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Plan Name | SOURCE MANAGEMENT INC GROUP MEDICAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | SOURCE MANAGEMENT INC |
Employer identification number (EIN): | 841151197 |
NAIC Classification: | 453210 |
NAIC Description: | Office Supplies and Stationery Stores |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2016-06-01 | BRIANNA FERRAN | |||
501 | 2015-06-01 | BRIANNA FERRAN | |||
501 | 2014-06-01 | 2016-01-20 | |||
501 | 2014-06-01 | JEFF GOERGEN | JEFF GOERGEN | 2016-01-20 |
Measure | Date | Value |
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2016: SOURCE MANAGEMENT INC GROUP MEDICAL PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-06-01 | 117 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-06-01 | 77 |
Number of retired or separated participants receiving benefits | 2016-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-06-01 | 0 |
Total of all active and inactive participants | 2016-06-01 | 77 |
2015: SOURCE MANAGEMENT INC GROUP MEDICAL PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-06-01 | 130 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 117 |
Number of retired or separated participants receiving benefits | 2015-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-06-01 | 0 |
Total of all active and inactive participants | 2015-06-01 | 117 |
2014: SOURCE MANAGEMENT INC GROUP MEDICAL PLAN 2014 401k membership | ||
Total participants, beginning-of-year | 2014-06-01 | 130 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 130 |
Number of retired or separated participants receiving benefits | 2014-06-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-06-01 | 0 |
Total of all active and inactive participants | 2014-06-01 | 130 |
2016: SOURCE MANAGEMENT INC GROUP MEDICAL PLAN 2016 form 5500 responses | ||
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2016-06-01 | Type of plan entity | Single employer plan |
2016-06-01 | Submission has been amended | No |
2016-06-01 | This submission is the final filing | No |
2016-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-06-01 | Plan is a collectively bargained plan | No |
2016-06-01 | Plan funding arrangement – Insurance | Yes |
2016-06-01 | Plan benefit arrangement – Insurance | Yes |
2015: SOURCE MANAGEMENT INC GROUP MEDICAL PLAN 2015 form 5500 responses | ||
2015-06-01 | Type of plan entity | Single employer plan |
2015-06-01 | Submission has been amended | No |
2015-06-01 | This submission is the final filing | No |
2015-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-06-01 | Plan is a collectively bargained plan | No |
2015-06-01 | Plan funding arrangement – Insurance | Yes |
2015-06-01 | Plan benefit arrangement – Insurance | Yes |
2014: SOURCE MANAGEMENT INC GROUP MEDICAL PLAN 2014 form 5500 responses | ||
2014-06-01 | Type of plan entity | Single employer plan |
2014-06-01 | Submission has been amended | Yes |
2014-06-01 | This submission is the final filing | No |
2014-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-06-01 | Plan is a collectively bargained plan | No |
2014-06-01 | Plan funding arrangement – Insurance | Yes |
2014-06-01 | Plan benefit arrangement – Insurance | Yes |
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0803249 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 0803249 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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