CRC INSURANCE SERVICES, INC. HEALTH & DENTAL WELFARE BENEFIT PLAN
|
2009
|
630834817
|
2010-06-10
|
CRC INSURANCE SERVICES, INC.
|
801
|
|
File |
View Page
|
Three-digit plan number (PN) |
846
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2054142378
|
Plan sponsor’s mailing address |
ONE METROPLEX DRIVE, SUITE, BIRMINGHAM, AL, 35209
|
Plan sponsor’s
address |
ONE METROPLEX DRIVE, SUITE, BIRMINGHAM, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630834817 |
Plan administrator’s name |
CRC INSURANCE SERVICES, INC. |
Plan administrator’s
address |
ONE METROPLEX DRIVE, SUITE, BIRMINGHAM, AL, 35209 |
Administrator’s telephone number |
2054142378 |
Number of participants as of the end of the plan year
Active participants |
869 |
Retired or separated participants receiving
benefits |
24 |
Other
retired or separated participants entitled to future benefits |
74 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LINDSEY PATTERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-09 |
Name of individual signing |
KRISTI JEFFERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRC INSURANCE SERVICES, INC. GROUP LEGAL EXPENSE INSURANCE
|
2009
|
630834817
|
2010-06-10
|
CRC INSURANCE SERVICES, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
519
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2054142378
|
Plan sponsor’s mailing address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan sponsor’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630834817 |
Plan administrator’s name |
CRC INSURANCE SERVICES, INC. |
Plan administrator’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209 |
Administrator’s telephone number |
2054142378 |
Number of participants as of the end of the plan year
Active participants |
148 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LINDSEY PATTERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-09 |
Name of individual signing |
KRISTI JEFFERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRC INSURANCE SERVICES, INC. EMPLOYEE TERM LIFE WELFARE BENEFIT PLAN
|
2009
|
630834817
|
2010-06-10
|
CRC INSURANCE SERVICES, INC.
|
929
|
|
File |
View Page
|
Three-digit plan number (PN) |
515
|
Effective date of plan |
2003-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2054142378
|
Plan sponsor’s mailing address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan sponsor’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630834817 |
Plan administrator’s name |
CRC INSURANCE SERVICES, INC. |
Plan administrator’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209 |
Administrator’s telephone number |
2054142378 |
Number of participants as of the end of the plan year
Active participants |
1102 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LINDSEY PATTERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-09 |
Name of individual signing |
KRISTI JEFFERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRC INSURANCE SERVICES, INC. GROUP TRAVEL ACCIDENT PLAN
|
2009
|
630834817
|
2010-06-10
|
CRC INSURANCE SERVICES, INC.
|
929
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2001-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2054142378
|
Plan sponsor’s mailing address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan sponsor’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630834817 |
Plan administrator’s name |
CRC INSURANCE SERVICES, INC. |
Plan administrator’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209 |
Administrator’s telephone number |
2054142378 |
Number of participants as of the end of the plan year
Active participants |
1102 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LINDSEY PATTERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-09 |
Name of individual signing |
KRISTI JEFFERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRC INSURANCE SERVICES, INC. HEALTH FSA
|
2009
|
630834817
|
2010-06-10
|
CRC INSURANCE SERVICES, INC.
|
241
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2002-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
2054142378
|
Plan sponsor’s mailing address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan sponsor’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630834817 |
Plan administrator’s name |
CRC INSURANCE SERVICES, INC. |
Plan administrator’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209 |
Administrator’s telephone number |
2054142378 |
Number of participants as of the end of the plan year
Active participants |
258 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LINDSEY PATTERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-09 |
Name of individual signing |
KRISTI JEFFERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRC INSURANCE SERVICES, INC. VISION WELFARE BENEFIT PLAN
|
2009
|
630834817
|
2010-06-10
|
CRC INSURANCE SERVICES, INC.
|
555
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
2002-11-01
|
Business code |
541110
|
Sponsor’s telephone number |
2054142378
|
Plan sponsor’s mailing address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan sponsor’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209
|
Plan administrator’s name and address
Administrator’s EIN |
630834817 |
Plan administrator’s name |
CRC INSURANCE SERVICES, INC. |
Plan administrator’s
address |
ONE METROPLEX DRIVE, SUITE 400, BIRMINGHAM, AL, 35209 |
Administrator’s telephone number |
2054142378 |
Number of participants as of the end of the plan year
Active participants |
600 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
44 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LINDSEY PATTERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-09 |
Name of individual signing |
KRISTI JEFFERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|