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DELTA DENTAL OF WV 401k Plan overview

Plan NameDELTA DENTAL OF WV
Plan identification number 502

DELTA DENTAL OF WV Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

BLUEFIELD HOSPITAL COMPANY LLC has sponsored the creation of one or more 401k plans.

Company Name:BLUEFIELD HOSPITAL COMPANY LLC
Employer identification number (EIN):272372291
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about BLUEFIELD HOSPITAL COMPANY LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4812810

More information about BLUEFIELD HOSPITAL COMPANY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA DENTAL OF WV

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-01-01EDWINA NEWBERRY2022-06-06
5022020-01-01EDWINA NEWBERRY2021-08-13
5022019-10-01EDWINA NEWBERRY2020-06-05

Form 5500 Responses for DELTA DENTAL OF WV

2021: DELTA DENTAL OF WV 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: DELTA DENTAL OF WV 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: DELTA DENTAL OF WV 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )
Policy contract number20213
Policy instance 1
DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )
Policy contract number20213
Policy instance 1
DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )
Policy contract number20213
Policy instance 1

Potentially related plans

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