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| Plan Name | CHESTER LIMITED MIDWEST, LLC DBA JOHNSTONE SUPPLY WELFARE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHESTER LIMITED MIDWEST, LLC |
| Employer identification number (EIN): | 383336773 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | JOHANNA GLODE | 2024-12-19 | ||
| 501 | 2021-12-01 | ||||
| 501 | 2021-12-01 | JANELLE HAFNER |
| 2023: CHESTER LIMITED MIDWEST, LLC DBA JOHNSTONE SUPPLY WELFARE BENEFITS PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | This submission is the final filing | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: CHESTER LIMITED MIDWEST, LLC DBA JOHNSTONE SUPPLY WELFARE BENEFITS PLAN 2021 form 5500 responses | ||
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | First time form 5500 has been submitted | Yes |
| 2021-12-01 | Submission has been amended | No |
| 2021-12-01 | This submission is the final filing | No |
| 2021-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-12-01 | Plan is a collectively bargained plan | No |
| 2021-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||
| Policy contract number | 1132971 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) | |||||||||||||||||||||
| Policy contract number | 10005564 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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| ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 ) | |||||||||||||||||||||
| Policy contract number | 10005565 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
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| HEALTH ALLIANCE PLAN (National Association of Insurance Commissioners NAIC id number: 95844 ) | |||||||||||||||||||||
| Policy contract number | 10005564 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 ) | |||||||||||||||||||||
| Policy contract number | 10005565 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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