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| Plan Name | NOBLE INDUSTRIES, INC. GROUP HEALTH AND LIFE INSURANCE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NOBLE INDUSTRIES, INC. |
| Employer identification number (EIN): | 351181531 |
| NAIC Classification: | 332900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-03-01 | ||||
| 501 | 2018-03-01 |
| Measure | Date | Value |
|---|---|---|
| 2018: NOBLE INDUSTRIES, INC. GROUP HEALTH AND LIFE INSURANCE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-03-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 109 |
| Number of retired or separated participants receiving benefits | 2018-03-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
| Total of all active and inactive participants | 2018-03-01 | 110 |
| 2018: NOBLE INDUSTRIES, INC. GROUP HEALTH AND LIFE INSURANCE PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-03-01 | Type of plan entity | Single employer plan |
| 2018-03-01 | First time form 5500 has been submitted | Yes |
| 2018-03-01 | Submission has been amended | No |
| 2018-03-01 | This submission is the final filing | No |
| 2018-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-03-01 | Plan is a collectively bargained plan | No |
| 2018-03-01 | Plan funding arrangement – Insurance | Yes |
| 2018-03-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||||
| Policy contract number | 00250403 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) | |||||||||||||||||||||||||
| Policy contract number | 00250403 | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
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