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| Plan Name | PRINCIPAL LIFE INSURANCE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GRANDISON MANAGEMENT |
| Employer identification number (EIN): | 261645086 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-02-01 | NICOLE SOFIA | 2023-07-17 | ||
| 501 | 2021-02-01 | DASSIE LICHT | 2022-05-03 | ||
| 501 | 2020-02-01 | DASSIE LICHT | 2021-09-30 | ||
| 501 | 2019-02-01 | DASSIE LICHT | 2020-11-17 |
| 2022: PRINCIPAL LIFE INSURANCE 2022 form 5500 responses | ||
|---|---|---|
| 2022-02-01 | Type of plan entity | Single employer plan |
| 2022-02-01 | This submission is the final filing | Yes |
| 2022-02-01 | Plan funding arrangement – Insurance | Yes |
| 2022-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: PRINCIPAL LIFE INSURANCE 2021 form 5500 responses | ||
| 2021-02-01 | Type of plan entity | Single employer plan |
| 2021-02-01 | Plan funding arrangement – Insurance | Yes |
| 2021-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PRINCIPAL LIFE INSURANCE 2020 form 5500 responses | ||
| 2020-02-01 | Type of plan entity | Single employer plan |
| 2020-02-01 | Plan funding arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PRINCIPAL LIFE INSURANCE 2019 form 5500 responses | ||
| 2019-02-01 | Type of plan entity | Single employer plan |
| 2019-02-01 | First time form 5500 has been submitted | Yes |
| 2019-02-01 | Plan funding arrangement – Insurance | Yes |
| 2019-02-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||
| Policy contract number | 572060 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||
| Policy contract number | 572060 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||
| Policy contract number | 1062012 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||
| Policy contract number | 572060 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||
| Policy contract number | 1062012 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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