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| Plan Name | SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC |
| Employer identification number (EIN): | 680612293 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-07-01 | ||||
| 501 | 2011-07-01 | JEFFREY DURBIN | |||
| 501 | 2010-07-01 | JEFFREY DURBIN | |||
| 501 | 2009-07-01 | JEFFREY DURBIN |
| Measure | Date | Value |
|---|---|---|
| 2012: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 368 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 0 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
| Total of all active and inactive participants | 2012-07-01 | 0 |
| 2011: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 194 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 367 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 0 |
| Total of all active and inactive participants | 2011-07-01 | 368 |
| 2010: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-07-01 | 160 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 194 |
| Number of retired or separated participants receiving benefits | 2010-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 0 |
| Total of all active and inactive participants | 2010-07-01 | 194 |
| 2009: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-07-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 160 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 0 |
| Total of all active and inactive participants | 2009-07-01 | 160 |
| 2012: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | Yes |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Submission has been amended | No |
| 2011-07-01 | This submission is the final filing | No |
| 2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-07-01 | Plan is a collectively bargained plan | No |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2010 form 5500 responses | ||
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Submission has been amended | No |
| 2010-07-01 | This submission is the final filing | No |
| 2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-07-01 | Plan is a collectively bargained plan | No |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SUPPORT SOLUTIONS OF THE MID-SOUTH, LLC HEALTH PLAN 2009 form 5500 responses | ||
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | First time form 5500 has been submitted | Yes |
| 2009-07-01 | Submission has been amended | No |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-07-01 | Plan is a collectively bargained plan | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | LMB N04821579 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 124058 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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