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STANLEY STEEMER DENTAL PLAN 401k Plan overview

Plan NameSTANLEY STEEMER DENTAL PLAN
Plan identification number 509

STANLEY STEEMER DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

STANLEY STEEMER INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:STANLEY STEEMER INTERNATIONAL, INC.
Employer identification number (EIN):310366455
NAIC Classification:561740
NAIC Description:Carpet and Upholstery Cleaning Services

Additional information about STANLEY STEEMER INTERNATIONAL, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1972-01-05
Company Identification Number: 419402
Legal Registered Office Address: 5500 STANLEY STEEMER PKWY
-
DUBLIN
United States of America (USA)
43017

More information about STANLEY STEEMER INTERNATIONAL, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STANLEY STEEMER DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092022-04-01MARK BUNNER2023-10-20
5092021-04-01MARK BUNNER2022-09-15
5092021-04-01MARK BUNNER2023-09-14
5092020-04-01
5092019-04-01
5092018-04-01
5092017-04-01MARK BUNNER
5092016-04-01MARK BUNNER MARK BUNNER2017-09-26
5092015-04-01MARK BUNNER MARK BUNNER2016-10-03
5092014-04-01MARK BUNNER MARK BUNNER2015-10-02
5092013-04-01MARK BUNNER MARK BUNNER2014-10-10
5092012-04-01MARK BUNNER MARK BUNNER2013-10-18
5092011-04-01MARK BUNNER
5092010-04-01MARK BUNNER
5092010-01-01MARK BUNNER
5092009-01-01MARK BUNNER MARK BUNNER2010-09-30
5092009-01-01MARK BUNNER MARK BUNNER2010-09-30
5092009-01-01MARK BUNNER MARK BUNNER2010-09-30

Plan Statistics for STANLEY STEEMER DENTAL PLAN

401k plan membership statisitcs for STANLEY STEEMER DENTAL PLAN

Measure Date Value
2022: STANLEY STEEMER DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-011,241
Total number of active participants reported on line 7a of the Form 55002022-04-011,241
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-011,241
Number of employers contributing to the scheme2022-04-010
2021: STANLEY STEEMER DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-011,241
Total number of active participants reported on line 7a of the Form 55002021-04-010
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-010
Number of employers contributing to the scheme2021-04-010
2020: STANLEY STEEMER DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-011,303
Total number of active participants reported on line 7a of the Form 55002020-04-011,241
Total of all active and inactive participants2020-04-011,241
Total participants2020-04-011,241
2019: STANLEY STEEMER DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-011,241
Total number of active participants reported on line 7a of the Form 55002019-04-011,303
Total of all active and inactive participants2019-04-011,303
Total participants2019-04-011,303
2018: STANLEY STEEMER DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-011,384
Total number of active participants reported on line 7a of the Form 55002018-04-011,241
Total of all active and inactive participants2018-04-011,241
Total participants2018-04-011,241
2017: STANLEY STEEMER DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-011,456
Total number of active participants reported on line 7a of the Form 55002017-04-011,384
Total of all active and inactive participants2017-04-011,384
Total participants2017-04-011,384
2016: STANLEY STEEMER DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-011,405
Total number of active participants reported on line 7a of the Form 55002016-04-011,456
Total of all active and inactive participants2016-04-011,456
Total participants2016-04-011,456
2015: STANLEY STEEMER DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-011,281
Total number of active participants reported on line 7a of the Form 55002015-04-011,405
Total of all active and inactive participants2015-04-011,405
Total participants2015-04-011,405
2014: STANLEY STEEMER DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-011,230
Total number of active participants reported on line 7a of the Form 55002014-04-011,281
Total of all active and inactive participants2014-04-011,281
Total participants2014-04-011,281
2013: STANLEY STEEMER DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-011,259
Total number of active participants reported on line 7a of the Form 55002013-04-011,230
Total of all active and inactive participants2013-04-011,230
Total participants2013-04-011,230
2012: STANLEY STEEMER DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-011,283
Total number of active participants reported on line 7a of the Form 55002012-04-011,259
Total of all active and inactive participants2012-04-011,259
Total participants2012-04-011,259
2011: STANLEY STEEMER DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-011,386
Total number of active participants reported on line 7a of the Form 55002011-04-011,267
Number of retired or separated participants receiving benefits2011-04-0116
Total of all active and inactive participants2011-04-011,283
Total participants2011-04-011,283
2010: STANLEY STEEMER DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-011,357
Total number of active participants reported on line 7a of the Form 55002010-04-011,367
Number of retired or separated participants receiving benefits2010-04-0119
Total of all active and inactive participants2010-04-011,386
Total participants2010-04-011,386
Total participants, beginning-of-year2010-01-011,443
Total number of active participants reported on line 7a of the Form 55002010-01-011,325
Number of retired or separated participants receiving benefits2010-01-0132
Total of all active and inactive participants2010-01-011,357
Total participants2010-01-011,357
2009: STANLEY STEEMER DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,364
Total number of active participants reported on line 7a of the Form 55002009-01-011,418
Number of retired or separated participants receiving benefits2009-01-0125
Total of all active and inactive participants2009-01-011,443

Form 5500 Responses for STANLEY STEEMER DENTAL PLAN

2022: STANLEY STEEMER DENTAL PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: STANLEY STEEMER DENTAL PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedYes
2021-04-01This submission is the final filingYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: STANLEY STEEMER DENTAL PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: STANLEY STEEMER DENTAL PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – General assets of the sponsorYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – General assets of the sponsorYes
2018: STANLEY STEEMER DENTAL PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – General assets of the sponsorYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – General assets of the sponsorYes
2017: STANLEY STEEMER DENTAL PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: STANLEY STEEMER DENTAL PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – General assets of the sponsorYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – General assets of the sponsorYes
2015: STANLEY STEEMER DENTAL PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: STANLEY STEEMER DENTAL PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: STANLEY STEEMER DENTAL PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: STANLEY STEEMER DENTAL PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: STANLEY STEEMER DENTAL PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes
2010: STANLEY STEEMER DENTAL PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – General assets of the sponsorYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – General assets of the sponsorYes
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: STANLEY STEEMER DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1198
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $50,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered2634
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $55,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1406
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $59,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1441
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $60,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1281
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $59,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1230
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $49,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1149
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1271
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1391
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00364419
Policy instance 1
Insurance contract or identification number00364419
Number of Individuals Covered1348
Insurance policy start date2010-01-01
Insurance policy end date2010-03-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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