| Plan Name | DENTAL PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ASSOCIATED INSURANCE MANAGEMENT, LLC |
| Employer identification number (EIN): | 204036064 |
| NAIC Classification: | 524290 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2006-01-01 | PAUL KEHOE | 2022-06-07 |
| Measure | Date | Value |
|---|---|---|
| 2006: DENTAL PLAN 2006 401k membership | ||
| Total participants, beginning-of-year | 2006-01-01 | 175 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2006-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2006-01-01 | 0 |
| Total of all active and inactive participants | 2006-01-01 | 0 |
| Number of employers contributing to the scheme | 2006-01-01 | 0 |
| 2006: DENTAL PLAN 2006 form 5500 responses | ||
|---|---|---|
| 2006-01-01 | Type of plan entity | Single employer plan |
| 2006-01-01 | Submission has been amended | Yes |
| 2006-01-01 | This submission is the final filing | Yes |
| 2006-01-01 | Plan funding arrangement – Insurance | Yes |
| 2006-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 ) | |
| Policy contract number | 0080001460 |
| Policy instance | 1 |