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| Plan Name | T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | T. G. NICKEL & ASSOCIATES, LLC |
| Employer identification number (EIN): | 270141230 |
| NAIC Classification: | 236200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-08-01 | MICHELLE KRASSOPOULOS | 2020-11-24 | ||
| 502 | 2018-08-01 | MICHELLE KRASSAPOULOS | 2020-05-14 | ||
| 502 | 2017-08-01 | ||||
| 502 | 2016-08-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 1,049 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 0 |
| 2018: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-08-01 | 166 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 1,049 |
| Number of retired or separated participants receiving benefits | 2018-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-08-01 | 0 |
| Total of all active and inactive participants | 2018-08-01 | 1,049 |
| Number of employers contributing to the scheme | 2018-08-01 | 0 |
| 2017: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-08-01 | 133 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 166 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 166 |
| Number of employers contributing to the scheme | 2017-08-01 | 0 |
| 2016: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-08-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 133 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 133 |
| 2019: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Submission has been amended | No |
| 2019-08-01 | This submission is the final filing | Yes |
| 2019-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-08-01 | Plan is a collectively bargained plan | No |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2018 form 5500 responses | ||
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2017 form 5500 responses | ||
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: T.G. NICKEL & ASSOCIATES, LLC. - MEDICAL PLAN 2016 form 5500 responses | ||
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | First time form 5500 has been submitted | Yes |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| OXFORD HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 78026 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | SN6005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | SN6005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | SN6005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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