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| Plan Name | APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | APPLEBAUM & ASSOCIATES SOUTH, INC. |
| Employer identification number (EIN): | 592436282 |
| NAIC Classification: | 238900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | ||||
| 501 | 2016-01-01 | ||||
| 501 | 2015-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2017: APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 100 |
| Total of all active and inactive participants | 2017-01-01 | 100 |
| 2016: APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 103 |
| Total of all active and inactive participants | 2016-01-01 | 103 |
| 2015: APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 101 |
| Total of all active and inactive participants | 2015-01-01 | 101 |
| 2017: APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY 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: APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY PLAN 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: APPLEBAUM & ASSOCIATES SOUTH, INC PREMIUM ONLY 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 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 ) | |
| Policy contract number | 739598 |
| Policy instance | 1 |
| HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 ) | |
| Policy contract number | 739598 |
| Policy instance | 2 |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |
| Policy contract number | 739598 |
| Policy instance | 3 |
| HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 ) | |
| Policy contract number | 739598 |
| Policy instance | 1 |
| HUMANA MEDICAL PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95270 ) | |
| Policy contract number | 739598 |
| Policy instance | 2 |
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