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| Plan Name | BUSINESS TRAVEL INSURANCE |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SAN JUAN CONSTRUCTION, INC. |
| Employer identification number (EIN): | 841030278 |
| NAIC Classification: | 237990 |
| NAIC Description: | Other Heavy and Civil Engineering Construction |
Additional information about SAN JUAN CONSTRUCTION, INC.
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 1986-07-24 |
| Company Identification Number: | 19871682557 |
| Legal Registered Office Address: |
401 E Main St Montrose United States of America (USA) 81401 |
More information about SAN JUAN CONSTRUCTION, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2021-10-01 | ||||
| 502 | 2021-10-01 | RONALD LEACH |
| 2021: BUSINESS TRAVEL INSURANCE 2021 form 5500 responses | ||
|---|---|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | First time form 5500 has been submitted | Yes |
| 2021-10-01 | Submission has been amended | No |
| 2021-10-01 | This submission is the final filing | No |
| 2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-10-01 | Plan is a collectively bargained plan | No |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 08900B |
| Policy instance | 1 |
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