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| Plan Name | BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BETTER BUSINESS BUREAU GREAT WEST & PACIFIC, INC. |
| Employer identification number (EIN): | 911614623 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2020-07-01 | ||||
| 503 | 2019-07-01 | ||||
| 503 | 2017-07-01 | BARBARA FLYNN | BARBARA FLYNN | 2019-03-18 | |
| 503 | 2017-07-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-07-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-07-01 | 0 |
| Total of all active and inactive participants | 2020-07-01 | 0 |
| 2019: BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-07-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 109 |
| Number of retired or separated participants receiving benefits | 2019-07-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
| Total of all active and inactive participants | 2019-07-01 | 110 |
| 2017: BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-07-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 104 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 106 |
| 2020: BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-07-01 | Type of plan entity | Single employer plan |
| 2020-07-01 | Submission has been amended | No |
| 2020-07-01 | This submission is the final filing | Yes |
| 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 |
| 2019: BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN 2019 form 5500 responses | ||
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Submission has been amended | No |
| 2019-07-01 | This submission is the final filing | No |
| 2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-07-01 | Plan is a collectively bargained plan | No |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: BETTER BUSINESS BUREAU NORTHWEST DENTAL PLAN 2017 form 5500 responses | ||
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | First time form 5500 has been submitted | Yes |
| 2017-07-01 | Submission has been amended | No |
| 2017-07-01 | This submission is the final filing | No |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-07-01 | Plan is a collectively bargained plan | No |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 09294 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 09294 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 09294 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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