| Plan Name | GROUP HEALTH BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | DAS-CO OF IDAHO, INC. |
| Employer identification number (EIN): | 204354167 |
| NAIC Classification: | 237100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-02-01 | CHIP MCNEIECE | 2022-06-13 | ||
| 501 | 2020-02-01 | CHIP MCNEIECE | 2021-08-16 |
| 2021: GROUP HEALTH BENEFIT PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-02-01 | Type of plan entity | Single employer plan |
| 2021-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: GROUP HEALTH BENEFIT PLAN 2020 form 5500 responses | ||
| 2020-02-01 | Type of plan entity | Single employer plan |
| 2020-02-01 | First time form 5500 has been submitted | Yes |
| 2020-02-01 | Plan funding arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 ) | |
| Policy contract number | 10036346 |
| Policy instance | 1 |