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| Plan Name | MOUNTAIN CONTRACTORS SUPPLY GROUP HEALTH BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MOUNTAINLAND PIPE & PLUMBING SUPPLY CO |
| Employer identification number (EIN): | 870275755 |
| NAIC Classification: | 423700 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-01-01 | ||||
| 501 | 2017-01-01 | ||||
| 501 | 2016-01-01 | ||||
| 501 | 2012-01-01 | JOHN HESLOP | JOHN HESLOP | 2013-06-19 | |
| 501 | 2011-01-01 | JOHN HESLOP | |||
| 501 | 2010-01-01 | LARRY SKINNER | |||
| 501 | 2009-01-01 | LARRY SKINNER |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00533079 |
| Policy instance | 1 |
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) | |
| Policy contract number | 503924 ET AL |
| Policy instance | 2 |
| EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 ) | |
| Policy contract number | 2614 |
| Policy instance | 3 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |
| Policy contract number | 00533079 |
| Policy instance | 1 |
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