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| Plan Name | MCMS, INC. INSURANCE TRUST FUND DBA BAY COUNTY MEDICAL SOCIETY HEALTH PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MARION COUNTY MEDICAL SOCIETY, INC. |
| Employer identification number (EIN): | 237026266 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2013-07-01 | SPENCER BARRETT | |||
| 508 | 2012-07-01 | SPENCER BARRETT | FRANK CANNON MD | 2013-12-19 |
| Measure | Date | Value |
|---|---|---|
| 2013: MCMS, INC. INSURANCE TRUST FUND DBA BAY COUNTY MEDICAL SOCIETY HEALTH PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-07-01 | 475 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 0 |
| Total of all active and inactive participants | 2013-07-01 | 0 |
| 2012: MCMS, INC. INSURANCE TRUST FUND DBA BAY COUNTY MEDICAL SOCIETY HEALTH PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 472 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 3 |
| Total of all active and inactive participants | 2012-07-01 | 475 |
| Total participants | 2012-07-01 | 475 |
| 2013: MCMS, INC. INSURANCE TRUST FUND DBA BAY COUNTY MEDICAL SOCIETY HEALTH PLAN 2013 form 5500 responses | ||
|---|---|---|
| 2013-07-01 | Type of plan entity | Mulitple employer plan |
| 2013-07-01 | This submission is the final filing | Yes |
| 2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: MCMS, INC. INSURANCE TRUST FUND DBA BAY COUNTY MEDICAL SOCIETY HEALTH PLAN 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Mulitple employer plan |
| 2012-07-01 | First time form 5500 has been submitted | Yes |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | ASSOC CODE 061 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |
| Policy contract number | ASSOC CODE 061 |
| Policy instance | 1 |
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