| Plan Name | GREAT AMERICAN DINING GROUP DENTAL PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | GREAT AMERICAN DINING |
| Employer identification number (EIN): | 020430145 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2023-01-01 | SALLY MOULTON | 2024-07-19 | SALLY MOULTON | 2024-07-19 |
| 506 | 2022-01-01 | SALLY MOULTON | 2023-07-19 | SALLY MOULTON | 2023-07-19 |
| 506 | 2021-01-01 | SALLY MOULTON | 2022-10-11 | SALLY MOULTON | 2022-10-11 |
| 506 | 2020-01-01 | SALLY MOULTON | 2021-09-16 | SALLY MOULTON | 2021-09-16 |
| 506 | 2019-01-01 | SALLY MOULTON | 2020-04-30 | SALLY MOULTON | 2020-04-30 |
| 506 | 2018-01-01 | ||||
| 506 | 2017-01-01 |
| 2023: GREAT AMERICAN DINING GROUP DENTAL 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 |
| 2022: GREAT AMERICAN DINING GROUP DENTAL PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GREAT AMERICAN DINING GROUP DENTAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GREAT AMERICAN DINING GROUP DENTAL PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GREAT AMERICAN DINING GROUP DENTAL PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GREAT AMERICAN DINING GROUP DENTAL PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GREAT AMERICAN DINING GROUP DENTAL PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||
| Policy contract number | 000012698 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||
| Policy contract number | 000012698 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| |||||||||||||||||||
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||
| Policy contract number | 000012698 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||
| Policy contract number | 000012698 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||
| Policy contract number | 000012698 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) | |||||||||||||||||||
| Policy contract number | 000012698 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||
| Policy contract number | 5227135 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||