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| Plan Name | COUGHLAN COMPANIES LLC GROUP MEMBER LIFE AND LONG-TERM DISABILITY INSURANCE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COUGHLAN COMPANIES LLC |
| Employer identification number (EIN): | 824045107 |
| NAIC Classification: | 212390 |
| NAIC Description: | Other Nonmetallic Mineral Mining and Quarrying |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2019-09-01 | ||||
| 503 | 2018-09-08 |
| Measure | Date | Value |
|---|---|---|
| 2019: COUGHLAN COMPANIES LLC GROUP MEMBER LIFE AND LONG-TERM DISABILITY INSURANCE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-09-01 | 222 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 0 |
| 2018: COUGHLAN COMPANIES LLC GROUP MEMBER LIFE AND LONG-TERM DISABILITY INSURANCE PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-09-08 | 245 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-08 | 225 |
| Total of all active and inactive participants | 2018-09-08 | 225 |
| 2019: COUGHLAN COMPANIES LLC GROUP MEMBER LIFE AND LONG-TERM DISABILITY INSURANCE PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | This submission is the final filing | Yes |
| 2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: COUGHLAN COMPANIES LLC GROUP MEMBER LIFE AND LONG-TERM DISABILITY INSURANCE PLAN 2018 form 5500 responses | ||
| 2018-09-08 | Type of plan entity | Single employer plan |
| 2018-09-08 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-09-08 | Plan funding arrangement – Insurance | Yes |
| 2018-09-08 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||
| Policy contract number | FLX966298 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||
| Policy contract number | FLX966298 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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