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Plan Name | MIDDLEBURG COMMUNITIES, LLC GROUP MEDICAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | MIDDLEBURG MANAGEMENT, LLC |
Employer identification number (EIN): | 460927391 |
NAIC Classification: | 531310 |
Additional information about MIDDLEBURG MANAGEMENT, LLC
Jurisdiction of Incorporation: | Virginia Secretary of State |
Incorporation Date: | 2012-09-04 |
Company Identification Number: | S421054 |
Legal Registered Office Address: |
3201 JERMANTOWN RD STE 220 FAIRFAX United States of America (USA) 22030 |
More information about MIDDLEBURG MANAGEMENT, LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2021-12-01 |
Measure | Date | Value |
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2021: MIDDLEBURG COMMUNITIES, LLC GROUP MEDICAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-12-01 | 170 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 170 |
Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
Total of all active and inactive participants | 2021-12-01 | 170 |
2021: MIDDLEBURG COMMUNITIES, LLC GROUP MEDICAL PLAN 2021 form 5500 responses | ||
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2021-12-01 | Type of plan entity | Single employer plan |
2021-12-01 | First time form 5500 has been submitted | Yes |
2021-12-01 | Submission has been amended | No |
2021-12-01 | This submission is the final filing | No |
2021-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-12-01 | Plan is a collectively bargained plan | No |
2021-12-01 | Plan funding arrangement – Insurance | Yes |
2021-12-01 | Plan benefit arrangement – Insurance | Yes |
CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 2DGN | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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