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| Plan Name | NATIONAL QUALITY FORUM EMPLOYEE ASSISTANCE PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NATIONAL QUALITY FORUM |
| Employer identification number (EIN): | 522175544 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
Additional information about NATIONAL QUALITY FORUM
| Jurisdiction of Incorporation: | District of Columbia Corporations Division |
| Incorporation Date: | |
| Company Identification Number: | 991403 |
More information about NATIONAL QUALITY FORUM
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2012-12-01 | EBONY CLARK | |||
| 508 | 2012-07-01 | EBONY J CLARK | EBONY J CLARK | 2013-05-02 | |
| 508 | 2011-07-01 | EBONY CLARK |
| Measure | Date | Value |
|---|---|---|
| 2012: NATIONAL QUALITY FORUM EMPLOYEE ASSISTANCE PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-12-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 97 |
| Number of retired or separated participants receiving benefits | 2012-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-12-01 | 0 |
| Total of all active and inactive participants | 2012-12-01 | 97 |
| Total participants, beginning-of-year | 2012-07-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 100 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
| Total of all active and inactive participants | 2012-07-01 | 100 |
| 2011: NATIONAL QUALITY FORUM EMPLOYEE ASSISTANCE PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-07-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 100 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 0 |
| Total of all active and inactive participants | 2011-07-01 | 100 |
| 2012: NATIONAL QUALITY FORUM EMPLOYEE ASSISTANCE PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | Submission has been amended | No |
| 2012-12-01 | This submission is the final filing | No |
| 2012-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-12-01 | Plan is a collectively bargained plan | No |
| 2012-12-01 | Plan funding arrangement – Insurance | Yes |
| 2012-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: NATIONAL QUALITY FORUM EMPLOYEE ASSISTANCE PLAN 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | First time form 5500 has been submitted | Yes |
| 2011-07-01 | Submission has been amended | No |
| 2011-07-01 | This submission is the final filing | No |
| 2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-07-01 | Plan is a collectively bargained plan | No |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| EMPLOYEE NETWORK INC. (National Association of Insurance Commissioners NAIC id number: 52429 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | EAP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EMPLOYEE NETWORK INC. (National Association of Insurance Commissioners NAIC id number: 52429 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | EAP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| EMPLOYEE NETWORK INC. (National Association of Insurance Commissioners NAIC id number: 52429 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | EAP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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