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| Plan Name | ILLICIT GARDENS HEALTH & WELFARE BENEFITS PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ILLICIT GARDENS |
| Employer identification number (EIN): | 844644786 |
| NAIC Classification: | 111900 |
| NAIC Description: | Other Crop Farming |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-08-01 | JOE MCTAGGART | 2024-02-22 |
| Measure | Date | Value |
|---|---|---|
| 2022: ILLICIT GARDENS HEALTH & WELFARE BENEFITS PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-08-01 | 188 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 209 |
| Number of retired or separated participants receiving benefits | 2022-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 0 |
| Total of all active and inactive participants | 2022-08-01 | 209 |
| Number of employers contributing to the scheme | 2022-08-01 | 0 |
| 2022: ILLICIT GARDENS HEALTH & WELFARE BENEFITS PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-08-01 | Type of plan entity | Multi-employer plan |
| 2022-08-01 | First time form 5500 has been submitted | Yes |
| 2022-08-01 | Plan is a collectively bargained plan | Yes |
| 2022-08-01 | Plan funding arrangement – Insurance | Yes |
| 2022-08-01 | Plan benefit arrangement – Insurance | Yes |
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 46994000 |
| Policy instance | 1 |
| KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 ) | |
| Policy contract number | 27119A |
| Policy instance | 2 |
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