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| Plan Name | NEIGHBORHOOD HEALTH CENTER PPO DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NEIGHBORHOOD HEALTH CENTER |
| Employer identification number (EIN): | 273524752 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about NEIGHBORHOOD HEALTH CENTER
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 2010-11-12 |
| Company Identification Number: | 72761399 |
| Legal Registered Office Address: |
7320 SW HUNZIKER RD STE 300 PORTLAND United States of America (USA) 97223 |
More information about NEIGHBORHOOD HEALTH CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | BLAIN WEST | 2024-10-04 | ||
| 502 | 2022-01-01 | BLAIN WEST | 2023-07-27 | ||
| 502 | 2021-01-01 | BLAIN WEST | 2022-07-25 |
| 2023: NEIGHBORHOOD HEALTH CENTER PPO 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: NEIGHBORHOOD HEALTH CENTER PPO 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: NEIGHBORHOOD HEALTH CENTER PPO DENTAL PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 ) | |||||||||||||||||||
| Policy contract number | 10008715 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 ) | |||||||||||||||||||
| Policy contract number | 10008715 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 ) | |||||||||||||||||||
| Policy contract number | 10008715 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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