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| Plan Name | IATSE LOCAL 31 HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | I.A.T.S.E. LOCAL NO. 31 |
| Employer identification number (EIN): | 440459340 |
| NAIC Classification: | 711100 |
| NAIC Description: | Performing Arts Companies |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-02-01 | JACOB HOBBS | 2024-07-10 |
| 2023: IATSE LOCAL 31 HEALTH PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-02-01 | Type of plan entity | Single employer plan |
| 2023-02-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-02-01 | Plan is a collectively bargained plan | Yes |
| 2023-02-01 | Plan funding arrangement – Insurance | Yes |
| 2023-02-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) | |||||||||||||||||||
| Policy contract number | 47500000 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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