| Plan Name | NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS DENTAL AND VISION PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS |
| Employer identification number (EIN): | 582176067 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2018-01-01 | NANCY STAHL | |||
| 502 | 2017-01-01 | NANCY STAHL | |||
| 502 | 2016-01-01 | NANCY STAHL | |||
| 502 | 2015-01-01 | D. BRIAN HUMPHREYS | |||
| 502 | 2014-01-01 | BRIAN HUMPHREYS |
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) | |
| Policy contract number | 53277-01 |
| Policy instance | 1 |
| SURENCY LIFE AND HEALTH (National Association of Insurance Commissioners NAIC id number: 13175 ) | |
| Policy contract number | 53277-01 |
| Policy instance | 2 |
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) | |
| Policy contract number | 53277-02 |
| Policy instance | 3 |
| SURENCY LIFE AND HEALTH (National Association of Insurance Commissioners NAIC id number: 13175 ) | |
| Policy contract number | 53277-02 |
| Policy instance | 4 |
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) | |
| Policy contract number | 53277-01 |
| Policy instance | 1 |
| SURENCY LIFE AND HEALTH (National Association of Insurance Commissioners NAIC id number: 13175 ) | |
| Policy contract number | 53277-01 |
| Policy instance | 2 |