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| Plan Name | PROFESSIONAL EMPLOYER SERVICES, INC. |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PROFESSIONAL EMPLOYER SERVICES, INC |
| Employer identification number (EIN): | 455121779 |
| NAIC Classification: | 561110 |
| NAIC Description: | Office Administrative Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-01-01 | MARY D GERSEMA | 2020-07-21 | ||
| 502 | 2018-01-01 | MARY D GERSEMA | 2019-08-29 | ||
| 502 | 2017-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: PROFESSIONAL EMPLOYER SERVICES, INC. 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 251 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 449 |
| Total of all active and inactive participants | 2019-01-01 | 449 |
| 2018: PROFESSIONAL EMPLOYER SERVICES, INC. 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 370 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 512 |
| Total of all active and inactive participants | 2018-01-01 | 512 |
| 2017: PROFESSIONAL EMPLOYER SERVICES, INC. 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 253 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 283 |
| Total of all active and inactive participants | 2017-01-01 | 283 |
| 2019: PROFESSIONAL EMPLOYER SERVICES, INC. 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: PROFESSIONAL EMPLOYER SERVICES, INC. 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: PROFESSIONAL EMPLOYER SERVICES, INC. 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU 5465484-05 |
| Policy instance | 1 |
| CASCADE CENTERS INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |
| Policy contract number | |
| Policy instance | 2 |
| CASCADE CENTERS INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |
| Policy contract number | |
| Policy instance | 2 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU 5465484-05 |
| Policy instance | 1 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | TS05343643 |
| Policy instance | 3 |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) | |
| Policy contract number | GTU 5465484-05 |
| Policy instance | 1 |
| CASCADE CENTERS INC. (National Association of Insurance Commissioners NAIC id number: 62133 ) | |
| Policy contract number | |
| Policy instance | 2 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | TS05343643 |
| Policy instance | 3 |
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