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| Plan Name | FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FORUM CONSULTING SERVICES INC. |
| Employer identification number (EIN): | 134037253 |
| NAIC Classification: | 561300 |
Additional information about FORUM CONSULTING SERVICES INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1998-12-21 |
| Company Identification Number: | 2326983 |
| Legal Registered Office Address: |
260 MADISON AVE STE 200 NEW YORK United States of America (USA) 10016 |
More information about FORUM CONSULTING SERVICES INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-01-01 | ||||
| 501 | 2020-01-01 | ||||
| 501 | 2018-01-01 | DEAN HERNAN | |||
| 501 | 2017-01-01 | DEAN HERNAN | |||
| 501 | 2016-01-01 | DEAN HERNAN | |||
| 501 | 2016-01-01 | DEAN HERNAN | 2017-10-09 |
| Measure | Date | Value |
|---|---|---|
| 2021: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 102 |
| Total of all active and inactive participants | 2021-01-01 | 102 |
| Total participants | 2021-01-01 | 102 |
| 2020: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 111 |
| Total of all active and inactive participants | 2020-01-01 | 111 |
| Total participants | 2020-01-01 | 111 |
| 2018: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 150 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 72 |
| Total of all active and inactive participants | 2018-01-01 | 72 |
| Total participants | 2018-01-01 | 72 |
| 2017: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 150 |
| Total of all active and inactive participants | 2017-01-01 | 150 |
| Total participants | 2017-01-01 | 150 |
| 2016: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 57 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 188 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 188 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 188 |
| Number of participants with account balances | 2016-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2021: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: FORUM STAFFING SERVICES SELF FUNDED MEDICAL PLAN 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | First time form 5500 has been submitted | Yes |
| 2016-01-01 | Submission has been amended | Yes |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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