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Plan Name | DELTA PPO DENTAL |
Plan identification number | 506 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | JSL TECHNOLOGIES INC |
Employer identification number (EIN): | 263102603 |
NAIC Classification: | 541330 |
NAIC Description: | Engineering Services |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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506 | 2017-12-01 | ALISSA BORSUK | 2019-06-24 | ||
506 | 2016-12-01 |
Measure | Date | Value |
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2017: DELTA PPO DENTAL 2017 401k membership | ||
Total participants, beginning-of-year | 2017-12-01 | 104 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 0 |
Number of retired or separated participants receiving benefits | 2017-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-12-01 | 0 |
Total of all active and inactive participants | 2017-12-01 | 0 |
Number of employers contributing to the scheme | 2017-12-01 | 0 |
2016: DELTA PPO DENTAL 2016 401k membership | ||
Total participants, beginning-of-year | 2016-12-01 | 94 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 104 |
Number of retired or separated participants receiving benefits | 2016-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 0 |
Total of all active and inactive participants | 2016-12-01 | 104 |
2017: DELTA PPO DENTAL 2017 form 5500 responses | ||
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2017-12-01 | Type of plan entity | Single employer plan |
2017-12-01 | This submission is the final filing | Yes |
2017-12-01 | Plan funding arrangement – Insurance | Yes |
2017-12-01 | Plan benefit arrangement – Insurance | Yes |
2016: DELTA PPO DENTAL 2016 form 5500 responses | ||
2016-12-01 | Type of plan entity | Single employer plan |
2016-12-01 | First time form 5500 has been submitted | Yes |
2016-12-01 | Plan funding arrangement – Insurance | Yes |
2016-12-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||
Policy contract number | 86570 | ||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||
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