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| Plan Name | GREAT LAKES FINANCIAL RESOURCES, INC. AND AFFILIATES EMPLOYEES MEDICAL AND DENTAL BENEFIT PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GREAT LAKES FINANCIAL RESOURCES INC. |
| Employer identification number (EIN): | 363152202 |
| NAIC Classification: | 522110 |
| NAIC Description: | Commercial Banking |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2012-01-01 | THOMAS AGLER | |||
| 503 | 2012-01-01 | THOMAS S. AGLER | |||
| 503 | 2011-01-01 | THOMAS AGLER | |||
| 503 | 2010-01-01 | THOMAS AGLER | |||
| 503 | 2009-01-01 | THOMAS AGLER |
| 2012: GREAT LAKES FINANCIAL RESOURCES, INC. AND AFFILIATES EMPLOYEES MEDICAL AND DENTAL BENEFIT PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | Yes |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GREAT LAKES FINANCIAL RESOURCES, INC. AND AFFILIATES EMPLOYEES MEDICAL AND DENTAL BENEFIT PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GREAT LAKES FINANCIAL RESOURCES, INC. AND AFFILIATES EMPLOYEES MEDICAL AND DENTAL BENEFIT PLAN 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GREAT LAKES FINANCIAL RESOURCES, INC. AND AFFILIATES EMPLOYEES MEDICAL AND DENTAL BENEFIT PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 ) | |
| Policy contract number | 7125K7 |
| Policy instance | 1 |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |
| Policy contract number | B63566 P63566 |
| Policy instance | 2 |
| CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 ) | |
| Policy contract number | 7125K7 |
| Policy instance | 1 |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |
| Policy contract number | B63566 P63566 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 95484 ) | |
| Policy contract number | US414757 |
| Policy instance | 1 |
| CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 ) | |
| Policy contract number | 7125K7 |
| Policy instance | 2 |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |
| Policy contract number | 471781-ERG |
| Policy instance | 3 |
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