NATIONAL GUARDIAN LIFE DENTAL
|
2015
|
640367992
|
2016-09-27
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
372
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2015-03-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U S HIGHWAY 49, HATTIESBURG, MS, 394029128
|
Plan sponsor’s
address |
7037 U S HIGHWAY 49, HATTIESBURG, MS, 394029128
|
Number of participants as of the end of the plan year
Active participants |
367 |
Retired or separated participants receiving
benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-27 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL GUARDIAN LIFE
|
2015
|
640367992
|
2016-09-27
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
415
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2014-03-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U S HIGHWAY 49, HATTIESBURG, MS, 394029128
|
Plan sponsor’s
address |
7037 U S HIGHWAY 49, HATTIESBURG, MS, 394029128
|
Number of participants as of the end of the plan year
Active participants |
408 |
Retired or separated participants receiving
benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-27 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLEXIBLE BENEFITS PLAN
|
2015
|
640367992
|
2016-09-27
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
151
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-04-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U S HIGHWAY 49, HATTIESBURG, MS, 394029128
|
Plan sponsor’s
address |
7037 U S HIGHWAY 49, HATTIESBURG, MS, 394029128
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-27 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOLUNTARY INSURANCE PLAN
|
2015
|
640367992
|
2016-09-20
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
272
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1986-11-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., PO BOX 15849, HATTIESBURG, MS, 394045849
|
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., PO BOX 15849, HATTIESBURG, MS, 394045849
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-15 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELLNESS CLINIC PLAN
|
2015
|
640367992
|
2016-09-20
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
410
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-04-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., PO BOX 15849, HATTIESBURG, MS, 394045849
|
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., PO BOX 15849, HATTIESBURG, MS, 394045849
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-09-20 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-20 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN
|
2014
|
640367992
|
2015-09-24
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
415
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-03-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Plan sponsor’s
address |
7037 U.S. HWY 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Number of participants as of the end of the plan year
Active participants |
420 |
Retired or separated participants receiving
benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOLUNTARY INSURANCE PLAN
|
2014
|
640367992
|
2015-09-24
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
272
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1986-11-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Plan sponsor’s
address |
7037 U.S. HWY 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLEXIBLE BENEFITS PLAN
|
2014
|
640367992
|
2015-09-24
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-04-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., HATTIESBURG, MS, 39404
|
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., HATTIESBURG, MS, 39404
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL INSURANCE PLAN
|
2014
|
640367992
|
2015-09-24
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
345
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1992-03-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Plan sponsor’s
address |
7037 U.S. HWY 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Number of participants as of the end of the plan year
Active participants |
368 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLEXIBLE BENEFITS PLAN
|
2013
|
640367992
|
2014-09-29
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-04-01
|
Business code |
221100
|
Sponsor’s telephone number |
6012682083
|
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL INSURANCE PLAN
|
2013
|
640367992
|
2014-09-29
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
283
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/29/20140929142258P040023597751001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1992-03-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VOLUNTARY INSURANCE PLAN
|
2013
|
640367992
|
2014-09-29
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
255
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/29/20140929142128P040023595191001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1986-11-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN
|
2013
|
640367992
|
2014-09-30
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
463
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/30/20140930094017P030008568591001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1989-03-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Active participants |
401 |
Retired or separated participants receiving
benefits |
14 |
Signature of
Role |
Plan administrator |
Date |
2014-09-30 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL INSURANCE PLAN
|
2012
|
640367992
|
2013-09-19
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
283
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/19/20130919145229P040400865347001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1992-03-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANCER/VOLUNTARY INSURANCE PLAN
|
2012
|
640367992
|
2013-09-19
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
234
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/19/20130919145212P040400865075001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1986-11-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION FLEXIBLE BENEFITS PLAN
|
2012
|
640367992
|
2013-09-19
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
120
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/19/20130919145143P040400864291001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2011-04-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION EMPLOYEE BENEFIT PLAN AND TRUST
|
2012
|
640367992
|
2013-09-19
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
415
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/19/20130919145056P040400863123001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1989-03-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Number of participants as of the end of the plan year
Active participants |
392 |
Retired or separated participants receiving
benefits |
70 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-17 |
Name of individual signing |
PHYLLIS SEAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL INSURANCE PLAN
|
2011
|
640367992
|
2012-09-26
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
221
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/26/20120926095554P040059374290001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1992-03-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan
sponsor’s DBA name |
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIAITON |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan administrator’s name and address
Administrator’s EIN |
640367992 |
Plan administrator’s name |
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION |
Plan administrator’s
address |
7037 U.S. HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Administrator’s telephone number |
6012682083 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
RAYMOND HALEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANCER INSURANCE PLAN
|
2011
|
640367992
|
2012-09-24
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
230
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/24/20120924114219P030007535652001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1986-11-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan
sponsor’s DBA name |
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan administrator’s name and address
Administrator’s EIN |
640367992 |
Plan administrator’s name |
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION |
Plan administrator’s
address |
7037 U.S. HWY. 49 N, P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Administrator’s telephone number |
6012682083 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-09-19 |
Name of individual signing |
RAYMOND HALEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENTAL INSURANCE PLAN
|
2010
|
640367992
|
2011-08-30
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
205
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/30/20110830144611P030017776258001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1992-03-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan administrator’s name and address
Administrator’s EIN |
640367992 |
Plan administrator’s name |
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION |
Plan administrator’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Administrator’s telephone number |
6012682083 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
RAYMOND HALEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CANCER INSURANCE PLAN
|
2010
|
640367992
|
2011-08-30
|
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION
|
209
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/30/20110830144336P030017776002001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1986-11-01 |
Business code |
221100 |
Sponsor’s telephone number |
6012682083 |
Plan sponsor’s mailing address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan sponsor’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Plan administrator’s name and address
Administrator’s EIN |
640367992 |
Plan administrator’s name |
SOUTH MISSISSIPPI ELECTRIC POWER ASSOCIATION |
Plan administrator’s
address |
7037 U.S. HWY. 49 N., P.O. BOX 15849, HATTIESBURG, MS, 39404 |
Administrator’s telephone number |
6012682083 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
RAYMOND HALEY |
Valid signature |
Filed with authorized/valid electronic signature |
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