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| Plan Name | HAZTEK, INC. DENTAL |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HAZTEK, INC. |
| Employer identification number (EIN): | 223495303 |
| NAIC Classification: | 238900 |
Additional information about HAZTEK, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2009-02-12 |
| Company Identification Number: | 0801086007 |
| Legal Registered Office Address: |
143 MEDFORD MOUNT HOLLY RD MEDFORD United States of America (USA) 08055 |
More information about HAZTEK, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-09-01 | ||||
| 503 | 2016-09-01 | RICHARD MILLER | |||
| 503 | 2015-09-01 | RICHARD MILLER | |||
| 503 | 2014-09-01 | PATTI RUBNITZ |
| Measure | Date | Value |
|---|---|---|
| 2017: HAZTEK, INC. DENTAL 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-09-01 | 140 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 177 |
| Number of retired or separated participants receiving benefits | 2017-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 0 |
| Total of all active and inactive participants | 2017-09-01 | 177 |
| 2016: HAZTEK, INC. DENTAL 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-09-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 140 |
| Number of retired or separated participants receiving benefits | 2016-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
| Total of all active and inactive participants | 2016-09-01 | 140 |
| 2015: HAZTEK, INC. DENTAL 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-09-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 98 |
| Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
| Total of all active and inactive participants | 2015-09-01 | 98 |
| 2014: HAZTEK, INC. DENTAL 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-09-01 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 124 |
| Number of retired or separated participants receiving benefits | 2014-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-09-01 | 0 |
| Total of all active and inactive participants | 2014-09-01 | 124 |
| 2017: HAZTEK, INC. DENTAL 2017 form 5500 responses | ||
|---|---|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Submission has been amended | No |
| 2017-09-01 | This submission is the final filing | No |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-09-01 | Plan is a collectively bargained plan | No |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HAZTEK, INC. DENTAL 2016 form 5500 responses | ||
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Submission has been amended | No |
| 2016-09-01 | This submission is the final filing | No |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-09-01 | Plan is a collectively bargained plan | No |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: HAZTEK, INC. DENTAL 2015 form 5500 responses | ||
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Submission has been amended | No |
| 2015-09-01 | This submission is the final filing | No |
| 2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-09-01 | Plan is a collectively bargained plan | No |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: HAZTEK, INC. DENTAL 2014 form 5500 responses | ||
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | First time form 5500 has been submitted | Yes |
| 2014-09-01 | Submission has been amended | No |
| 2014-09-01 | This submission is the final filing | No |
| 2014-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-09-01 | Plan is a collectively bargained plan | No |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 0286125-DENTAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | A05016 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | A05016-099 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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