THE KERITE COMPANY BASIC LIFE INSURANCE PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
163
|
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1999-10-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE COMPANY BUSINESS TRAVEL ACCIDENT INSURANCE
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL INSURANCE PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE COMPANY SUPPLEMENTAL LIFE INSURANCE PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
1999-11-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE COMPANY BASIC LIFE INSURANCE PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
163
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1999-10-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE LONG TERM DISABILITY PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE LONG TERM DISABILITY PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
77
|
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2006-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE COMPANY BUSINESS TRAVEL ACCIDENT INSURANCE
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
163
|
|
Three-digit plan number (PN) |
521
|
Effective date of plan |
2007-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE KERITE COMPANY SUPPLEMENTAL LIFE INSURANCE PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
80
|
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
1999-11-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL INSURANCE PLAN
|
2009
|
364333144
|
2010-10-29
|
THE KERITE COMPANY
|
134
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
2038882591
|
Plan sponsor’s mailing address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan sponsor’s
address |
49 DAY STREET, SEYMOUR, CT, 06483
|
Plan administrator’s name and address
Administrator’s EIN |
364333144 |
Plan administrator’s name |
THE KERITE COMPANY |
Plan administrator’s
address |
49 DAY STREET, SEYMOUR, CT, 06483 |
Administrator’s telephone number |
2038882591 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-29 |
Name of individual signing |
JESSICA EARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|