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| Plan Name | ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ASSOCIATED COMMUNITY SERVICES |
| Employer identification number (EIN): | 383457359 |
| NAIC Classification: | 561420 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-01-01 | ||||
| 501 | 2015-01-01 | ||||
| 501 | 2014-01-01 | ||||
| 501 | 2013-01-01 | ||||
| 501 | 2012-01-01 | RANDOLPH PEPPER FOR W. BURLAND | |||
| 501 | 2011-01-01 | RANDOLPH PEPPER FOR W. BURLAND | |||
| 501 | 2010-01-01 | WILLIAM BURLAND | |||
| 501 | 2009-01-01 | WILLIAM BURLAND | |||
| 501 | 2008-01-01 | WILLIAM BURLAND | |||
| 501 | 2007-01-01 | WILLIAM BURLAND | |||
| 501 | 2003-01-01 | WILLIAM BURLAND | |||
| 501 | 2001-01-01 | WILLIAM BURLAND | |||
| 501 | 2000-01-01 | WILLIAM BURLAND |
| 2016: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2008 form 5500 responses | ||
| 2008-01-01 | Type of plan entity | Single employer plan |
| 2008-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2007 form 5500 responses | ||
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2007-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2003 form 5500 responses | ||
| 2003-01-01 | Type of plan entity | Single employer plan |
| 2003-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2003-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2001 form 5500 responses | ||
| 2001-01-01 | Type of plan entity | Single employer plan |
| 2001-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2001-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: ASSOCIATED COMMUNITY SERVICES INC HEALTH & WELFARE 2000 form 5500 responses | ||
| 2000-01-01 | Type of plan entity | Single employer plan |
| 2000-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2000-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |
| Policy contract number | 42843-713 |
| Policy instance | 4 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 0405864 |
| Policy instance | 3 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930-0001 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) | |
| Policy contract number | M60395 |
| Policy instance | 4 |
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 1517 |
| Policy instance | 3 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |
| Policy contract number | 42843-713 |
| Policy instance | 5 |
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) | |
| Policy contract number | M60395LOW |
| Policy instance | 4 |
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) | |
| Policy contract number | M60395T523 |
| Policy instance | 5 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 1517 |
| Policy instance | 3 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) | |
| Policy contract number | M60395T523 |
| Policy instance | 5 |
| TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 ) | |
| Policy contract number | M60395 |
| Policy instance | 4 |
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 1517 |
| Policy instance | 3 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 1517 |
| Policy instance | 4 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
| ADMIN RESOURCES INTERACTIVE (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 1517 |
| Policy instance | 4 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00405864 |
| Policy instance | 1 |
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |
| Policy contract number | 00271930/0001 |
| Policy instance | 2 |
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