| Plan Name | GEORGIA HIGHLANDS MEDICAL SERVICES DISABILITY PLANS |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GEORGIA HIGHLANDS MEDICAL SERVICES, INC. |
| Employer identification number (EIN): | 581338038 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
Additional information about GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | |
| Company Identification Number: | 576814 |
More information about GEORGIA HIGHLANDS MEDICAL SERVICES, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-01-01 | TODD SHIFFLET | 2023-10-02 | ||
| 504 | 2022-01-01 | STEPHEN BROWN | 2024-04-03 | ||
| 504 | 2021-01-01 | TODD SHIFFLET | 2023-10-02 |
| 2022: GEORGIA HIGHLANDS MEDICAL SERVICES DISABILITY PLANS 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | Yes |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GEORGIA HIGHLANDS MEDICAL SERVICES DISABILITY PLANS 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 920519 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 920519 |
| Policy instance | 1 |