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| Plan Name | KOCH & CO., INC. VOLUNTARY CRITICAL ILLNESS PLAN |
| Plan identification number | 508 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KOCH & CO., INC |
| Employer identification number (EIN): | 481090100 |
| NAIC Classification: | 321900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 508 | 2023-01-01 | ||||
| 508 | 2023-01-01 | LARRY KUCKELMAN | |||
| 508 | 2023-01-01 | LARRY KUCKELMAN | |||
| 508 | 2022-01-01 | ||||
| 508 | 2022-01-01 | LARRY KUCKELMAN | |||
| 508 | 2021-01-01 | ||||
| 508 | 2021-01-01 | LARRY KUCKELMAN | |||
| 508 | 2020-01-01 | ||||
| 508 | 2019-01-01 |
| 2023: KOCH & CO., INC. VOLUNTARY CRITICAL ILLNESS PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: KOCH & CO., INC. VOLUNTARY CRITICAL ILLNESS PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: KOCH & CO., INC. VOLUNTARY CRITICAL ILLNESS PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: KOCH & CO., INC. VOLUNTARY CRITICAL ILLNESS PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: KOCH & CO., INC. VOLUNTARY CRITICAL ILLNESS PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||
| Policy contract number | VCI 801581 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||
| Policy contract number | VCI 801581 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| |||||||||||||||||
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||
| Policy contract number | VCI 801581 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||
| Policy contract number | VCI 801581 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||
| Policy contract number | VCI 801581 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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