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| Plan Name | HEALTH INSURANCE PLAN FOR THE EMPLOYEES OF SHOTTENKIRK HUNTSVILLE HH |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | SHOTTENKIRK HUNTSVILLE SHH |
| Employer identification number (EIN): | 872942453 |
| NAIC Classification: | 441110 |
| NAIC Description: | New Car Dealers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-05-01 | KATHY FLOYD | 2023-02-13 |
| Measure | Date | Value |
|---|---|---|
| 2021: HEALTH INSURANCE PLAN FOR THE EMPLOYEES OF SHOTTENKIRK HUNTSVILLE HH 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-05-01 | 184 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 210 |
| Total of all active and inactive participants | 2021-05-01 | 210 |
| 2021: HEALTH INSURANCE PLAN FOR THE EMPLOYEES OF SHOTTENKIRK HUNTSVILLE HH 2021 form 5500 responses | ||
|---|---|---|
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) | |
| Policy contract number | 15774 |
| Policy instance | 1 |
| LLOYD'S OF LONDON (National Association of Insurance Commissioners NAIC id number: AA112 ) | |
| Policy contract number | JDAM000119 |
| Policy instance | 2 |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |
| Policy contract number | 888232G |
| Policy instance | 3 |
| RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 ) | |
| Policy contract number | 90183 |
| Policy instance | 4 |
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) | |
| Policy contract number | SDPSCHAJ |
| Policy instance | 5 |