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| Plan Name | WALBRIDGE/DIG/DFM WELFARE BENEFIT PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WALBRIDGE/DIG/DFM WELFARE BENEFIT PLAN |
| Employer identification number (EIN): | 381141440 |
| NAIC Classification: | 236200 |
Additional information about WALBRIDGE/DIG/DFM WELFARE BENEFIT PLAN
| Jurisdiction of Incorporation: | California Department of State |
| Incorporation Date: | |
| Company Identification Number: | C0711371 |
More information about WALBRIDGE/DIG/DFM WELFARE BENEFIT PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2022-01-01 | PETER J. DARGA | 2023-08-21 |
| Measure | Date | Value |
|---|---|---|
| 2022: WALBRIDGE/DIG/DFM WELFARE BENEFIT PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 824 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 985 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 19 |
| Total of all active and inactive participants | 2022-01-01 | 1,004 |
| 2022: WALBRIDGE/DIG/DFM WELFARE BENEFIT PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | 9272 | ||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||
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| BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | CID 159430 | ||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||
| Policy contract number | G000AHNZ | ||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||
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