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| Plan Name | BCB VOL LIFE AND VOL AD&D PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BCB TRANSPORT |
| Employer identification number (EIN): | 275099832 |
| NAIC Classification: | 484110 |
| NAIC Description: | General Freight Trucking, Local |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2019-01-01 | SHELI BROWN | 2020-10-04 |
| 2019: BCB VOL LIFE AND VOL AD&D PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |
| Policy contract number | GVTL0BHN7 |
| Policy instance | 1 |
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