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| Plan Name | CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CCI GLOBAL, LLC |
| Employer identification number (EIN): | 814539322 |
| NAIC Classification: | 333310 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2018-08-01 |
| 2018: CUSTOM COOLER INC. MEDICAL AND LIFE BENEFITS PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 ) | |
| Policy contract number | S4361A |
| Policy instance | 1 |
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