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| Plan Name | TRI COUNTY COMMUNITY ACTION PROGRAM DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TRI-COUNTY COMMUNITY ACTION PROGRAM, INC. |
| Employer identification number (EIN): | 020267404 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2014-07-01 | ||||
| 502 | 2012-07-01 | REA PFEIFFER | |||
| 502 | 2011-07-01 | DORI DUCHARME | |||
| 502 | 2010-07-01 | DORI DUCHARME |
| 2014: TRI COUNTY COMMUNITY ACTION PROGRAM DENTAL PLAN 2014 form 5500 responses | ||
|---|---|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: TRI COUNTY COMMUNITY ACTION PROGRAM DENTAL PLAN 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: TRI COUNTY COMMUNITY ACTION PROGRAM DENTAL PLAN 2011 form 5500 responses | ||
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: TRI COUNTY COMMUNITY ACTION PROGRAM DENTAL PLAN 2010 form 5500 responses | ||
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
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