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| Plan Name | PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PED CAPITAL MANAGEMENT, LLC |
| Employer identification number (EIN): | 463901832 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | LEO E. MORTON | 2024-07-15 | ||
| 501 | 2022-01-01 | LEO E. MORTON | 2023-07-14 | ||
| 501 | 2021-01-01 | LEO E. MORTON | 2022-07-19 | ||
| 501 | 2020-01-01 | LEO E. MORTON | 2021-07-19 | ||
| 501 | 2019-01-01 | LEO MORTON | 2020-07-24 | ||
| 501 | 2019-01-01 | LEO E. MORTON | 2021-07-20 | ||
| 501 | 2017-01-01 | LEO MORTON | 2019-08-15 |
| 2023: PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | Yes |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: PED CAPITAL MANAGEMENT, LLC MEDICAL PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) | |||||||||||||||||
| Policy contract number | 41187000 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| |||||||||||||||||
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) | |||||||||||||||||
| Policy contract number | 41187000 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| |||||||||||||||||
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) | |||||||||||||||||
| Policy contract number | 41187000 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) | |||||||||||||||||
| Policy contract number | 41187000 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) | |||||||||||||||||
| Policy contract number | 41187000 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||
| Policy contract number | 906415 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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