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Plan Name | SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN |
Plan identification number | 503 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | SENIOR LIVING SERVICES, LLC |
Employer identification number (EIN): | 860947506 |
NAIC Classification: | 623000 |
NAIC Description: | Nursing and Residential Care Facilities |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2022-07-01 | ||||
503 | 2021-07-01 | ||||
503 | 2020-07-01 |
Measure | Date | Value |
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2022: SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-07-01 | 146 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 160 |
Total of all active and inactive participants | 2022-07-01 | 160 |
Total participants | 2022-07-01 | 160 |
2021: SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-07-01 | 146 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-07-01 | 146 |
Total of all active and inactive participants | 2021-07-01 | 146 |
Total participants | 2021-07-01 | 146 |
2020: SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-07-01 | 117 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 98 |
Number of retired or separated participants receiving benefits | 2020-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-07-01 | 0 |
Total of all active and inactive participants | 2020-07-01 | 98 |
Total participants | 2020-07-01 | 98 |
2022: SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN 2022 form 5500 responses | ||
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2022-07-01 | Type of plan entity | Single employer plan |
2022-07-01 | Submission has been amended | Yes |
2022-07-01 | This submission is the final filing | No |
2022-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-07-01 | Plan is a collectively bargained plan | No |
2022-07-01 | Plan funding arrangement – Insurance | Yes |
2022-07-01 | Plan benefit arrangement – Insurance | Yes |
2021: SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN 2021 form 5500 responses | ||
2021-07-01 | Type of plan entity | Single employer plan |
2021-07-01 | First time form 5500 has been submitted | Yes |
2021-07-01 | Submission has been amended | Yes |
2021-07-01 | This submission is the final filing | No |
2021-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-07-01 | Plan is a collectively bargained plan | No |
2021-07-01 | Plan funding arrangement – Insurance | Yes |
2021-07-01 | Plan benefit arrangement – Insurance | Yes |
2020: SENIOR LIVING SERVICES LLC GROUP DENTAL INSURANCE PLAN 2020 form 5500 responses | ||
2020-07-01 | Type of plan entity | Single employer plan |
2020-07-01 | First time form 5500 has been submitted | Yes |
2020-07-01 | Submission has been amended | No |
2020-07-01 | This submission is the final filing | No |
2020-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-07-01 | Plan is a collectively bargained plan | No |
2020-07-01 | Plan funding arrangement – Insurance | Yes |
2020-07-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 37099 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 37099 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 34869 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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