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| Plan Name | GASTROENTEROLOGY CENTER OF THE MIDSOUTH LIFE INSURANCE PLAN |
| Plan identification number | 524 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GASTROENTEROLOGY CENTER OF THE MIDSOUTH, P.C. |
| Employer identification number (EIN): | 621094933 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 524 | 2017-01-01 | DAVID HARANO | |||
| 524 | 2016-07-01 | DAVID HARANO |
| Measure | Date | Value |
|---|---|---|
| 2017: GASTROENTEROLOGY CENTER OF THE MIDSOUTH LIFE INSURANCE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 328 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 328 |
| Total of all active and inactive participants | 2017-01-01 | 328 |
| 2016: GASTROENTEROLOGY CENTER OF THE MIDSOUTH LIFE INSURANCE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-07-01 | 328 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 328 |
| Total of all active and inactive participants | 2016-07-01 | 328 |
| 2017: GASTROENTEROLOGY CENTER OF THE MIDSOUTH LIFE INSURANCE PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GASTROENTEROLOGY CENTER OF THE MIDSOUTH LIFE INSURANCE PLAN 2016 form 5500 responses | ||
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | This submission is the final filing | Yes |
| 2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |
| Policy contract number | 10153978 |
| Policy instance | 1 |
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