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| Plan Name | LIONSTONE CARE GROUP LIFE AND AD&D PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LIONSTONE CARE |
| Employer identification number (EIN): | 844046951 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2024-04-01 | EZZIE GOLDISH | |||
| 503 | 2024-02-01 | ||||
| 503 | 2024-02-01 | ABBA STEIN |
| 2024: LIONSTONE CARE GROUP LIFE AND AD&D PLAN 2024 form 5500 responses | ||
|---|---|---|
| 2024-02-01 | Type of plan entity | Single employer plan |
| 2024-02-01 | First time form 5500 has been submitted | Yes |
| 2024-02-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2024-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2024-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2024-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||
| Policy contract number | 64072 | ||||||||||||||
| Policy instance | 1 | ||||||||||||||
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| FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 ) | |||||||||||||||
| Policy contract number | |||||||||||||||
| Policy instance | 2 | ||||||||||||||
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