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| Plan Name | TN TENNESSEE HEALTH & WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TN AMERICAS HOLDINGS INC. |
| Employer identification number (EIN): | 822328206 |
| NAIC Classification: | 332110 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-01-01 | TREVOR LYNCH | |||
| 501 | 2017-08-17 | TREVOR LYNCH |
| 2018: TN TENNESSEE HEALTH & WELFARE PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: TN TENNESSEE HEALTH & WELFARE PLAN 2017 form 5500 responses | ||
| 2017-08-17 | Type of plan entity | Single employer plan |
| 2017-08-17 | First time form 5500 has been submitted | Yes |
| 2017-08-17 | Submission has been amended | No |
| 2017-08-17 | This submission is the final filing | No |
| 2017-08-17 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-08-17 | Plan is a collectively bargained plan | No |
| 2017-08-17 | Plan funding arrangement – Insurance | Yes |
| 2017-08-17 | Plan benefit arrangement – Insurance | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 901303 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |
| Policy contract number | 10147751001 |
| Policy instance | 2 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) | |
| Policy contract number | 901303 |
| Policy instance | 1 |
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