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| Plan Name | MYERS-HOLUM, INC. EMPLOYEE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MYERS-HOLUM, INC |
| Employer identification number (EIN): | 942950482 |
| NAIC Classification: | 541511 |
| NAIC Description: | Custom Computer Programming Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-03-01 | KELLY FOX | 2024-11-22 | ||
| 501 | 2022-03-01 | ELAINE CHIN | 2024-02-07 |
| 2023: MYERS-HOLUM, INC. EMPLOYEE BENEFITS PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: MYERS-HOLUM, INC. EMPLOYEE BENEFITS PLAN 2022 form 5500 responses | ||
| 2022-03-01 | Type of plan entity | Single employer plan |
| 2022-03-01 | First time form 5500 has been submitted | Yes |
| 2022-03-01 | Submission has been amended | No |
| 2022-03-01 | This submission is the final filing | No |
| 2022-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-03-01 | Plan is a collectively bargained plan | No |
| 2022-03-01 | Plan funding arrangement – Insurance | Yes |
| 2022-03-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||
| Policy contract number | 325730 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | 5394922 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||
| Policy contract number | 325730 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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