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| Plan Name | STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | STAR HEADLIGHT & LANTERN CO., INC. |
| Employer identification number (EIN): | 160647680 |
| NAIC Classification: | 332900 |
Additional information about STAR HEADLIGHT & LANTERN CO., INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1889-04-26 |
| Company Identification Number: | 11531 |
| Legal Registered Office Address: |
C/O CHRISTOPHER D JACOBS 19 Junction Rd Honeoye Falls United States of America (USA) 14472 |
More information about STAR HEADLIGHT & LANTERN CO., INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-01-01 | CHRISTOPHER JACOBS | |||
| 501 | 2014-01-01 | CHRISTOPHER JACOBS | |||
| 501 | 2013-01-01 | CHRISTOPHER JACOBS | |||
| 501 | 2012-01-01 | CHRISTOPHER JACOBS | |||
| 501 | 2011-01-01 | CHRISTOPHER JACOBS | |||
| 501 | 2009-01-01 | CHRISTOPHER JACOBS |
| 2015: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: STAR HEADLIGHT & LANTERN CO. HOSPITALIZATION PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 1618 |
| Policy instance | 1 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 1618 |
| Policy instance | 1 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 1618 |
| Policy instance | 1 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 1618 |
| Policy instance | 1 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 1618 |
| Policy instance | 1 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | RLC_MXX_2872651 |
| Policy instance | 1 |
| EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) | |
| Policy contract number | 1618 |
| Policy instance | 2 |
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