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| Plan Name | GOULD MEDICAL GROUP TERM LIFE INSURANCE |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GOULD MEDICAL GROUP, INC. |
| Employer identification number (EIN): | 922151374 |
| 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 |
|---|---|---|---|---|---|
| 503 | 2019-12-01 | MARTIN PRICCO | 2021-03-31 | ||
| 503 | 2018-12-01 | MARTIN PRICCO | 2020-06-04 | ||
| 503 | 2017-12-01 | MARTIN PRICCO | 2019-04-30 | ||
| 503 | 2016-12-01 | ||||
| 503 | 2015-12-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-12-01 | 377 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-12-01 | 0 |
| Total of all active and inactive participants | 2019-12-01 | 0 |
| 2018: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-12-01 | 376 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 377 |
| Number of retired or separated participants receiving benefits | 2018-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-12-01 | 0 |
| Total of all active and inactive participants | 2018-12-01 | 377 |
| 2017: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-12-01 | 358 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 372 |
| Number of retired or separated participants receiving benefits | 2017-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-12-01 | 0 |
| Total of all active and inactive participants | 2017-12-01 | 372 |
| 2016: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-12-01 | 342 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 358 |
| Number of retired or separated participants receiving benefits | 2016-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 0 |
| Total of all active and inactive participants | 2016-12-01 | 358 |
| 2015: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-12-01 | 346 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 342 |
| Number of retired or separated participants receiving benefits | 2015-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-12-01 | 0 |
| Total of all active and inactive participants | 2015-12-01 | 342 |
| 2019: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2019 form 5500 responses | ||
|---|---|---|
| 2019-12-01 | Type of plan entity | Single employer plan |
| 2019-12-01 | Submission has been amended | No |
| 2019-12-01 | This submission is the final filing | Yes |
| 2019-12-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-12-01 | Plan is a collectively bargained plan | No |
| 2019-12-01 | Plan funding arrangement – Insurance | Yes |
| 2019-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2018 form 5500 responses | ||
| 2018-12-01 | Type of plan entity | Single employer plan |
| 2018-12-01 | Submission has been amended | No |
| 2018-12-01 | This submission is the final filing | No |
| 2018-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-12-01 | Plan is a collectively bargained plan | No |
| 2018-12-01 | Plan funding arrangement – Insurance | Yes |
| 2018-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2017 form 5500 responses | ||
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | Submission has been amended | No |
| 2017-12-01 | This submission is the final filing | No |
| 2017-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-12-01 | Plan is a collectively bargained plan | No |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2016 form 5500 responses | ||
| 2016-12-01 | Type of plan entity | Single employer plan |
| 2016-12-01 | Submission has been amended | No |
| 2016-12-01 | This submission is the final filing | No |
| 2016-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-12-01 | Plan is a collectively bargained plan | No |
| 2016-12-01 | Plan funding arrangement – Insurance | Yes |
| 2016-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GOULD MEDICAL GROUP TERM LIFE INSURANCE 2015 form 5500 responses | ||
| 2015-12-01 | Type of plan entity | Single employer plan |
| 2015-12-01 | Submission has been amended | No |
| 2015-12-01 | This submission is the final filing | No |
| 2015-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-12-01 | Plan is a collectively bargained plan | No |
| 2015-12-01 | Plan funding arrangement – Insurance | Yes |
| 2015-12-01 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | LIF, VOL94049 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 94049 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 94049 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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