| Plan Name | SOUTHERN STATES LLC TELEMEDICINE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SOUTHERN STATES, LLC |
| Employer identification number (EIN): | 030493527 |
| NAIC Classification: | 334410 |
Additional information about SOUTHERN STATES, LLC
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | |
| Company Identification Number: | 172127 |
More information about SOUTHERN STATES, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2023-01-01 | KEDON WILLIAMS | 2024-09-19 | ||
| 504 | 2022-01-01 | KEDON WILLIAMS | 2023-08-31 |
| 2023: SOUTHERN STATES LLC TELEMEDICINE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: SOUTHERN STATES LLC TELEMEDICINE PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| FLEXCARE, LLC (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | MFCSOUTHERN | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| FLEXCARE, LLC (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
| Policy contract number | GRSSS | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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