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| Plan Name | THE CHAMPION COMPANY GROUP INSURANCE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | THE CHAMPION COMPANIES |
| Employer identification number (EIN): | 311253370 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2001-01-01 | TRACY BEACHY | 2021-12-06 |
| Measure | Date | Value |
|---|---|---|
| 2001: THE CHAMPION COMPANY GROUP INSURANCE PLAN 2001 401k membership | ||
| Total participants, beginning-of-year | 2001-01-01 | 69 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2001-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2001-01-01 | 0 |
| Total of all active and inactive participants | 2001-01-01 | 0 |
| Number of employers contributing to the scheme | 2001-01-01 | 0 |
| 2001: THE CHAMPION COMPANY GROUP INSURANCE PLAN 2001 form 5500 responses | ||
|---|---|---|
| 2001-01-01 | Type of plan entity | Single employer plan |
| 2001-01-01 | Submission has been amended | Yes |
| 2001-01-01 | This submission is the final filing | Yes |
| 2001-01-01 | Plan funding arrangement – Insurance | Yes |
| 2001-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||
| Policy contract number | 00 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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