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| Plan Name | LEE AND HAYES EMPLOYEE DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LEE & HAYES, PC |
| Employer identification number (EIN): | 831253059 |
| NAIC Classification: | 541110 |
| NAIC Description: | Offices of Lawyers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | DAVID M. MASSEY | 2024-06-20 | ||
| 502 | 2022-01-01 | DAVID M. MASSEY | 2023-07-19 | ||
| 502 | 2021-01-01 | SHELBY NESS | 2022-07-28 | ||
| 502 | 2020-01-01 | SHELBY NESS | 2021-10-12 | ||
| 502 | 2019-01-01 | SHELBY NESS | 2020-10-07 | ||
| 502 | 2018-01-01 | SHELBY NESS | 2020-10-07 |
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||
| Policy contract number | 1354 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||
| Policy contract number | 1354 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||
| Policy contract number | 1354 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||
| Policy contract number | 1354 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||
| Policy contract number | 1354 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||
| Policy contract number | 1354 | ||||||||||||||||
| Policy instance | 1 | ||||||||||||||||
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