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Plan Name | CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CUSTOM COOLER INC. |
Employer identification number (EIN): | 204388288 |
NAIC Classification: | 333310 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2017-08-01 | STEVE LEE | STEVE LEE | 2019-02-04 | |
501 | 2016-08-01 | STEVE LEE | STEVE LEE | 2017-12-06 | |
501 | 2015-08-01 | STEVE LEE | STEVE LEE | 2017-02-25 |
Measure | Date | Value |
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2017: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-08-01 | 122 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 128 |
Total of all active and inactive participants | 2017-08-01 | 128 |
2016: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-08-01 | 121 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 122 |
Total of all active and inactive participants | 2016-08-01 | 122 |
2015: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-08-01 | 115 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 121 |
Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
Total of all active and inactive participants | 2015-08-01 | 121 |
2017: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2017 form 5500 responses | ||
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2017-08-01 | Type of plan entity | Single employer plan |
2017-08-01 | Plan funding arrangement – Insurance | Yes |
2017-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-08-01 | Plan benefit arrangement – Insurance | Yes |
2017-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2016 form 5500 responses | ||
2016-08-01 | Type of plan entity | Single employer plan |
2016-08-01 | Plan funding arrangement – Insurance | Yes |
2016-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-08-01 | Plan benefit arrangement – Insurance | Yes |
2016-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2015 form 5500 responses | ||
2015-08-01 | Type of plan entity | Single employer plan |
2015-08-01 | First time form 5500 has been submitted | Yes |
2015-08-01 | Plan funding arrangement – Insurance | Yes |
2015-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-08-01 | Plan benefit arrangement – Insurance | Yes |
2015-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) | |||||||||||||||||||||||||||||||
Policy contract number | S4361A | ||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||
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HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) | |||||||||||||||||||||||||||||||
Policy contract number | S4361A | ||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||
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