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| Plan Name | GROUP VOLUNTARY DENTAL INSURANCE FOR THE EMPLOYEES OF PM PEDIATRICS MANAGEMENT GROUP, LLC |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PM PEDIATRICS MANAGEMENT GROUP, LLC |
| Employer identification number (EIN): | 331067457 |
| NAIC Classification: | 561110 |
| NAIC Description: | Office Administrative Services |
Additional information about PM PEDIATRICS MANAGEMENT GROUP, LLC
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2003-03-28 |
| Company Identification Number: | 2887993 |
| Legal Registered Office Address: |
ONE HOLLOW LANE, SUITE 301 Nassau LAKE SUCCESS United States of America (USA) 11042 |
More information about PM PEDIATRICS MANAGEMENT GROUP, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-04-01 | RACHEL FRIEDMAN | |||
| 502 | 2014-04-01 | RACHEL FRIEDMAN | RACHEL FRIEDMAN | 2015-10-09 |
| 2015: GROUP VOLUNTARY DENTAL INSURANCE FOR THE EMPLOYEES OF PM PEDIATRICS MANAGEMENT GROUP, LLC 2015 form 5500 responses | ||
|---|---|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | Yes |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP VOLUNTARY DENTAL INSURANCE FOR THE EMPLOYEES OF PM PEDIATRICS MANAGEMENT GROUP, LLC 2014 form 5500 responses | ||
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | First time form 5500 has been submitted | Yes |
| 2014-04-01 | Submission has been amended | No |
| 2014-04-01 | This submission is the final filing | No |
| 2014-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-04-01 | Plan is a collectively bargained plan | No |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| UNION SECURITY DENTALCARE OF NEW JERSEY, INC. (National Association of Insurance Commissioners NAIC id number: 11244 ) | |
| Policy contract number | 5467485 |
| Policy instance | 1 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) | |
| Policy contract number | 5462853 |
| Policy instance | 2 |
| UNION SECURITY DENTALCARE OF NEW JERSEY, INC. (National Association of Insurance Commissioners NAIC id number: 11244 ) | |
| Policy contract number | 5467485 |
| Policy instance | 1 |
| UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK 4D DENTAL (National Association of Insurance Commissioners NAIC id number: 81477 ) | |
| Policy contract number | 5462853 |
| Policy instance | 2 |
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