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| Plan Name | REC HEALTH & BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | RAINBOW ENERGY CENTER, LLC |
| Employer identification number (EIN): | 862817922 |
| NAIC Classification: | 221100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-05-01 | CORI REICHENBERG | 2023-09-22 |
| Measure | Date | Value |
|---|---|---|
| 2022: REC HEALTH & BENEFIT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-05-01 | 168 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 157 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 157 |
| Number of employers contributing to the scheme | 2022-05-01 | 0 |
| 2022: REC HEALTH & BENEFIT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | First time form 5500 has been submitted | Yes |
| 2022-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 293485 | ||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||
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| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 10155 | ||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||
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| NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 3300 | ||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||
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| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||||||||||||
| Policy contract number | 728781 | ||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||
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