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Plan Name | ISLAND DOCTORS DENTAL BENEFIT PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ROY H. HINMAN, II MD PA DBA ISLAND DOCTORS MSO |
Employer identification number (EIN): | 593112273 |
NAIC Classification: | 621111 |
NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2017-10-01 | DANA WIDELL | 2022-05-19 | ||
502 | 2016-10-01 | DANA WIDELL | 2022-05-19 | ||
502 | 2015-10-01 | DANA WIDELL | 2022-05-19 | ||
502 | 2014-10-01 | DANA WIDELL | 2022-05-19 |
Measure | Date | Value |
---|---|---|
2017: ISLAND DOCTORS DENTAL BENEFIT PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-10-01 | 174 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 0 |
Number of retired or separated participants receiving benefits | 2017-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
Total of all active and inactive participants | 2017-10-01 | 0 |
2016: ISLAND DOCTORS DENTAL BENEFIT PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-10-01 | 134 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 174 |
Number of retired or separated participants receiving benefits | 2016-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 0 |
Total of all active and inactive participants | 2016-10-01 | 174 |
2015: ISLAND DOCTORS DENTAL BENEFIT PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-10-01 | 106 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 134 |
Number of retired or separated participants receiving benefits | 2015-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 0 |
Total of all active and inactive participants | 2015-10-01 | 134 |
2014: ISLAND DOCTORS DENTAL BENEFIT PLAN 2014 401k membership | ||
Total participants, beginning-of-year | 2014-10-01 | 103 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 106 |
Number of retired or separated participants receiving benefits | 2014-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 0 |
Total of all active and inactive participants | 2014-10-01 | 106 |
2017: ISLAND DOCTORS DENTAL BENEFIT PLAN 2017 form 5500 responses | ||
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2017-10-01 | Type of plan entity | Single employer plan |
2017-10-01 | Submission has been amended | No |
2017-10-01 | This submission is the final filing | Yes |
2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-10-01 | Plan is a collectively bargained plan | No |
2017-10-01 | Plan funding arrangement – Insurance | Yes |
2017-10-01 | Plan benefit arrangement – Insurance | Yes |
2016: ISLAND DOCTORS DENTAL BENEFIT PLAN 2016 form 5500 responses | ||
2016-10-01 | Type of plan entity | Single employer plan |
2016-10-01 | Submission has been amended | No |
2016-10-01 | This submission is the final filing | No |
2016-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-10-01 | Plan is a collectively bargained plan | No |
2016-10-01 | Plan funding arrangement – Insurance | Yes |
2016-10-01 | Plan benefit arrangement – Insurance | Yes |
2015: ISLAND DOCTORS DENTAL BENEFIT PLAN 2015 form 5500 responses | ||
2015-10-01 | Type of plan entity | Single employer plan |
2015-10-01 | Submission has been amended | No |
2015-10-01 | This submission is the final filing | No |
2015-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-10-01 | Plan is a collectively bargained plan | No |
2015-10-01 | Plan funding arrangement – Insurance | Yes |
2015-10-01 | Plan benefit arrangement – Insurance | Yes |
2014: ISLAND DOCTORS DENTAL BENEFIT PLAN 2014 form 5500 responses | ||
2014-10-01 | Type of plan entity | Single employer plan |
2014-10-01 | First time form 5500 has been submitted | Yes |
2014-10-01 | Submission has been amended | No |
2014-10-01 | This submission is the final filing | No |
2014-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-10-01 | Plan is a collectively bargained plan | No |
2014-10-01 | Plan funding arrangement – Insurance | Yes |
2014-10-01 | Plan benefit arrangement – Insurance | Yes |
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 747603 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 747603 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 747603 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 747603 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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