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Plan Name | EMPIRE HEALTHCHOICE ASSURANCE, INC |
Plan identification number | 522 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | KINGS, QUEENS & JACKS, LLC |
Employer identification number (EIN): | 455199308 |
NAIC Classification: | 713200 |
NAIC Description: | Gambling Industries |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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522 | 2017-01-01 | ALEX TUCKER | ALEX TUCKER | 2018-09-04 | |
522 | 2017-01-01 | ||||
522 | 2016-01-01 | ALEX TUCKER | ALEX TUCKER | 2017-07-28 | |
522 | 2015-01-01 | ALEX TUCKER | ALEX TUCKER | 2016-07-29 | |
522 | 2014-01-01 | ANGIE PETROVIC | ALEX TUCKER | 2015-06-03 |
Measure | Date | Value |
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2017: EMPIRE HEALTHCHOICE ASSURANCE, INC 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 135 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 135 |
Total of all active and inactive participants | 2017-01-01 | 135 |
Total participants | 2017-01-01 | 135 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
2016: EMPIRE HEALTHCHOICE ASSURANCE, INC 2016 401k membership | ||
Total participants, beginning-of-year | 2016-01-01 | 91 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 144 |
Total of all active and inactive participants | 2016-01-01 | 144 |
Total participants | 2016-01-01 | 144 |
2015: EMPIRE HEALTHCHOICE ASSURANCE, INC 2015 401k membership | ||
Total participants, beginning-of-year | 2015-01-01 | 120 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 106 |
Total of all active and inactive participants | 2015-01-01 | 106 |
Total participants | 2015-01-01 | 106 |
2014: EMPIRE HEALTHCHOICE ASSURANCE, INC 2014 401k membership | ||
Total participants, beginning-of-year | 2014-01-01 | 161 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
Total of all active and inactive participants | 2014-01-01 | 0 |
Total participants | 2014-01-01 | 0 |
2017: EMPIRE HEALTHCHOICE ASSURANCE, INC 2017 form 5500 responses | ||
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Submission has been amended | No |
2017-01-01 | This submission is the final filing | No |
2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-01-01 | Plan is a collectively bargained plan | No |
2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2016: EMPIRE HEALTHCHOICE ASSURANCE, INC 2016 form 5500 responses | ||
2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | First time form 5500 has been submitted | Yes |
2016-01-01 | Submission has been amended | No |
2016-01-01 | This submission is the final filing | No |
2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-01-01 | Plan is a collectively bargained plan | No |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: EMPIRE HEALTHCHOICE ASSURANCE, INC 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 | Submission has been amended | No |
2015-01-01 | This submission is the final filing | No |
2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-01-01 | Plan is a collectively bargained plan | No |
2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2014: EMPIRE HEALTHCHOICE ASSURANCE, INC 2014 form 5500 responses | ||
2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | First time form 5500 has been submitted | Yes |
2014-01-01 | Submission has been amended | No |
2014-01-01 | This submission is the final filing | No |
2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-01-01 | Plan is a collectively bargained plan | No |
2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 720502-3S | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 720502 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00608855 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00608855 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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