| Plan Name | NEW YORK LIFE BASIC AND VOLUNTARY AD&D |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TAM RESIDENTIAL |
| Employer identification number (EIN): | 811156354 |
| NAIC Classification: | 531310 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2023-03-01 | MARTHA TILLEY | 2024-09-20 |
| 2023: NEW YORK LIFE BASIC AND VOLUNTARY 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 submission is the final filing | Yes |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||
| Policy contract number | OK 0971707 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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