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Plan Name | TRICOR INSURANCE HEALTH PLAN |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | TRICOR LLC |
Employer identification number (EIN): | 391722612 |
NAIC Classification: | 524210 |
NAIC Description: | Insurance Agencies and Brokerages |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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504 | 2016-01-01 | JESSICA ZYCH | 2021-12-16 | ||
504 | 2015-01-01 | JESSICA ZYCH | 2021-12-16 |
Measure | Date | Value |
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2016: TRICOR INSURANCE HEALTH PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-01-01 | 137 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
Total of all active and inactive participants | 2016-01-01 | 0 |
2015: TRICOR INSURANCE HEALTH PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-01-01 | 143 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 144 |
Total of all active and inactive participants | 2015-01-01 | 144 |
2016: TRICOR INSURANCE HEALTH PLAN 2016 form 5500 responses | ||
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | This submission is the final filing | Yes |
2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: TRICOR INSURANCE HEALTH PLAN 2015 form 5500 responses | ||
2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | First time form 5500 has been submitted | Yes |
2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 53139 ) | |||||||||||||||||||||||
Policy contract number | 10010455 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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DEAN HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 96156 ) | |||||||||||||||||||||||
Policy contract number | 1204 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 95342 ) | |||||||||||||||||||||||
Policy contract number | 576630 | ||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||
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