UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2015
|
651037280
|
2016-02-25
|
UNITED AUTOMOBILE INSURANCE GROUP
|
524
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH ST, MIAMI GARDENS, FL, 331695739
|
Plan sponsor’s
address |
1313 NW 167TH ST, MIAMI GARDENS, FL, 331695739
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-02-25 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-25 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2014
|
651037280
|
2015-02-18
|
UNITED AUTOMOBILE INSURANCE GROUP
|
538
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan administrator’s name and address
Administrator’s EIN |
651037280 |
Plan administrator’s name |
UNITED AUTOMOBILE INSURANCE GROUP |
Plan administrator’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169 |
Administrator’s telephone number |
3059405022 |
Number of participants as of the end of the plan year
Active participants |
524 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-02-18 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-18 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2013
|
651037280
|
2014-03-10
|
UNITED AUTOMOBILE INSURANCE GROUP
|
612
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Number of participants as of the end of the plan year
Active participants |
538 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-03-10 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-10 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2012
|
651037280
|
2013-03-05
|
UNITED AUTOMOBILE INSURANCE GROUP
|
617
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Number of participants as of the end of the plan year
Active participants |
612 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2011
|
651037280
|
2012-03-07
|
UNITED AUTOMOBILE INSURANCE GROUP
|
609
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan administrator’s name and address
Administrator’s EIN |
651037280 |
Plan administrator’s name |
UNITED AUTOMOBILE INSURANCE GROUP |
Plan administrator’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169 |
Administrator’s telephone number |
3059405022 |
Number of participants as of the end of the plan year
Active participants |
617 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-03-07 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2010
|
651037280
|
2011-03-15
|
UNITED AUTOMOBILE INSURANCE GROUP
|
684
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan administrator’s name and address
Administrator’s EIN |
651037280 |
Plan administrator’s name |
UNITED AUTOMOBILE INSURANCE GROUP |
Plan administrator’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169 |
Administrator’s telephone number |
3059405022 |
Number of participants as of the end of the plan year
Active participants |
609 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-15 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2010
|
651037280
|
2011-03-15
|
UNITED AUTOMOBILE INSURANCE GROUP
|
684
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan administrator’s name and address
Administrator’s EIN |
651037280 |
Plan administrator’s name |
UNITED AUTOMOBILE INSURANCE GROUP |
Plan administrator’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169 |
Administrator’s telephone number |
3059405022 |
Number of participants as of the end of the plan year
Active participants |
609 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-03-15 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED AUTOMOBILE INSURANCE GROUP GROUP HEALTH PLAN
|
2009
|
651037280
|
2010-03-12
|
UNITED AUTOMOBILE INSURANCE GROUP
|
735
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3059405022
|
Plan sponsor’s mailing address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan sponsor’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169
|
Plan administrator’s name and address
Administrator’s EIN |
651037280 |
Plan administrator’s name |
UNITED AUTOMOBILE INSURANCE GROUP |
Plan administrator’s
address |
1313 NW 167TH STREET, MIAMI GARDENS, FL, 33169 |
Administrator’s telephone number |
3059405022 |
Number of participants as of the end of the plan year
Active participants |
684 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-12 |
Name of individual signing |
JUDY NEUMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|