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| Plan Name | MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY |
| Plan identification number | 512 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MAINE CENTER FOR CANCER MEDICINE & BLOOD DISORDERS, P.A. D/B/A |
| Employer identification number (EIN): | 010357684 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 512 | 2022-01-01 | TAMI HAMILTON | 2023-07-28 | ||
| 512 | 2021-01-01 | TAMI HAMILTON | 2022-08-18 | ||
| 512 | 2020-01-01 | TAMI HAMILTON | 2021-06-23 | ||
| 512 | 2019-01-01 | ||||
| 512 | 2018-01-01 | ISABELLA BOUFFARD | ISABELLA BOUFFARD | 2019-05-03 |
| Measure | Date | Value |
|---|---|---|
| 2022: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 214 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 222 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 222 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2021: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 196 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 214 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| 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 | 214 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2020: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 189 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 196 |
| 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 | 196 |
| Number of employers contributing to the scheme | 2020-01-01 | 0 |
| 2019: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 179 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 189 |
| Total of all active and inactive participants | 2019-01-01 | 189 |
| Total participants | 2019-01-01 | 189 |
| 2018: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 179 |
| Total of all active and inactive participants | 2018-01-01 | 179 |
| Total participants | 2018-01-01 | 179 |
| 2022: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA LIFE AND DISABLITY 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 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 |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 168478 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 168478 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 650550 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 650550 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 650550 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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