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| Plan Name | FORMS SYSTEMS, INC. GROUP LIFE, ADD, VOLUNTARY LIFE, SHORT TERM DISABILITY AND DENTAL |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FORM SYSTEMS INC. |
| Employer identification number (EIN): | 431001833 |
| NAIC Classification: | 323100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-08-01 | MELISA BARLETT | 2020-11-30 | ||
| 502 | 2018-08-01 | MELISA BARLETT | 2019-12-09 | ||
| 502 | 2017-08-01 |
| 2019: FORMS SYSTEMS, INC. GROUP LIFE, ADD, VOLUNTARY LIFE, SHORT TERM DISABILITY AND DENTAL 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: FORMS SYSTEMS, INC. GROUP LIFE, ADD, VOLUNTARY LIFE, SHORT TERM DISABILITY AND DENTAL 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: FORMS SYSTEMS, INC. GROUP LIFE, ADD, VOLUNTARY LIFE, SHORT TERM DISABILITY AND DENTAL 2017 form 5500 responses | ||
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | First time form 5500 has been submitted | Yes |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1012393 |
| Policy instance | 1 |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1012393 |
| Policy instance | 1 |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1012393 |
| Policy instance | 1 |
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