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| Plan Name | KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KENDRION (SHELBY) INC. |
| Employer identification number (EIN): | 208284552 |
| NAIC Classification: | 336300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-04-01 | PAULA VINCENT | PAULA VINCENT | 2016-10-03 | |
| 501 | 2013-04-01 | STEPHANIE OLIVER | STEPHANIE OLIVER | 2014-07-25 | |
| 501 | 2012-04-01 | STEPHANIE OLIVER | STEPHANIE OLIVER | 2013-11-15 | |
| 501 | 2011-04-01 | STEPHANIE OLIVER | STEPHANIE OLIVER | 2012-10-15 | |
| 501 | 2010-04-01 | STEPHANIE OLIVER | STEPHANIE OLIVER | 2011-06-27 | |
| 501 | 2009-04-01 | STEPHANIE OLIVER | STEPHANIE OLIVER | 2010-07-31 | |
| 501 | 2009-04-01 | STEPHANIE OLIVER | STEPHANIE OLIVER | 2010-07-31 |
| 2015: KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M 2015 form 5500 responses | ||
|---|---|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M 2013 form 5500 responses | ||
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M 2012 form 5500 responses | ||
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | Plan funding arrangement – Insurance | Yes |
| 2012-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M 2011 form 5500 responses | ||
| 2011-04-01 | Type of plan entity | Single employer plan |
| 2011-04-01 | Plan funding arrangement – Insurance | Yes |
| 2011-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M 2010 form 5500 responses | ||
| 2010-04-01 | Type of plan entity | Single employer plan |
| 2010-04-01 | Submission has been amended | Yes |
| 2010-04-01 | Plan funding arrangement – Insurance | Yes |
| 2010-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: KENDRION (SHELBY), INC. EMPLOYEE BENEFITS PLAN - M 2009 form 5500 responses | ||
| 2009-04-01 | Type of plan entity | Single employer plan |
| 2009-04-01 | Submission has been amended | Yes |
| 2009-04-01 | This submission is the final filing | No |
| 2009-04-01 | Plan funding arrangement – Insurance | Yes |
| 2009-04-01 | Plan benefit arrangement – Insurance | Yes |
| COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 ) | |
| Policy contract number | 3185740000 |
| Policy instance | 1 |
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 ) | |
| Policy contract number | 3185740000 |
| Policy instance | 2 |
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |
| Policy contract number | 075921 |
| Policy instance | 1 |
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |
| Policy contract number | 075921 |
| Policy instance | 1 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |
| Policy contract number | 606467 |
| Policy instance | 1 |
| BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 ) | |
| Policy contract number | 071543 |
| Policy instance | 1 |
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