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| Plan Name | MANAGED HEALTH CARE ADMINISTRATION DENTAL/HEALTH PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MANAGED HEALTH CARE ADMINISTRATION, INC. |
| Employer identification number (EIN): | 631035086 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-06-01 | DOYLE STEWART | |||
| 502 | 2016-06-01 | DOYLE STEWART |
| Measure | Date | Value |
|---|---|---|
| 2017: MANAGED HEALTH CARE ADMINISTRATION DENTAL/HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-06-01 | 35 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-01 | 0 |
| Total of all active and inactive participants | 2017-06-01 | 0 |
| 2016: MANAGED HEALTH CARE ADMINISTRATION DENTAL/HEALTH PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-06-01 | 35 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 35 |
| Total of all active and inactive participants | 2016-06-01 | 35 |
| 2017: MANAGED HEALTH CARE ADMINISTRATION DENTAL/HEALTH PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-06-01 | Type of plan entity | Single employer plan |
| 2017-06-01 | This submission is the final filing | Yes |
| 2017-06-01 | Plan funding arrangement – Insurance | Yes |
| 2017-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MANAGED HEALTH CARE ADMINISTRATION DENTAL/HEALTH PLAN 2016 form 5500 responses | ||
| 2016-06-01 | Type of plan entity | Single employer plan |
| 2016-06-01 | First time form 5500 has been submitted | Yes |
| 2016-06-01 | Plan funding arrangement – Insurance | Yes |
| 2016-06-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) | |||||||||||||||||||||
| Policy contract number | 0000588 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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