METROPOLITAN LIFE INSURANCE COMPANY DENTAL AND VISION PLAN
|
2023
|
810583874
|
2024-05-01
|
HR, INC.
|
1405
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2023-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLE HR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-01 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-01 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN LIFE INSURANCE COMPANY DENTAL AND VISION PLAN
|
2022
|
810583874
|
2023-06-16
|
HR, INC.
|
1053
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-16 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-16 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
608
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
568
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
487
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
489
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICAN DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
474
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICAN DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
472
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICAN DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
390
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GUARDIAN LIFE INSURANCE COMPANY OF AMERICAN DENTAL AND VISION PLAN
|
2021
|
810583874
|
2022-05-06
|
HR, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8506509935
|
Plan
sponsor’s DBA name |
SIMPLEHR
|
Plan sponsor’s mailing address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Plan sponsor’s
address |
36474 EMERALD COAST PKWY BLDG B, DESTIN, FL, 325414711
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-06 |
Name of individual signing |
BILL LINDSLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|