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| Plan Name | EAGLE INDUSTRIES, INC. MEDICAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | EAGLE INDUSTRIES, INC. |
| Employer identification number (EIN): | 383212270 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-06-01 | GREGORY FEITEN | |||
| 502 | 2014-06-01 | GREGORY FEITEN | |||
| 502 | 2014-06-01 | GREGORY J FEITEN | |||
| 502 | 2013-06-01 | GREGORY FEITEN | |||
| 502 | 2012-06-01 | GREGORY FEITEN | |||
| 502 | 2011-06-01 | GREGORY FEITEN | |||
| 502 | 2010-06-01 | GREGORY FEITEN | |||
| 502 | 2009-06-01 | GREGORY FEITEN |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |
| Policy contract number | 52840 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |
| Policy contract number | 52840 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |
| Policy contract number | 52840 |
| Policy instance | 1 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |
| Policy contract number | 52840 |
| Policy instance | 1 |
| MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 00 |
| Policy instance | 1 |
| MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 00 |
| Policy instance | 1 |
| MHN (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 00 |
| Policy instance | 1 |
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