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| Plan Name | PERSONAL CHOICE PPO 1500/20-40/100 |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TRI-COUNTY AUTO CENTER LTD |
| Employer identification number (EIN): | 232610181 |
| 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 | 2024-03-01 | HEATHER OXENFORD | |||
| 501 | 2023-03-01 | HEATHER OXENFORD | 2024-07-22 | ||
| 501 | 2022-03-01 | HEATHER OXENFORD | 2023-08-04 |
| 2023: PERSONAL CHOICE PPO 1500/20-40/100 2023 form 5500 responses | ||
|---|---|---|
| 2023-03-01 | Type of plan entity | Single employer plan |
| 2023-03-01 | Plan funding arrangement – Insurance | Yes |
| 2023-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: PERSONAL CHOICE PPO 1500/20-40/100 2022 form 5500 responses | ||
| 2022-03-01 | Type of plan entity | Single employer plan |
| 2022-03-01 | First time form 5500 has been submitted | Yes |
| 2022-03-01 | Plan funding arrangement – Insurance | Yes |
| 2022-03-01 | Plan benefit arrangement – Insurance | Yes |
| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) | |||||||||||||||||||||
| Policy contract number | 109340 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 ) | |||||||||||||||||||||
| Policy contract number | 109340 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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