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| Plan Name | CUSTOM COOLER INC. DENTAL BENEFITS PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CCI GLOBAL, LLC |
| Employer identification number (EIN): | 814539322 |
| NAIC Classification: | 333310 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2018-08-01 |
| Measure | Date | Value |
|---|---|---|
| 2018: CUSTOM COOLER INC. DENTAL BENEFITS PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-08-01 | 146 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 158 |
| Total of all active and inactive participants | 2018-08-01 | 158 |
| 2018: CUSTOM COOLER INC. DENTAL BENEFITS PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||
| Policy contract number | 279690 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) | |||||||||||||||||||||||||||
| Policy contract number | 279690 | ||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||
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