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| Plan Name | SOLSTICE MARKETING CONCEPTS HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SOLSTICE MARKETING CONCEPTS LLC |
| Employer identification number (EIN): | 510414579 |
| NAIC Classification: | 446130 |
| NAIC Description: | Optical Goods Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-08-01 | MARSHA MYERS | 2021-06-04 | ||
| 501 | 2019-08-01 | MARSHA MYERS | 2021-05-10 |
| Measure | Date | Value |
|---|---|---|
| 2019: SOLSTICE MARKETING CONCEPTS HEALTH AND WELFARE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 71 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 71 |
| Number of employers contributing to the scheme | 2019-08-01 | 0 |
| 2019: SOLSTICE MARKETING CONCEPTS HEALTH AND WELFARE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | First time form 5500 has been submitted | Yes |
| 2019-08-01 | Submission has been amended | Yes |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | 3342866 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | 20131 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||
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| FIDELITY SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 67288 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5103 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||
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| CIGNA GROUP INSURANCE (National Association of Insurance Commissioners NAIC id number: 64548 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | SGN600845 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||
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| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||
| Policy contract number | 3342866 | ||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||
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