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| Plan Name | KENERGY CORPORATION HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KENERGY |
| Employer identification number (EIN): | 611354109 |
| NAIC Classification: | 238210 |
| NAIC Description: | Electrical Contractors and Other Wiring Installation Contractors |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-01-01 | KEITH ELLIS | 2023-09-28 |
| 2022: KENERGY CORPORATION HEALTH & WELFARE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96887 ) | |||||||||||||||||||
| Policy contract number | 493940183033 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| EMPHESYS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88595 ) | |||||||||||||||||||
| Policy contract number | 323612 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
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| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||
| Policy contract number | 30919-1042 | ||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||
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