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| Plan Name | QCM INC. DBA VERIS MANUFACTURING HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | QCM, INC. DBA VERIS MANUFACTURING |
| Employer identification number (EIN): | 954886871 |
| NAIC Classification: | 334410 |
Additional information about QCM, INC. DBA VERIS MANUFACTURING
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | 1976-03-23 |
| Company Identification Number: | C0766120 |
| Legal Registered Office Address: |
6931 Via Angelina Dr. Huntington Beach United States of America (USA) 92647 |
More information about QCM, INC. DBA VERIS MANUFACTURING
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-06-01 | CHRIS SHORT | 2024-07-18 | ||
| 501 | 2022-06-01 | CHRIS SHORT | 2023-12-23 | ||
| 501 | 2021-06-01 | JAY CADLER | 2022-11-14 |
| 2023: QCM INC. DBA VERIS MANUFACTURING HEALTH AND WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-06-01 | Type of plan entity | Single employer plan |
| 2023-06-01 | This submission is the final filing | Yes |
| 2023-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-06-01 | Plan funding arrangement – Insurance | Yes |
| 2023-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: QCM INC. DBA VERIS MANUFACTURING HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | This submission is the final filing | Yes |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: QCM INC. DBA VERIS MANUFACTURING HEALTH AND WELFARE PLAN 2021 form 5500 responses | ||
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | First time form 5500 has been submitted | Yes |
| 2021-06-01 | Plan funding arrangement – Insurance | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 282370 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 282370 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||
| Policy contract number | TS05374557 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) | |||||||||||||||||||
| Policy contract number | 5374557 | ||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||
| BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | 282370 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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