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SOUTHERN STATES LLC TELEMEDICINE PLAN 401k Plan overview

Plan NameSOUTHERN STATES LLC TELEMEDICINE PLAN
Plan identification number 504

SOUTHERN STATES LLC TELEMEDICINE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

SOUTHERN STATES, LLC has sponsored the creation of one or more 401k plans.

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN STATES LLC TELEMEDICINE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042023-01-01KEDON WILLIAMS2024-09-19
5042022-01-01KEDON WILLIAMS2023-08-31

Form 5500 Responses for SOUTHERN STATES LLC TELEMEDICINE PLAN

2023: SOUTHERN STATES LLC TELEMEDICINE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: SOUTHERN STATES LLC TELEMEDICINE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FLEXCARE, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberMFCSOUTHERN
Policy instance 1
Insurance contract or identification numberMFCSOUTHERN
Number of Individuals Covered358
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTELEHEALTH
Welfare Benefit Premiums Paid to CarrierUSD $20,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
FLEXCARE, LLC (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberGRSSS
Policy instance 1
Insurance contract or identification numberGRSSS
Number of Individuals Covered357
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTELEHEALTH
Welfare Benefit Premiums Paid to CarrierUSD $20,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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