Plan Name | COKE MANAGEMENT GROUP LLC MEDICAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | COKE MANAGEMENT GROUP |
Employer identification number (EIN): | 270819333 |
NAIC Classification: | 541600 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
502 | 2021-10-01 | JUSTIN COKE | 2023-11-30 | ||
502 | 2019-10-01 | JUSTIN COKE | 2023-11-30 | ||
502 | 2018-10-01 | JUSTIN COKE | 2023-11-30 |
Measure | Date | Value |
---|---|---|
2021: COKE MANAGEMENT GROUP LLC MEDICAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-10-01 | 129 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 136 |
Number of retired or separated participants receiving benefits | 2021-10-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 4 |
Total of all active and inactive participants | 2021-10-01 | 141 |
2019: COKE MANAGEMENT GROUP LLC MEDICAL PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-10-01 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 104 |
Number of retired or separated participants receiving benefits | 2019-10-01 | 4 |
Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 15 |
Total of all active and inactive participants | 2019-10-01 | 123 |
2018: COKE MANAGEMENT GROUP LLC MEDICAL PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-10-01 | 108 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 111 |
Number of retired or separated participants receiving benefits | 2018-10-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 5 |
Total of all active and inactive participants | 2018-10-01 | 119 |
2021: COKE MANAGEMENT GROUP LLC MEDICAL PLAN 2021 form 5500 responses | ||
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2021-10-01 | Type of plan entity | Single employer plan |
2021-10-01 | Submission has been amended | No |
2021-10-01 | This submission is the final filing | No |
2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-10-01 | Plan is a collectively bargained plan | No |
2021-10-01 | Plan funding arrangement – Insurance | Yes |
2021-10-01 | Plan benefit arrangement – Insurance | Yes |
2019: COKE MANAGEMENT GROUP LLC MEDICAL PLAN 2019 form 5500 responses | ||
2019-10-01 | Type of plan entity | Single employer plan |
2019-10-01 | Submission has been amended | No |
2019-10-01 | This submission is the final filing | No |
2019-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-10-01 | Plan is a collectively bargained plan | No |
2019-10-01 | Plan funding arrangement – Insurance | Yes |
2019-10-01 | Plan benefit arrangement – Insurance | Yes |
2018: COKE MANAGEMENT GROUP LLC MEDICAL PLAN 2018 form 5500 responses | ||
2018-10-01 | Type of plan entity | Single employer plan |
2018-10-01 | Submission has been amended | No |
2018-10-01 | This submission is the final filing | No |
2018-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-10-01 | Plan is a collectively bargained plan | No |
2018-10-01 | Plan funding arrangement – Insurance | Yes |
2018-10-01 | Plan benefit arrangement – Insurance | Yes |
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 301945 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 788780 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 788780 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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