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| Plan Name | ANSIBLE GOVERNMENT SOLUTIONS LLC ANCILLARY LINES |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ANSIBLE GOVERNMENT SOLUTIONS LLC |
| Employer identification number (EIN): | 472232929 |
| NAIC Classification: | 541600 |
Additional information about ANSIBLE GOVERNMENT SOLUTIONS LLC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 5629887 |
More information about ANSIBLE GOVERNMENT SOLUTIONS LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-07-01 | DEREK JOHNSON | 2024-10-28 | ||
| 502 | 2022-07-01 | DEREK JOHNSON | 2023-10-31 | ||
| 502 | 2021-07-01 | DEREK JOHNSON | 2023-01-26 | ||
| 502 | 2020-07-01 | DEREK JOHNSON | 2022-01-25 |
| 2023: ANSIBLE GOVERNMENT SOLUTIONS LLC ANCILLARY LINES 2023 form 5500 responses | ||
|---|---|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: ANSIBLE GOVERNMENT SOLUTIONS LLC ANCILLARY LINES 2022 form 5500 responses | ||
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ANSIBLE GOVERNMENT SOLUTIONS LLC ANCILLARY LINES 2021 form 5500 responses | ||
| 2021-07-01 | Type of plan entity | Single employer plan |
| 2021-07-01 | Plan funding arrangement – Insurance | Yes |
| 2021-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ANSIBLE GOVERNMENT SOLUTIONS LLC ANCILLARY LINES 2020 form 5500 responses | ||
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | First time form 5500 has been submitted | Yes |
| 2020-07-01 | Plan funding arrangement – Insurance | Yes |
| 2020-07-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||
| Policy contract number | 946393 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||
| Policy contract number | 30105188 | ||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||
| Policy contract number | 894096G | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||
| Policy contract number | 30105188 | ||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||
| Policy contract number | 946393 | ||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||
| Policy contract number | 894096G | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||
| Policy contract number | 2W2534 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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