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| Plan Name | QUARTZ LIFE, AD/D, DLIFE,STD,LTD |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | QUARTZ HEALTH SOLUTIONS, INC. |
| Employer identification number (EIN): | 465710709 |
| NAIC Classification: | 524140 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2021-01-01 | ||||
| 511 | 2020-01-01 | ||||
| 511 | 2019-01-01 | ||||
| 511 | 2018-01-01 | KIMILA DANIELS | |||
| 511 | 2017-01-01 | KIMILA DANIELS | KIMILA DANIELS | 2018-07-26 |
| Measure | Date | Value |
|---|---|---|
| 2021: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 767 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 0 |
| 2020: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 734 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 767 |
| Total of all active and inactive participants | 2020-01-01 | 767 |
| Total participants | 2020-01-01 | 767 |
| 2019: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 593 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 731 |
| Total of all active and inactive participants | 2019-01-01 | 731 |
| 2018: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 555 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 600 |
| Total of all active and inactive participants | 2018-01-01 | 600 |
| Total participants | 2018-01-01 | 600 |
| 2017: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 342 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 473 |
| Total of all active and inactive participants | 2017-01-01 | 473 |
| Total participants | 2017-01-01 | 473 |
| 2021: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: QUARTZ LIFE, AD/D, DLIFE,STD,LTD 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 676459G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 676459G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 676459G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 676459G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 676459G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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