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| Plan Name | EMPLOYEE WELFARE BENEFIT PLAN |
| Plan identification number | 777 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | MHI SHARED SERVICES AMERICAS INC. |
| Employer identification number (EIN): | 813608934 |
| NAIC Classification: | 333610 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 777 | 2018-01-01 | LESLIE B. GUIDRY | 2019-10-15 | ||
| 777 | 2018-01-01 | LESLIE B. GUIDRY | 2020-10-29 |
| Measure | Date | Value |
|---|---|---|
| 2018: EMPLOYEE WELFARE BENEFIT PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 2,813 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 2,912 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 31 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 2,943 |
| 2018: EMPLOYEE WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Mulitple employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 3209204 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |
| Policy contract number | 1014364 |
| Policy instance | 2 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 78697 ) | |
| Policy contract number | 9910852 |
| Policy instance | 3 |