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| Plan Name | LIFE AND AD&D |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SURTECO NORTH AMERICA INC - OMNOVA |
| Employer identification number (EIN): | 465019366 |
| NAIC Classification: | 326100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-03-01 | GUNDRUN PECHTOLD | 2024-10-11 |
| 2023: LIFE AND AD&D 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | First time form 5500 has been submitted | Yes |
| 2023-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||
| Policy contract number | 171290 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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