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| Plan Name | SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SALTZER MEDICAL GROUP, P.A. |
| Employer identification number (EIN): | 820299231 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2019-01-01 | JARED GREIG | 2020-07-06 | ||
| 501 | 2012-01-01 | CINDY HODGES | CINDY HODGES | 2013-07-29 | |
| 501 | 2011-01-01 | CINDY HODGES | CINDY HODGES | 2012-09-05 | |
| 501 | 2009-01-01 | CINDY HODGES | NANCY POWELL | 2010-07-26 |
| Measure | Date | Value |
|---|---|---|
| 2019: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 268 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 268 |
| Number of employers contributing to the scheme | 2019-01-01 | 0 |
| 2012: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 140 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 24 |
| Total of all active and inactive participants | 2012-01-01 | 24 |
| 2011: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 130 |
| Total of all active and inactive participants | 2011-01-01 | 130 |
| 2009: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 133 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 137 |
| Total of all active and inactive participants | 2009-01-01 | 137 |
| 2019: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: SALTZER MEDICAL GROUP, P.A. CAFETERIA PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 917651 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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| SELECTHEALTH (National Association of Insurance Commissioners NAIC id number: 95153 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | G1022483 1001 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 504434 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 10253208 | ||||||||||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||
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