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| Plan Name | POPHEALTHCARE LLC |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KIRK B STRAWN |
| Employer identification number (EIN): | 204198195 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2019-01-01 | ||||
| 504 | 2018-01-01 | ||||
| 504 | 2017-01-01 | ASHLEY FORSYTHE | |||
| 504 | 2016-01-01 | ASHLEY FORSYTHE | ASHLEY FORSYTHE | 2017-07-31 | |
| 504 | 2016-01-01 | ASHLEY FORSYTHE | 2017-07-31 |
| Measure | Date | Value |
|---|---|---|
| 2019: POPHEALTHCARE LLC 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 256 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 338 |
| Total of all active and inactive participants | 2019-01-01 | 338 |
| Total participants | 2019-01-01 | 338 |
| 2018: POPHEALTHCARE LLC 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 207 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 256 |
| Total of all active and inactive participants | 2018-01-01 | 256 |
| Total participants | 2018-01-01 | 256 |
| 2017: POPHEALTHCARE LLC 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 207 |
| Total of all active and inactive participants | 2017-01-01 | 207 |
| Total participants | 2017-01-01 | 207 |
| 2016: POPHEALTHCARE LLC 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 181 |
| Total of all active and inactive participants | 2016-01-01 | 181 |
| Total participants | 2016-01-01 | 181 |
| 2019: POPHEALTHCARE LLC 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: POPHEALTHCARE LLC 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 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 – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: POPHEALTHCARE LLC 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 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 – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: POPHEALTHCARE LLC 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 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 – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5577031214 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5577031214 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 5577031214 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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