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| Plan Name | POLARIS HOME FUNDING GROUP MEDICAL PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | POLARIS HOME FUNDING CORPORATION |
| Employer identification number (EIN): | 383601693 |
| NAIC Classification: | 812990 |
| NAIC Description: | All Other Personal Services |
Additional information about POLARIS HOME FUNDING CORPORATION
| Jurisdiction of Incorporation: | Michigan Department of Licensing & Regulatory Affairs |
| Incorporation Date: | |
| Company Identification Number: | 60436V |
More information about POLARIS HOME FUNDING CORPORATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2022-01-01 | SHAUNA BURKETT | 2023-05-09 | ||
| 505 | 2021-01-01 | KENNETH KOZAK | 2023-01-27 |
| Measure | Date | Value |
|---|---|---|
| 2022: POLARIS HOME FUNDING GROUP MEDICAL PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 0 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2021: POLARIS HOME FUNDING GROUP MEDICAL PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 119 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 107 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 107 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2022: POLARIS HOME FUNDING GROUP MEDICAL PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: POLARIS HOME FUNDING GROUP MEDICAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||||||
| Policy contract number | 244797 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||||||
| Policy contract number | 244797 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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