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| Plan Name | BUSINESS INTERIORS, INC. FLEXIBLE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BUSINESS INTERIORS, INC. |
| Employer identification number (EIN): | 630943005 |
| NAIC Classification: | 442110 |
| NAIC Description: | Furniture Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-10-01 | ALLISON BICE | 2024-05-01 | ||
| 501 | 2001-02-01 | ALLISON BICE | 2024-05-01 |
| 2022: BUSINESS INTERIORS, INC. FLEXIBLE BENEFITS PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2001: BUSINESS INTERIORS, INC. FLEXIBLE BENEFITS PLAN 2001 form 5500 responses | ||
| 2001-02-01 | Type of plan entity | Single employer plan |
| 2001-02-01 | Submission has been amended | Yes |
| 2001-02-01 | Plan funding arrangement – Insurance | Yes |
| 2001-02-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) | |||||||||||||||||||||
| Policy contract number | 19279 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |||||||||||||||||||||
| Policy contract number | IWB0002 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | 5397247 | ||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||
| Policy contract number | 10147279 | ||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||
| AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 ) | |||||||||||||||||||||
| Policy contract number | 56530 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) | |||||||||||||||||||||
| Policy contract number | 19279 & 02627 | ||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||
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