| Plan Name | THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PROVIZOR FEDERAL INC. |
| Employer identification number (EIN): | 521525316 |
| NAIC Classification: | 238900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-01-01 | PHILLIP GERACI | 2020-10-16 | ||
| 502 | 2018-01-01 | OLGA JAMES | 2019-09-19 | OLGA JAMES | 2019-09-19 |
| 502 | 2013-05-01 | CHRISTINE RUSSMAN | 2014-10-07 | CHRISTINE RUSSMAN | 2014-10-07 |