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| Plan Name | LONDON BAY GROUP, INC |
| Plan identification number | 512 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LONDON BAY GROUP INC |
| Employer identification number (EIN): | 650220821 |
| NAIC Classification: | 236110 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 512 | 2017-11-01 | ||||
| 512 | 2017-11-01 | ||||
| 512 | 2016-11-01 | SABRA SMITH | |||
| 512 | 2015-11-01 | SABRA SMITH | SABRA SMITH | 2017-03-20 |
| Measure | Date | Value |
|---|---|---|
| 2017: LONDON BAY GROUP, INC 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-11-01 | 115 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 99 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2017-11-01 | 0 |
| Total of all active and inactive participants | 2017-11-01 | 101 |
| 2016: LONDON BAY GROUP, INC 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-11-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 113 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 2 |
| Total of all active and inactive participants | 2016-11-01 | 115 |
| Total participants | 2016-11-01 | 115 |
| 2015: LONDON BAY GROUP, INC 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-11-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 110 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 0 |
| Total of all active and inactive participants | 2015-11-01 | 112 |
| Total participants | 2015-11-01 | 112 |
| 2017: LONDON BAY GROUP, INC 2017 form 5500 responses | ||
|---|---|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | No |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: LONDON BAY GROUP, INC 2016 form 5500 responses | ||
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Submission has been amended | No |
| 2016-11-01 | This submission is the final filing | No |
| 2016-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-11-01 | Plan is a collectively bargained plan | No |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: LONDON BAY GROUP, INC 2015 form 5500 responses | ||
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | First time form 5500 has been submitted | Yes |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 30495 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 30495 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1082999 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 62199 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 147227 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00493832 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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