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| Plan Name | UNITED BANK OF MICHIGAN MEDICAL |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | UNITED BANK OF MICHIGAN |
| Employer identification number (EIN): | 381151910 |
| NAIC Classification: | 522110 |
| NAIC Description: | Commercial Banking |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2020-08-01 | BRENDA JOHNSTON | 2021-11-18 |
| Measure | Date | Value |
|---|---|---|
| 2020: UNITED BANK OF MICHIGAN MEDICAL 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-08-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
| Total of all active and inactive participants | 2020-08-01 | 0 |
| Number of employers contributing to the scheme | 2020-08-01 | 0 |
| 2020: UNITED BANK OF MICHIGAN MEDICAL 2020 form 5500 responses | ||
|---|---|---|
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | First time form 5500 has been submitted | Yes |
| 2020-08-01 | This submission is the final filing | Yes |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 12208 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 774552 S004 | ||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||
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