RXBENEFITS, INC. RETIREMENT SAVINGS PLAN
|
2017
|
631157085
|
2018-05-01
|
RXBENEFITS, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
2059804374
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan administrator’s name and address
Administrator’s EIN |
721386027 |
Plan administrator’s name |
PLANTECH, LLP |
Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
Administrator’s telephone number |
2059801603 |
Signature of
Role |
Plan administrator |
Date |
2018-05-01 |
Name of individual signing |
KATHY BITTLE |
|
|
RXBENEFITS, INC. LIFE AND DISABILITY PLAN
|
2017
|
631157085
|
2018-07-12
|
RXBENEFITS, INC.
|
104
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2015-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
2056233949
|
Plan sponsor’s mailing address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RXBENEFITS INC. DENTAL AND VISION PLAN
|
2017
|
631157085
|
2018-07-12
|
RXBENEFITS INC
|
266
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
2056233949
|
Plan sponsor’s mailing address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RXBENEFITS INC. HEALTH PLAN
|
2017
|
631157085
|
2018-07-12
|
RXBENEFITS INC
|
293
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-05-01
|
Business code |
524140
|
Plan sponsor’s mailing address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RXBENEFITS, INC. HEALTH PLAN
|
2017
|
631157085
|
2018-09-06
|
RXBENEFITS INC.
|
293
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-05-01
|
Business code |
524140
|
Sponsor’s telephone number |
2056233949
|
Plan
sponsor’s DBA name |
RXBENEFITS
|
Plan sponsor’s mailing address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-06 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RXBENEFITS INC. DENTAL AND VISION PLAN
|
2017
|
631157085
|
2018-09-06
|
RXBENEFITS INC.
|
266
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2015-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
2056233949
|
Plan sponsor’s mailing address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan administrator’s name and address
Administrator’s EIN |
631157085 |
Plan administrator’s name |
RXBENEFITS INC. |
Plan administrator’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219 |
Administrator’s telephone number |
2056233949 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-06 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RXBENEFITS, INC. LIFE AND DISABILITY PLAN
|
2017
|
631157085
|
2018-09-06
|
RXBENEFITS, INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2015-04-01
|
Business code |
524140
|
Sponsor’s telephone number |
2056233949
|
Plan sponsor’s mailing address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Plan sponsor’s
address |
3700 COLONNADE PKWY STE 600, BIRMINGHAM, AL, 352433219
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-09-06 |
Name of individual signing |
APRIL DOWLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RXBENEFITS, INC. RETIREMENT SAVINGS PLAN
|
2016
|
631157085
|
2017-06-21
|
RXBENEFITS, INC.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
2059804374
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE SUITE 200, BIRMINGHAM, AL, 35242
|
Plan administrator’s name and address
Administrator’s EIN |
721386027 |
Plan administrator’s name |
PLANTECH, LLP |
Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
Administrator’s telephone number |
2059801603 |
Signature of
Role |
Plan administrator |
Date |
2017-06-21 |
Name of individual signing |
KATHY BITTLE |
|
|
RXBENEFITS, INC. RETIREMENT SAVINGS PLAN
|
2015
|
631157085
|
2016-07-29
|
RXBENEFITS, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
2059804374
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE SUITE 200, BIRMINGHAM, AL, 35242
|
Plan administrator’s name and address
Administrator’s EIN |
721386027 |
Plan administrator’s name |
PLANTECH, LLP |
Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
Administrator’s telephone number |
2059801603 |
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
KATHY BITTLE |
|
|
RXBENEFITS, INC. RETIREMENT SAVINGS PLAN
|
2014
|
631157085
|
2015-07-24
|
RXBENEFITS, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
2059804374
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE SUITE 200, BIRMINGHAM, AL, 35242
|
Plan administrator’s name and address
Administrator’s EIN |
721386027 |
Plan administrator’s name |
PLANTECH, LLP |
Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
Administrator’s telephone number |
2059801603 |
Signature of
Role |
Plan administrator |
Date |
2015-07-24 |
Name of individual signing |
KATHY BITTLE |
|
|