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| Plan Name | EAGLE RIDGE HOSPITALITY, LLC DBA EAGLE RIDGE RESORT & SPA GROUP POLICY |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | EAGLE RIDGE HOSPITALITY, LLC D/B/A EAGLE RIDGE RESORT & SPA |
| Employer identification number (EIN): | 834394814 |
| NAIC Classification: | 721110 |
| NAIC Description: | Hotels (except Casino Hotels) and Motels |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-01-01 | MIKE CADY | |||
| 501 | 2018-07-01 |
| 2018: EAGLE RIDGE HOSPITALITY, LLC DBA EAGLE RIDGE RESORT & SPA GROUP POLICY 2018 form 5500 responses | ||
|---|---|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 ) | |
| Policy contract number | 30331 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |
| Policy contract number | 96749041001 |
| Policy instance | 2 |
| MEDICAL ASSOCIATES HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 52559 ) | |
| Policy contract number | 290021 |
| Policy instance | 3 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |
| Policy contract number | 5577828 |
| Policy instance | 4 |
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