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HISTOPATHOLOGY SERVICES ANCILLARY BENEFIT PLAN 401k Plan overview

Plan NameHISTOPATHOLOGY SERVICES ANCILLARY BENEFIT PLAN
Plan identification number 504

HISTOPATHOLOGY SERVICES ANCILLARY BENEFIT PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    HISTOPATHOLOGY SERVICES has sponsored the creation of one or more 401k plans.

    Company Name:HISTOPATHOLOGY SERVICES
    Employer identification number (EIN):264236145
    NAIC Classification:621111
    NAIC Description:Offices of Physicians (except Mental Health Specialists)

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan HISTOPATHOLOGY SERVICES ANCILLARY BENEFIT PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5042017-09-01SUSAN SHIELDS FURCHAK2019-04-05
    5042016-09-01TAMMY HUNT

    Plan Statistics for HISTOPATHOLOGY SERVICES ANCILLARY BENEFIT PLAN

    401k plan membership statisitcs for HISTOPATHOLOGY SERVICES ANCILLARY BENEFIT PLAN

    Measure Date Value
    2017
    Total participants, beginning-of-year2017-09-01118
    Total number of active participants reported on line 7a of the Form 55002017-09-010
    Number of retired or separated participants receiving benefits2017-09-013
    Number of other retired or separated participants entitled to future benefits2017-09-014
    Total of all active and inactive participants2017-09-017
    Number of employers contributing to the scheme2017-09-010
    2016
    Total participants, beginning-of-year2016-09-01140
    Total number of active participants reported on line 7a of the Form 55002016-09-01120
    Number of retired or separated participants receiving benefits2016-09-010
    Number of other retired or separated participants entitled to future benefits2016-09-010
    Total of all active and inactive participants2016-09-01120

    Form 5500 Responses

    2017
    2017-09-01Type of plan entitySingle employer plan
    2017-09-01This submission is the final filingYes
    2017-09-01Plan funding arrangement – InsuranceYes
    2017-09-01Plan benefit arrangement – InsuranceYes
    2016
    2016-09-01Type of plan entitySingle employer plan
    2016-09-01First time form 5500 has been submittedYes
    2016-09-01Submission has been amendedNo
    2016-09-01This submission is the final filingNo
    2016-09-01This return/report is a short plan year return/report (less than 12 months)No
    2016-09-01Plan is a collectively bargained planNo
    2016-09-01Plan funding arrangement – InsuranceYes
    2016-09-01Plan funding arrangement – General assets of the sponsorYes
    2016-09-01Plan benefit arrangement – InsuranceYes
    2016-09-01Plan benefit arrangement – General assets of the sponsorYes

    Insurance Providers Used on plan

    CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
    Policy contract number616724
    Policy instance 1
    Insurance contract or identification number616724
    Number of Individuals Covered94
    Insurance policy start date2017-09-01
    Insurance policy end date2018-08-31
    Total amount of commissions paid to insurance brokerUSD $6,045
    Total amount of fees paid to insurance companyUSD $3,879
    Dental Insurance Welfare BenefitYes
    Vision Insurance Welfare BenefitYes
    Welfare Benefit Premiums Paid to CarrierUSD $113,919
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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