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| Plan Name | GREAT FALLS HOLDINGS D/B/A GREAT FALLS MARKETING CONSOLIDATED WELFARE BENEFIT PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GREAT FALLS HOLDINGS |
| Employer identification number (EIN): | 452580507 |
| NAIC Classification: | 561420 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2018-11-01 | ANN MCKEE | 2020-05-18 |
| Measure | Date | Value |
|---|---|---|
| 2018: GREAT FALLS HOLDINGS D/B/A GREAT FALLS MARKETING CONSOLIDATED WELFARE BENEFIT PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-11-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-11-01 | 118 |
| Number of retired or separated participants receiving benefits | 2018-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-11-01 | 0 |
| Total of all active and inactive participants | 2018-11-01 | 118 |
| Number of employers contributing to the scheme | 2018-11-01 | 0 |
| 2018: GREAT FALLS HOLDINGS D/B/A GREAT FALLS MARKETING CONSOLIDATED WELFARE BENEFIT PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-11-01 | Type of plan entity | Single employer plan |
| 2018-11-01 | First time form 5500 has been submitted | Yes |
| 2018-11-01 | Plan funding arrangement – Insurance | Yes |
| 2018-11-01 | Plan benefit arrangement – Insurance | Yes |
| HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 ) | |
| Policy contract number | 160930000 |
| Policy instance | 1 |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1022932 |
| Policy instance | 2 |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |
| Policy contract number | 1022932 |
| Policy instance | 3 |
| HPHC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18975 ) | |
| Policy contract number | 160920000 |
| Policy instance | 4 |
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