; (bb) the plan number used for the annual report on the covered plan; (cc) the plan sponsor's name, address, and employer identification number; (dd) the name, address, and telephone number of the responsible plan fiduciary; (ee) the name, address, phone number, and, if known, employer identification number of the covered service provider; (ff) a description of the services provided to the covered plan; (gg) a description of the information that the covered service provider failed to disclose; (hh) the date on which such information was requested in writing from the covered service provider; and (ii) a statement as to whether the covered service provider continues to provide services to the plan. (III) A notice described in subclause (I)(cc) shall be filed with the Department not later than 30 days following the earlier of— (aa) the covered service provider's refusal to furnish the information requested by the written request described in subclause (I)(bb)