| Plan Name | FMI GROUP VISION INSURANCE PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FOOD MANAGEMENT INVESTORS, INC. DBA CULTIVATE SOLUTIONS |
| Employer identification number (EIN): | 450417148 |
| NAIC Classification: | 541600 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2023-08-01 | LEAH BJERKLIE | 2024-12-11 | LEAH BJERKLIE | 2024-12-11 |
| 505 | 2022-08-01 | TADD DEMARS | 2024-02-06 | ||
| 505 | 2021-08-01 | TADD DEMARS | 2023-02-28 |
| 2023: FMI GROUP VISION INSURANCE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-08-01 | Type of plan entity | Multi-employer plan |
| 2023-08-01 | Plan is a collectively bargained plan | Yes |
| 2023-08-01 | Plan funding arrangement – Insurance | Yes |
| 2023-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: FMI GROUP VISION INSURANCE PLAN 2022 form 5500 responses | ||
| 2022-08-01 | Type of plan entity | Multi-employer plan |
| 2022-08-01 | Plan is a collectively bargained plan | Yes |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FMI GROUP VISION INSURANCE PLAN 2021 form 5500 responses | ||
| 2021-08-01 | Type of plan entity | Multi-employer plan |
| 2021-08-01 | First time form 5500 has been submitted | Yes |
| 2021-08-01 | Plan is a collectively bargained plan | Yes |
| 2021-08-01 | Plan funding arrangement – Insurance | Yes |
| 2021-08-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30099111 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30099111 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||
| Policy contract number | 30099111 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||