?>
Plan Name | COMPLETE OFFICE OF WISCONSIN, INC. SHORT TERM DISABILITY PLAN |
Plan identification number | 507 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
|
Company Name: | COMPLETE OFFICE OF WISCONSIN, INC. |
Employer identification number (EIN): | 391308787 |
NAIC Classification: | 453210 |
NAIC Description: | Office Supplies and Stationery Stores |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
507 | 2022-01-01 |
Measure | Date | Value |
---|---|---|
2022: COMPLETE OFFICE OF WISCONSIN, INC. SHORT TERM DISABILITY PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 168 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 149 |
Total of all active and inactive participants | 2022-01-01 | 149 |
2022: COMPLETE OFFICE OF WISCONSIN, INC. SHORT TERM DISABILITY PLAN 2022 form 5500 responses | ||
---|---|---|
2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | First time form 5500 has been submitted | Yes |
2022-01-01 | Submission has been amended | No |
2022-01-01 | This submission is the final filing | No |
2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-01-01 | Plan is a collectively bargained plan | No |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||
Policy contract number | 00226640 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
|