| Plan Name | BREWER'S SUPPLY GROUP DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | BREWER'S SUPPLY GROUP, INC. |
| Employer identification number (EIN): | 200516874 |
| NAIC Classification: | 311200 |
| NAIC Description: | Grain and Oilseed Milling |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2021-09-01 | MARLENE HAHN | 2024-12-23 | ||
| 502 | 2020-09-01 | MARLENE HAHN | 2024-12-23 | ||
| 502 | 2019-09-01 | MARLENE HAHN | 2024-12-23 |
| 2021: BREWER'S SUPPLY GROUP DENTAL PLAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | This submission is the final filing | Yes |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: BREWER'S SUPPLY GROUP DENTAL PLAN 2020 form 5500 responses | ||
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BREWER'S SUPPLY GROUP DENTAL PLAN 2019 form 5500 responses | ||
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | First time form 5500 has been submitted | Yes |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||
| Policy contract number | 5965143 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||
| Policy contract number | 5965143 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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