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| Plan Name | NORTHERN INDIANA HOME HEALTH CBIN BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTHERN INDIANA HOME HEALTH |
| Employer identification number (EIN): | 810712632 |
| NAIC Classification: | 621900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-10-01 | JENNIFER ELKIN | 2022-04-28 |
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