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| Plan Name | SOFTWARE INFORMATION SYSTEMS, LLC HEALTH AND WELFARE BENEFITS PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SOFTWARE INFORMATION SYSTEMS, LLC |
| Employer identification number (EIN): | 611371685 |
| NAIC Classification: | 541519 |
| NAIC Description: | Other Computer Related Services |
Additional information about SOFTWARE INFORMATION SYSTEMS, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2012-11-30 |
| Company Identification Number: | 0801691509 |
| Legal Registered Office Address: |
165 BARR ST LEXINGTON United States of America (USA) 40507 |
More information about SOFTWARE INFORMATION SYSTEMS, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2019-06-01 |
| 2019: SOFTWARE INFORMATION SYSTEMS, LLC HEALTH AND WELFARE BENEFITS PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-06-01 | Type of plan entity | Single employer plan |
| 2019-06-01 | First time form 5500 has been submitted | Yes |
| 2019-06-01 | Submission has been amended | No |
| 2019-06-01 | This submission is the final filing | Yes |
| 2019-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-06-01 | Plan is a collectively bargained plan | No |
| 2019-06-01 | Plan funding arrangement – Insurance | Yes |
| 2019-06-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) | |
| Policy contract number | 00247624 |
| Policy instance | 1 |
| DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 ) | |
| Policy contract number | 0691200 |
| Policy instance | 2 |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | G000BCK7 |
| Policy instance | 3 |
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