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Plan Name | DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | DERMONE, LLC |
Employer identification number (EIN): | 611676173 |
NAIC Classification: | 621111 |
NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about DERMONE, LLC
Jurisdiction of Incorporation: | New Jersey Division of Revenue and Enterprise Services |
Incorporation Date: | |
Company Identification Number: | 0600383630 |
More information about DERMONE, LLC
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2017-01-01 | JEFFREY PETRICK | JEFFREY PETRICK | 2018-04-10 | |
501 | 2016-01-01 | JEFFREY PETRICK | JEFFREY PETRICK | 2017-10-10 | |
501 | 2015-03-01 | PAMELA TEUFEL |
Measure | Date | Value |
---|---|---|
2017: DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 261 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 239 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 5 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 244 |
2016: DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-01-01 | 349 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 258 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
Total of all active and inactive participants | 2016-01-01 | 261 |
2015: DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-03-01 | 337 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 349 |
Number of retired or separated participants receiving benefits | 2015-03-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-03-01 | 0 |
Total of all active and inactive participants | 2015-03-01 | 349 |
2017: DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses | ||
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Submission has been amended | No |
2017-01-01 | This submission is the final filing | No |
2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-01-01 | Plan is a collectively bargained plan | No |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses | ||
2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Submission has been amended | No |
2016-01-01 | This submission is the final filing | No |
2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-01-01 | Plan is a collectively bargained plan | No |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: DERMONE, LLC HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses | ||
2015-03-01 | Type of plan entity | Single employer plan |
2015-03-01 | Submission has been amended | No |
2015-03-01 | This submission is the final filing | No |
2015-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2015-03-01 | Plan is a collectively bargained plan | No |
2015-03-01 | Plan funding arrangement – Insurance | Yes |
2015-03-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-03-01 | Plan benefit arrangement – Insurance | Yes |
2015-03-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | G0716 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | G0716 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | TM05915645 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | G0716 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 30046891 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 5 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 3339484 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 6 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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