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| Plan Name | PROTAPES & SPECIALTIES ANCILLARY PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PRO TAPES, LLC |
| Employer identification number (EIN): | 883956544 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | ROBERT MARSHALL | 2024-05-24 |
| 2023: PROTAPES & SPECIALTIES ANCILLARY PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 482841 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||
| Policy contract number | 628086 | ||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||
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