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Plan Name | MAESA LLC MEDICAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | MAESA LLC |
Employer identification number (EIN): | 263986191 |
NAIC Classification: | 541990 |
NAIC Description: | All Other Professional, Scientific, and Technical Services |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
502 | 2021-12-01 | NICOLE CASAZZA | 2023-07-28 | ||
502 | 2018-12-01 | RACHANA SHAH | 2020-08-14 |
Measure | Date | Value |
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2021: MAESA LLC MEDICAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-12-01 | 323 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 0 |
Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
Total of all active and inactive participants | 2021-12-01 | 0 |
Number of employers contributing to the scheme | 2021-12-01 | 0 |
2018: MAESA LLC MEDICAL PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-12-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 77 |
Number of retired or separated participants receiving benefits | 2018-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-12-01 | 0 |
Total of all active and inactive participants | 2018-12-01 | 77 |
Number of employers contributing to the scheme | 2018-12-01 | 0 |
2021: MAESA LLC MEDICAL PLAN 2021 form 5500 responses | ||
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2021-12-01 | Type of plan entity | Single employer plan |
2021-12-01 | This submission is the final filing | Yes |
2021-12-01 | Plan funding arrangement – Insurance | Yes |
2021-12-01 | Plan benefit arrangement – Insurance | Yes |
2018: MAESA LLC MEDICAL PLAN 2018 form 5500 responses | ||
2018-12-01 | Type of plan entity | Single employer plan |
2018-12-01 | First time form 5500 has been submitted | Yes |
2018-12-01 | Plan funding arrangement – Insurance | Yes |
2018-12-01 | Plan benefit arrangement – Insurance | Yes |
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||
Policy contract number | 240659 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||
Policy contract number | ZR1052 | ||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||
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