MEDICAL PLAN FOR EMPLOYEES OF BENNETT LUMBER PRODUCTS, INC.
|
2023
|
910726966
|
2024-09-19
|
BENNETT LUMBER PRODUCTS, INC.
|
229
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Active participants |
243 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-09-19 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-19 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG TERM DISABILITY
|
2023
|
910726966
|
2024-09-19
|
BENNETT LUMBER PRODUCTS, INC.
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-09-19 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-19 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG TERM DISABILITY
|
2022
|
910726966
|
2023-09-18
|
BENNETT LUMBER PRODUCTS, INC.
|
242
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-09-14 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-14 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL PLAN FOR EMPLOYEES OF BENNETT LUMBER PRODUCTS, INC.
|
2022
|
910726966
|
2023-09-18
|
BENNETT LUMBER PRODUCTS, INC.
|
245
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Active participants |
223 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2023-09-14 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-14 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL PLAN FOR EMPLOYEES OF BENNETT LUMBER PRODUCTS, INC.
|
2021
|
910726966
|
2022-08-23
|
BENNETT LUMBER PRODUCTS, INC.
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2022-08-23 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-23 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG TERM DISABILITY
|
2021
|
910726966
|
2022-08-23
|
BENNETT LUMBER PRODUCTS, INC.
|
245
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-23 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-23 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG TERM DISABILITY
|
2020
|
910726966
|
2021-07-26
|
BENNETT LUMBER PRODUCTS, INC.
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-26 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL PLAN FOR EMPLOYEES OF BENNETT LUMBER PRODUCTS, INC.
|
2020
|
910726966
|
2021-07-26
|
BENNETT LUMBER PRODUCTS, INC.
|
242
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Active participants |
227 |
Retired or separated participants receiving
benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-26 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL PLAN FOR EMPLOYEES OF BENNETT LUMBER PRODUCTS, INC.
|
2019
|
910726966
|
2020-08-06
|
BENNETT LUMBER PRODUCTS, INC.
|
252
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2020-08-06 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-06 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT AND LONG TERM DISABILITY
|
2019
|
910726966
|
2020-08-06
|
BENNETT LUMBER PRODUCTS, INC.
|
257
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-07-01
|
Business code |
321110
|
Sponsor’s telephone number |
2088751121
|
Plan sponsor’s mailing address |
PO BOX 130, PRINCETON, ID, 838570130
|
Plan sponsor’s
address |
3759 HIGHWAY 6, PRINCETON, ID, 83857
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-08-06 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-06 |
Name of individual signing |
JONATHAN OWNBEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|