GENERAL PLAN INFORMATION. (a) Name of Plan: VBA Executive’s Deferred Compensation Plan for C&F Financial Corporation
GENERAL PLAN INFORMATION. NAME OF PLAN: Louisiana Conference of United Methodist Church NAME AND ADDRESS OF EMPLOYER/PLAN SPONSOR: Louisiana Conference of United Methodist Church 00000 Xxxxx Xxxx. Baton Rouge, LA 70802 EMPLOYER IDENTIFICATION 00-0000000 NUMBER (EIN): PLAN NUMBER (PN): 501 TYPE OF PLAN: Dental Benefit Plan FUNDING MEDIUM AND TYPE OF ADMINISTRATION: The Plan is a self-funded Group Dental Plan. Benefits are administered on behalf of the Plan Administrator, by Blue Cross and Blue Shield of Louisiana, pursuant to the terms of the Administrative Services Agreement and the terms and conditions of the Plan. The funding for the Benefits is derived from the trust of the Employer and contributions made by covered Employees. Employee contributions are at a rate determined by the Plan Sponsor. The Plan is not insured. PLAN ADMINISTRATOR: Louisiana Conference of United Methodist Church 000 Xxxxx Xxxx. Baton Rouge, LA 70802 225-346-1646 AGENT FOR SERVICE OF Service for legal process may be made upon the Plan LEGAL PROCESS: Administrator or if applicable, a Plan Trustee. CLAIMS ADMINISTRATOR: United Concordia Dental (UCD) PO Box 69420 Harrisburg, PA 17106-9420 0-000-000-0000 PLAN YEAR ENDS: December 31st PLAN DETAILS: The eligibility requirements, termination provisions and a description of the circumstances which may result in disqualification, ineligibility, denial, or loss of any benefits are described in the Benefit Plan. FUTURE OF THE PLAN: Although the Plan Sponsor expects and intends to continue the Plan indefinitely, the Plan Sponsor reserves the right to modify, amend, suspend, or terminate the Plan at any time. Blue Cross and Blue Shield of Louisiana HMO Louisiana Southern National Life Nondiscrimination Notice Discrimination is Against the Law Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., does not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex in its health programs or activities. Blue Cross and Blue Shield of Louisiana and its subsidiaries: • Provide free aids and services to people with disabilities to communicate effectively with us, such as: – Qualified sign language interpreters – Written information in other formats (audio, accessible electronic formats) • Provide free language services to people whose primary language is not English, such as: – Qualified interpreters – Information written in other languages If you ...
GENERAL PLAN INFORMATION. (a) Name of Plan: Atlantic Union Bankshares Corporation Executive’s Deferred Compensation Plan
GENERAL PLAN INFORMATION. (a) Name of Plan: VBA Executive's Deferred compensation Plan for American National Bank & Trust Company
GENERAL PLAN INFORMATION. The Topeka & Shawnee County Public Library Flexible Benefits Plan is the name of the Plan.
GENERAL PLAN INFORMATION. Plan Name: PetroQuest Energy, Inc. Change in Control Severance Benefit Plan. Plan Sponsor/Plan Administrator: PetroQuest Energy, Inc. is the Plan Sponsor, 000 X. Xxxxxxx Xxxxxx Road, Suite 6000, Lafayette, Louisiana 70508. PetroQuest Energy, Inc. is the Plan Administrator and keeps records of the Plan and is responsible for the administration of the Plan. The Plan Administrator will also answer any questions a Participant may have about the Plan. The address of the Plan Administrator and the Plan Sponsor is 400 E. Xxxxxxx Xxxxxx Road, Suite 6000, Xxxxxxxxx, Xxxxxxxxx 00000 and the telephone number is 000-000-0000. Employer I.D.: 00-0000000 Plan Number: 505 Type of Plan: Employee Welfare Severance Benefit Plan Plan Year: Calendar year ending December 31 Funding Medium: Program benefits are paid from the general assets of the Company. Agent for Service for Legal Process: PetroQuest Energy, Inc. c/o Corporation Service Company 0000 Xxxxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxxx, XX 00000 000-000-0000 As a participant in the Plan, you are entitled to certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA). ERISA provides that all Plan participants are entitled to: • Receive Information About Your Plan and Benefits • Examine, without charge, at the Plan Administrator’s office and at other specified locations, such as work sites and union halls, all documents governing the Plan, including insurance contracts, and a copy of the latest annual report (Form 5500 Series) filed by the Plan with the U.S. Department of Labor and available at the Public Disclosure Room of the Employee Benefits Security Administration. • Obtain, upon written request to the Plan Administrator, copies of all documents governing the operation of the Plan, including insurance contracts, and copies of the latest annual report (Form 5500 Series) and updated summary plan description. The Plan Administrator may make a reasonable charge for the copies. • Obtain a statement telling you whether you have a right to receive a benefit at normal retirement age and if so, what your benefits would be at normal retirement age if you stop working under the Plan now. If you do not have a right to a retirement benefit, the statement will tell you how many more years you have to work to get a right to a retirement benefit. This statement must be requested in writing and is not required to be given more than once every twelve (12) months. The Plan must provide the statement free...
GENERAL PLAN INFORMATION. (a) Name of Plan: (b) Plan Number: VBA Defined Contribution Plan for Sonabank 001 (c) Name, Address and EIN of Plan Administrator(s): [If other than Plan Sponsor, appointment must be by resolution]
GENERAL PLAN INFORMATION. (a) Name of Plan: VBA Director’s Deferred Compensation Plan for Pinnacle Bankshares Corporation (b) Name, Address and E.I.N. of Plan Administrator(s): (If other than Plan Sponsor, appointment must be by resolution.]
GENERAL PLAN INFORMATION. 4.1 PLAN TYPE:
GENERAL PLAN INFORMATION. 2.1 Plan Name: SBA Defined Contribution Plan for Citizens and Farmers Bank
