401k Plan data: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN plan

SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 401k Plan overview

Plan Name	SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN
Plan identification number	506

SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

SOUTHLAND CONSTRUCTION, INC. has sponsored the creation of one or more 401k plans.

Company Name: SOUTHLAND CONSTRUCTION, INC.

Employer identification number (EIN): 591742990

NAIC Classification: 236200

Additional information about SOUTHLAND CONSTRUCTION, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1995-03-28

Company Identification Number: 601616978

Legal Registered Office Address: 362 E ST PO BOX 3200

BLAINE
United States of America (USA)
98230

More information about SOUTHLAND CONSTRUCTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2017-01-01
506 2016-01-01
506 2015-01-01 DANIEL T. CARR

Plan Statistics for SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN

401k plan membership statisitcs for SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN

Measure Date Value
2017: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 144
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 2017-01-01 144
2016: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 194
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 194
2015: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 137
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 137

Measure	Date	Value
2017: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	144
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	144
2016: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	194
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	194
2015: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	137
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	137

Form 5500 Responses for SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN

2017: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2017 form 5500 responses
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: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SOUTHLAND CONSTRUCTION, INC. TELEMEDICINE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MYIDEALDOCTOR LLC (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

TELEMEDICINE

Policy instance

Insurance contract or identification number	TELEMEDICINE
Number of Individuals Covered	27
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MYIDEALDOCTOR LLC (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

Policy instance

Insurance contract or identification number	00
Number of Individuals Covered	137
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	SOUTHLAND CONSTRUCTION, INC.
Employer identification number (EIN):	591742990
NAIC Classification:	236200

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1995-03-28
Company Identification Number:	601616978
Legal Registered Office Address:	362 E ST PO BOX 3200 BLAINE United States of America (USA) 98230