| Plan Name | H & L MANUFACTURING EMPLOYEE DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | H & L MANUFACTURING |
| Employer identification number (EIN): | 381878284 |
| NAIC Classification: | 327900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-01-01 | ||||
| 502 | 2016-01-01 | ||||
| 502 | 2016-01-01 | ||||
| 502 | 2015-01-01 | LORI MEINKE |
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) | |
| Policy contract number | MI055370001 |
| Policy instance | 1 |
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) | |
| Policy contract number | 3361407416000 |
| Policy instance | 1 |