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| Plan Name | MALONE STAFFING GA, LLC WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MALONE STAFFING GEORGIA, LLC |
| Employer identification number (EIN): | 271384664 |
| NAIC Classification: | 561300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2014-01-01 | ||||
| 501 | 2013-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2014: MALONE STAFFING GA, LLC WELFARE BENEFIT PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 792 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 367 |
| Total of all active and inactive participants | 2014-01-01 | 367 |
| 2013: MALONE STAFFING GA, LLC WELFARE BENEFIT PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 767 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 792 |
| Total of all active and inactive participants | 2013-01-01 | 792 |
| 2014: MALONE STAFFING GA, LLC WELFARE BENEFIT PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: MALONE STAFFING GA, LLC WELFARE BENEFIT PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | First time form 5500 has been submitted | Yes |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 0754483 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 753122 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 0754483 |
| Policy instance | 2 |
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