 5500 responses | ||
2016-08-01 | Type of plan entity | Single employer plan |
2016-08-01 | First time form 5500 has been submitted | Yes |
2016-08-01 | Submission has been amended | No |
2016-08-01 | This submission is the final filing | No |
2016-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-08-01 | Plan is a collectively bargained plan | No |
2016-08-01 | Plan funding arrangement – Insurance | Yes |
2016-08-01 | Plan benefit arrangement – Insurance | Yes |
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | B5492 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | B5492 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | B5492 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | B5492 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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