Plan Name | MODERN HC PHARMACY BENEFIT PROGRAM |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | KROGER SPECIALTY PHARMACY HOLDINGS 2, INC. |
Employer identification number (EIN): | 454958481 |
NAIC Classification: | 446110 |
NAIC Description: | Pharmacies and Drug Stores |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2017-01-01 | ||||
502 | 2016-09-01 | SUZANNE BALIUS | |||
502 | 2015-09-01 | SUZANNE BALIUS | |||
502 | 2014-09-01 | VINCENT COOK |
Measure | Date | Value |
---|---|---|
2017: MODERN HC PHARMACY BENEFIT PROGRAM 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 385 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 403 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 403 |
2016: MODERN HC PHARMACY BENEFIT PROGRAM 2016 401k membership | ||
Total participants, beginning-of-year | 2016-09-01 | 249 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 385 |
Number of retired or separated participants receiving benefits | 2016-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
Total of all active and inactive participants | 2016-09-01 | 385 |
2015: MODERN HC PHARMACY BENEFIT PROGRAM 2015 401k membership | ||
Total participants, beginning-of-year | 2015-09-01 | 107 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 249 |
Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
Total of all active and inactive participants | 2015-09-01 | 249 |
2014: MODERN HC PHARMACY BENEFIT PROGRAM 2014 401k membership | ||
Total participants, beginning-of-year | 2014-09-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 107 |
Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 0 |
Total of all active and inactive participants | 2014-09-01 | 107 |
2017: MODERN HC PHARMACY BENEFIT PROGRAM 2017 form 5500 responses | ||
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2016: MODERN HC PHARMACY BENEFIT PROGRAM 2016 form 5500 responses | ||
2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Submission has been amended | No |
2016-09-01 | This submission is the final filing | No |
2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2016-09-01 | Plan is a collectively bargained plan | No |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2015: MODERN HC PHARMACY BENEFIT PROGRAM 2015 form 5500 responses | ||
2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | Submission has been amended | No |
2015-09-01 | This submission is the final filing | No |
2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-09-01 | Plan is a collectively bargained plan | No |
2015-09-01 | Plan funding arrangement – Insurance | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
2014: MODERN HC PHARMACY BENEFIT PROGRAM 2014 form 5500 responses | ||
2014-09-01 | Type of plan entity | Single employer plan |
2014-09-01 | First time form 5500 has been submitted | Yes |
2014-09-01 | Submission has been amended | No |
2014-09-01 | This submission is the final filing | No |
2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-09-01 | Plan is a collectively bargained plan | No |
2014-09-01 | Plan funding arrangement – Insurance | Yes |
2014-09-01 | Plan benefit arrangement – Insurance | Yes |
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 3340103 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 902821 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 902821 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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