| Plan Name | NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | NEW JERSEY ORGAN AND TISSUE SHARING NETWORK, INC. |
| Employer identification number (EIN): | 222490603 |
| NAIC Classification: | 621399 |
| NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-01-01 | JOSEPH S. ROTH | JOSEPH S. ROTH | 2016-08-01 | |
| 502 | 2014-01-01 | JOSEPH S. ROTH | JOSEPH S. ROTH | 2015-10-13 | |
| 502 | 2013-01-01 | JOSEPH S. ROTH | JOSEPH S. ROTH | 2014-10-07 | |
| 502 | 2012-01-01 | JOSEPH S. ROTH | JOSEPH S. ROTH | 2013-10-11 | |
| 502 | 2011-01-01 | JOSEPH S. ROTH | JOSEPH S. ROTH | 2012-10-08 | |
| 502 | 2009-01-01 | DEBRA SANTANGELO | DEBRA SANTANGELO | 2010-10-13 | |
| 502 | 2009-01-01 | DEBRA SANTANGELO | DEBRA SANTANGELO | 2010-10-13 |
| 2015: NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | This submission is the final filing | Yes |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: NEW JERSEY ORGAN & TISSUE SHARING NETWORK EMPLOYEE DENTAL PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 084942 |
| Policy instance | 1 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 084942 |
| Policy instance | 1 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 084942 |
| Policy instance | 1 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 084942 |
| Policy instance | 1 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 084942 |
| Policy instance | 1 |
| HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 ) | |
| Policy contract number | 084942 |
| Policy instance | 1 |