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| Plan Name | PREMIER BANK HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PREMIER BANK |
| Employer identification number (EIN): | 411233917 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2012-01-01 | MARK NOVITZKI | |||
| 501 | 2011-01-01 | MARK NOVITZKI | |||
| 501 | 2010-01-01 | MARK NOVITZKI | |||
| 501 | 2009-01-01 | MARK NOVITZKI |
| Measure | Date | Value |
|---|---|---|
| 2012: PREMIER BANK HEALTH PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 122 |
| Total of all active and inactive participants | 2012-01-01 | 122 |
| 2011: PREMIER BANK HEALTH PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 162 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 144 |
| Total of all active and inactive participants | 2011-01-01 | 144 |
| 2010: PREMIER BANK HEALTH PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 168 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 162 |
| Total of all active and inactive participants | 2010-01-01 | 162 |
| 2009: PREMIER BANK HEALTH PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 196 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 168 |
| Total of all active and inactive participants | 2009-01-01 | 168 |
| 2012: PREMIER BANK HEALTH PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: PREMIER BANK HEALTH PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: PREMIER BANK HEALTH PLAN 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: PREMIER BANK HEALTH PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 14946 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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| HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 14946 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||
| HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 14946 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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