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| Plan Name | CONNECTIONSAZ, INC. EMPLOYEE BENEFIT PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CONNECTIONSAZ, INC. |
| Employer identification number (EIN): | 264494332 |
| 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 |
|---|---|---|---|---|---|
| 505 | 2019-09-01 | AMY CURTIS | 2021-03-16 | ||
| 505 | 2017-09-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: CONNECTIONSAZ, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-09-01 | 376 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 370 |
| Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 370 |
| Number of employers contributing to the scheme | 2019-09-01 | 0 |
| 2017: CONNECTIONSAZ, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-09-01 | 377 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 392 |
| Number of retired or separated participants receiving benefits | 2017-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 0 |
| Total of all active and inactive participants | 2017-09-01 | 392 |
| Number of employers contributing to the scheme | 2017-09-01 | 0 |
| 2019: CONNECTIONSAZ, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: CONNECTIONSAZ, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses | ||
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | First time form 5500 has been submitted | Yes |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |
| Policy contract number | 30276 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |
| Policy contract number | 97591431001 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 541912 |
| Policy instance | 3 |
| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) | |
| Policy contract number | 36357 00000 |
| Policy instance | 4 |
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