| Plan Name | PREPAID DENTAL CARE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | DENT-A-MED, INC. |
| Employer identification number (EIN): | 731205709 |
| NAIC Classification: | 522291 |
| NAIC Description: | Consumer Lending |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2015-01-01 | CLIFF SCOGIN | SHIRLEY HILDEBRAND | 2016-05-26 | |
| 503 | 2015-01-01 | SHIRLEY HILDEBRAND | 2016-05-25 | ||
| 503 | 2014-01-01 | SHIRLEY HILDEBRAND | CLIFF SCOGIN | 2015-06-08 | |
| 503 | 2013-01-01 | SHIRLEY HILDEBRAND | CLIFF SCOGIN | 2014-07-09 | |
| 503 | 2012-01-01 | SHIRLEY HILDEBRAND | CLIFF SCOGIN | 2013-07-26 | |
| 503 | 2011-01-01 | SHIRLEY HILDEBRAND | CLIFF SCOGIN | 2012-07-19 | |
| 503 | 2010-01-01 | SHIRLEY HILDEBRAND | CLIFF SCOGIN | 2011-04-21 | |
| 503 | 2009-01-01 | SHIRLEY HILDEBRAND | CLIFF SCOGIN | 2010-07-23 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) | |
| Policy contract number | 000001104 |
| Policy instance | 1 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) | |
| Policy contract number | 000001104 |
| Policy instance | 1 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) | |
| Policy contract number | 000001104 |
| Policy instance | 1 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) | |
| Policy contract number | 000001104 |
| Policy instance | 1 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) | |
| Policy contract number | 000001104 |
| Policy instance | 1 |
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 ) | |
| Policy contract number | 000001104 |
| Policy instance | 1 |