| Plan Name | M & R HOTEL MANAGEMENT ACCIDENT PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | M & R HOTEL MANAGEMENT |
| Employer identification number (EIN): | 753206201 |
| NAIC Classification: | 721110 |
| NAIC Description: | Hotels (except Casino Hotels) and Motels |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2023-01-01 | CLEO CLARKE | 2024-07-02 | ||
| 505 | 2022-01-01 | CLEOPHUS CLARKE | 2023-08-16 |
| 2023: M & R HOTEL MANAGEMENT ACCIDENT 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: M & R HOTEL MANAGEMENT ACCIDENT PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68209 ) | |||||||||||||||||||
| Policy contract number | 711991 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68209 ) | |||||||||||||||||||
| Policy contract number | 711991 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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