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| Plan Name | PERFORMANCE OPERATING COMPANY PREMIUM ONLY PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PERFORMANCE OPERATING COMPANY LLC |
| Employer identification number (EIN): | 270760343 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2013-06-01 | ROBERT KNAPPE | ROBERT KNAPPE | 2014-08-18 | |
| 501 | 2012-06-01 | ROBERT KNAPPE | ROBERT KNAPPE | 2013-11-15 |
| Measure | Date | Value |
|---|---|---|
| 2013: PERFORMANCE OPERATING COMPANY PREMIUM ONLY PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-06-01 | 198 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 174 |
| Total of all active and inactive participants | 2013-06-01 | 174 |
| 2012: PERFORMANCE OPERATING COMPANY PREMIUM ONLY PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-06-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 198 |
| Total of all active and inactive participants | 2012-06-01 | 198 |
| 2013: PERFORMANCE OPERATING COMPANY PREMIUM ONLY PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: PERFORMANCE OPERATING COMPANY PREMIUM ONLY PLAN 2012 form 5500 responses | ||
| 2012-06-01 | Type of plan entity | Single employer plan |
| 2012-06-01 | First time form 5500 has been submitted | Yes |
| 2012-06-01 | Plan funding arrangement – Insurance | Yes |
| 2012-06-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||
| Policy contract number | 571678 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||
| Policy contract number | 571678 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||
| Policy contract number | 1018989 | ||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||
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