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| Plan Name | MOMNT TECHNOLOGIES INC. HEALTH AND WELFARE BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MOMNT TECHNOLOGIES INC. |
| Employer identification number (EIN): | 842615454 |
| NAIC Classification: | 522220 |
| NAIC Description: | Sales Financing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | CAITLIN LANNING | 2024-09-12 |
| Measure | Date | Value |
|---|---|---|
| 2023: MOMNT TECHNOLOGIES INC. HEALTH AND WELFARE BENEFIT PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 197 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 3 |
| Total of all active and inactive participants | 2023-01-01 | 202 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2023: MOMNT TECHNOLOGIES INC. HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 ) | |||||||||||||||||||||||||
| Policy contract number | L07322 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 ) | |||||||||||||||||||||||||
| Policy contract number | CM10002412 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
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| KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. (National Association of Insurance Commissioners NAIC id number: 96237 ) | |||||||||||||||||||||||||
| Policy contract number | 10698 | ||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||
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