|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC 401(K) PLAN
|
2023
|
760754054
|
2024-06-21
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8605707446
|
| Plan sponsor’s
address |
29 SOUTH MAIN STREET, SUITE 201, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-21 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC 401(K) PLAN
|
2022
|
760754054
|
2023-05-11
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8605707446
|
| Plan sponsor’s
address |
29 SOUTH MAIN STREET, SUITE 201, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-11 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC 401(K) PLAN
|
2021
|
760754054
|
2022-05-17
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8605707446
|
| Plan sponsor’s
address |
29 SOUTH MAIN STREET, SUITE 201, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-17 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-05-17 |
| Name of individual signing |
SETH J KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC 401(K) PLAN
|
2020
|
760754054
|
2021-04-26
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8605707446
|
| Plan sponsor’s
address |
29 SOUTH MAIN STREET, SUITE 201, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-26 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-04-26 |
| Name of individual signing |
SETH J KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC 401(K) PLAN
|
2019
|
760754054
|
2020-10-13
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8605707446
|
| Plan sponsor’s
address |
29 SOUTH MAIN STREET, SUITE 201, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-13 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-10-13 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC 401(K) PLAN
|
2018
|
760754054
|
2019-10-11
|
PHYSICIAN'S INSURANCE SOLUTIONS, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8605707446
|
| Plan sponsor’s
address |
29 SOUTH MAIN STREET, SUITE 201, WEST HARTFORD, CT, 06107
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-11 |
| Name of individual signing |
SETH KALKSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
