| Plan Name | GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GRAND TRAVERSE PLASTICS CORPORATION |
| Employer identification number (EIN): | 382336459 |
| NAIC Classification: | 326100 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-09-01 | JULIE SCHLECKER | 2025-01-13 | ||
| 501 | 2022-09-01 | JULIE SCHLECKER | 2024-02-22 | ||
| 501 | 2021-09-01 | JULIE SCHEKLER | 2023-02-06 |
| 2023: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-09-01 | Type of plan entity | Single employer plan |
| 2023-09-01 | Plan funding arrangement – Insurance | Yes |
| 2023-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2022 form 5500 responses | ||
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GRAND TRAVERSE PLASTICS CORPORATION HEALTH PLAN 2021 form 5500 responses | ||
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | First time form 5500 has been submitted | Yes |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||
| Policy contract number | 165639 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||
| Policy contract number | 165639 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| |||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||
| Policy contract number | 165639 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||
| Policy contract number | 165639 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||
| Policy contract number | 165639 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 ) | |||||||||||||||||||
| Policy contract number | 165639 | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||