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| Plan Name | GROUP LIFE INSURANCE FOR EMPLOYEES OF DENTSPLY INTERNATIONAL, INC. AND RANSOM AND RANDOLPH |
| Plan identification number | 510 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DENTSPLY SIRONA, INC. |
| Employer identification number (EIN): | 391434669 |
| NAIC Classification: | 339900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 510 | 2003-01-01 | CHRISTY CRUMPLER | 2022-10-10 |
| Measure | Date | Value |
|---|---|---|
| 2003: GROUP LIFE INSURANCE FOR EMPLOYEES OF DENTSPLY INTERNATIONAL, INC. AND RANSOM AND RANDOLPH 2003 401k membership | ||
| Total participants, beginning-of-year | 2003-01-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2003-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2003-01-01 | 0 |
| Total of all active and inactive participants | 2003-01-01 | 0 |
| Number of employers contributing to the scheme | 2003-01-01 | 0 |
| 2003: GROUP LIFE INSURANCE FOR EMPLOYEES OF DENTSPLY INTERNATIONAL, INC. AND RANSOM AND RANDOLPH 2003 form 5500 responses | ||
|---|---|---|
| 2003-01-01 | Type of plan entity | Single employer plan |
| 2003-01-01 | Submission has been amended | Yes |
| 2003-01-01 | This submission is the final filing | Yes |
| 2003-01-01 | Plan is a collectively bargained plan | Yes |
| 2003-01-01 | Plan funding arrangement – Insurance | Yes |
| 2003-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |
| Policy contract number | 00 |
| Policy instance | 1 |
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