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| Plan Name | ALABAMA ROAD BUILDERS HEALTH AND WELFARE TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ALABAMA ROAD BUILDERS HEALTH AND WELFARE TRUST |
| Employer identification number (EIN): | 876575351 |
| NAIC Classification: | 237310 |
| NAIC Description: | Highway, Street, and Bridge Construction |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-01-01 | SKIP POWE | 2023-06-19 |
| Measure | Date | Value |
|---|---|---|
| 2022: ALABAMA ROAD BUILDERS HEALTH AND WELFARE TRUST 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 186 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 198 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 198 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2022: ALABAMA ROAD BUILDERS HEALTH AND WELFARE TRUST 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Mulitple employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 ) | |||||||||||||||||||||||||
| Policy contract number | 67355 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| MONUMENTAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 66281 ) | |||||||||||||||||||||||||
| Policy contract number | MZ0938984H0000A | ||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||
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| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) | |||||||||||||||||||||||||
| Policy contract number | 21496 | ||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||
| Policy contract number | 30106876 | ||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||
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