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Plan Name | DENTAL SERVICE LLC HEALTH & WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | DENTAL SERVICE, LLC |
Employer identification number (EIN): | 050572255 |
NAIC Classification: | 621210 |
NAIC Description: | Offices of Dentists |
Additional information about DENTAL SERVICE, LLC
Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
Incorporation Date: | 2003-06-05 |
Company Identification Number: | 602301000 |
Legal Registered Office Address: |
14201 NE 20TH AVE STE B200 VANCOUVER United States of America (USA) 986866412 |
More information about DENTAL SERVICE, LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2020-01-01 | ||||
501 | 2020-01-01 | ||||
501 | 2019-03-01 | SHELLY TOOPS | 2020-10-13 | ||
501 | 2018-03-01 | ||||
501 | 2018-03-01 | SHELLY TOOPS | 2020-10-13 | ||
501 | 2017-03-01 | KEVIN BOIE | KEVIN BOIE | 2018-11-27 |
Measure | Date | Value |
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2020: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 141 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 0 |
2019: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-03-01 | 154 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 141 |
Number of retired or separated participants receiving benefits | 2019-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-03-01 | 0 |
Total of all active and inactive participants | 2019-03-01 | 141 |
2018: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-03-01 | 169 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 0 |
Total of all active and inactive participants | 2018-03-01 | 0 |
Number of retired or separated participants receiving benefits | 2018-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
2017: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-03-01 | 145 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 169 |
Total of all active and inactive participants | 2017-03-01 | 169 |
2020: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2020 form 5500 responses | ||
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | Submission has been amended | No |
2020-01-01 | This submission is the final filing | Yes |
2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-01-01 | Plan is a collectively bargained plan | No |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2019 form 5500 responses | ||
2019-03-01 | Type of plan entity | Single employer plan |
2019-03-01 | Submission has been amended | No |
2019-03-01 | This submission is the final filing | No |
2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2019-03-01 | Plan is a collectively bargained plan | No |
2019-03-01 | Plan funding arrangement – Insurance | Yes |
2019-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-03-01 | Plan benefit arrangement – Insurance | Yes |
2019-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2018 form 5500 responses | ||
2018-03-01 | Type of plan entity | Single employer plan |
2018-03-01 | Submission has been amended | No |
2018-03-01 | This submission is the final filing | Yes |
2018-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-03-01 | Plan is a collectively bargained plan | No |
2018-03-01 | Plan funding arrangement – Insurance | Yes |
2018-03-01 | Plan benefit arrangement – Insurance | Yes |
2017: DENTAL SERVICE LLC HEALTH & WELFARE PLAN 2017 form 5500 responses | ||
2017-03-01 | Type of plan entity | Single employer plan |
2017-03-01 | First time form 5500 has been submitted | Yes |
2017-03-01 | Submission has been amended | No |
2017-03-01 | This submission is the final filing | No |
2017-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-03-01 | Plan is a collectively bargained plan | No |
2017-03-01 | Plan funding arrangement – Insurance | Yes |
2017-03-01 | Plan benefit arrangement – Insurance | Yes |
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00180951 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | SGM200011 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | SGM200011 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | SGM200011 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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