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| Plan Name | E. T. MACKENZIE OF FLORIDA HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | E. T. MACKENZIE OF FLORIDA, INC. |
| Employer identification number (EIN): | 383204096 |
| NAIC Classification: | 237990 |
| NAIC Description: | Other Heavy and Civil Engineering Construction |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-06-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: E. T. MACKENZIE OF FLORIDA HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-06-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 100 |
| Total of all active and inactive participants | 2017-06-01 | 100 |
| 2017: E. T. MACKENZIE OF FLORIDA HEALTH PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | First time form 5500 has been submitted | Yes |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | B2398 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |
| Policy contract number | B2398 |
| Policy instance | 2 |
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