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| Plan Name | SYDELL GROUP LLC HEALTH AND WELFARE PLAN - UNUM LIFE/STD/LTD/ADD |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SYDELL GROUP LLC |
| Employer identification number (EIN): | 900736876 |
| NAIC Classification: | 531310 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-10-01 | DAN BIENSTOCK | 2020-03-16 |
| 2017: SYDELL GROUP LLC HEALTH AND WELFARE PLAN - UNUM LIFE/STD/LTD/ADD 2017 form 5500 responses | ||
|---|---|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | First time form 5500 has been submitted | Yes |
| 2017-10-01 | This submission is the final filing | Yes |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) | |
| Policy contract number | 934618 |
| Policy instance | 1 |
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