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| Plan Name | LIFE AND ADD |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | YOUNGER MANUFACTURING COMPANY |
| Employer identification number (EIN): | 951851598 |
| NAIC Classification: | 339110 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2002-11-01 | MICHAEL KENNEDY | 2021-05-18 |
| 2002: LIFE AND ADD 2002 form 5500 responses | ||
|---|---|---|
| 2002-11-01 | Type of plan entity | Single employer plan |
| 2002-11-01 | Submission has been amended | Yes |
| 2002-11-01 | This submission is the final filing | Yes |
| 2002-11-01 | Plan funding arrangement – Insurance | Yes |
| 2002-11-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61557 ) | |
| Policy contract number | 40287 |
| Policy instance | 1 |
| BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61557 ) | |
| Policy contract number | 40307 |
| Policy instance | 2 |
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