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Plan Name | HOLSUM, INC. EMPLOYEES HEALTH & WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | HOLSUM, INC. |
Employer identification number (EIN): | 840164944 |
NAIC Classification: | 112120 |
NAIC Description: | Dairy Cattle and Milk Production |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2018-09-01 |
Measure | Date | Value |
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2018: HOLSUM, INC. EMPLOYEES HEALTH & WELFARE PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-09-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 111 |
Total of all active and inactive participants | 2018-09-01 | 111 |
2018: HOLSUM, INC. EMPLOYEES HEALTH & WELFARE PLAN 2018 form 5500 responses | ||
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2018-09-01 | Type of plan entity | Mulitple employer plan |
2018-09-01 | Submission has been amended | Yes |
2018-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-09-01 | Plan benefit arrangement – Insurance | Yes |
2018-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 ) | |||||||||||||||||||||||
Policy contract number | 669688 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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THE EPIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64149 ) | |||||||||||||||||||||||
Policy contract number | 167608 | ||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||
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WPS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 10159 ) | |||||||||||||||||||||||
Policy contract number | 10011132 | ||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||
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WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 53139 ) | |||||||||||||||||||||||
Policy contract number | 10011132 | ||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||
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