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BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 401k Plan overview

Plan NameBASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE
Plan identification number 501

BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

PATHOLOGY MEDICAL SERVICES, P.C. has sponsored the creation of one or more 401k plans.

Company Name:PATHOLOGY MEDICAL SERVICES, P.C.
Employer identification number (EIN):470549869
NAIC Classification:621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01RYAN DEHAAN RYAN DEHAAN2017-10-03
5012015-01-01RYAN DEHAAN RYAN DEHAAN2016-09-06
5012014-01-01DEBORAH K. DAVIDSON DEBORAH K. DAVIDSON2015-10-03
5012013-01-01DEBORAH K. DAVIDSON DEBORAH K. DAVIDSON2014-10-06
5012012-01-01DEBORAH K. DAVIDSON DEBORAH K. DAVIDSON2013-10-09
5012011-01-01DEBORAH K. DAVIDSON DEBORAH K. DAVIDSON2012-10-11
5012010-01-01DEBORAH K. DAVIDSON DEBORAH K. DAVIDSON2011-10-11
5012009-01-01DEBORAH K. DAVIDSON DEBORAH K. DAVIDSON2010-10-12

Form 5500 Responses for BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE

2016: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01This submission is the final filingYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: BASIC TERM LIFE & ACCIDENTIAL DEATH AND DISMEMBERMENT INSURANCE 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number038105G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number038105G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number038105G
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06160
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06160
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05567676
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number06160
Policy instance 2

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