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Plan Name | BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | BLUESTONE PHYSICIAN SERVICES |
Employer identification number (EIN): | 204841281 |
NAIC Classification: | 621399 |
NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2019-01-01 | PATRICIA JONES | 2020-07-18 | ||
503 | 2019-01-01 | PATRICIA JONES | 2021-07-22 | ||
503 | 2018-09-01 | PATRICIA JONES | 2019-09-30 | ||
503 | 2017-09-01 | ||||
503 | 2016-09-01 | KRISTI DURAND | |||
503 | 2015-09-01 | TRACY MCGRAW |
Measure | Date | Value |
---|---|---|
2019: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-01-01 | 289 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 307 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
Total of all active and inactive participants | 2019-01-01 | 307 |
Number of employers contributing to the scheme | 2019-01-01 | 0 |
2018: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-09-01 | 267 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 289 |
Number of retired or separated participants receiving benefits | 2018-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-09-01 | 0 |
Total of all active and inactive participants | 2018-09-01 | 289 |
Number of employers contributing to the scheme | 2018-09-01 | 0 |
2017: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-09-01 | 258 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 267 |
Number of retired or separated participants receiving benefits | 2017-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 0 |
Total of all active and inactive participants | 2017-09-01 | 267 |
2016: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-09-01 | 211 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 249 |
Number of retired or separated participants receiving benefits | 2016-09-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
Total of all active and inactive participants | 2016-09-01 | 251 |
2015: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-09-01 | 174 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 224 |
Number of retired or separated participants receiving benefits | 2015-09-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
Total of all active and inactive participants | 2015-09-01 | 225 |
2019: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2019 form 5500 responses | ||
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Submission has been amended | Yes |
2019-01-01 | This submission is the final filing | Yes |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2018 form 5500 responses | ||
2018-09-01 | Type of plan entity | Single employer plan |
2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2018-09-01 | Plan funding arrangement – Insurance | Yes |
2018-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-09-01 | Plan benefit arrangement – Insurance | Yes |
2018-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2017 form 5500 responses | ||
2017-09-01 | Type of plan entity | Single employer plan |
2017-09-01 | Submission has been amended | No |
2017-09-01 | This submission is the final filing | No |
2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-09-01 | Plan is a collectively bargained plan | No |
2017-09-01 | Plan funding arrangement – Insurance | Yes |
2017-09-01 | Plan benefit arrangement – Insurance | Yes |
2016: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2016 form 5500 responses | ||
2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Submission has been amended | No |
2016-09-01 | This submission is the final filing | No |
2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-09-01 | Plan is a collectively bargained plan | No |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2015: BLUESTONE PHYSICIAN SERVICES LIFE & DISABILITY PLAN 2015 form 5500 responses | ||
2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | First time form 5500 has been submitted | Yes |
2015-09-01 | Submission has been amended | No |
2015-09-01 | This submission is the final filing | No |
2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-09-01 | Plan is a collectively bargained plan | No |
2015-09-01 | Plan funding arrangement – Insurance | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 755700 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 755700 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 755700 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 219937 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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