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| Plan Name | ROCHESTER GAUGES HEALTH AND WELFARE PLAN - DENTAL |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ROCHESTER SENSORS, LLC |
| Employer identification number (EIN): | 750979821 |
| NAIC Classification: | 334500 |
Additional information about ROCHESTER SENSORS, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2018-05-23 |
| Company Identification Number: | 0803024105 |
| Legal Registered Office Address: |
PO BOX 2368 ATTN: BEN PAREDES COPPELL United States of America (USA) 75019 |
More information about ROCHESTER SENSORS, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-01-01 | LIDIA LAZARO-ARROYO | 2023-08-18 | ||
| 502 | 2021-01-01 | ELI GONZALES | 2022-10-11 | ||
| 502 | 2020-01-01 | ELI GONZALES | 2021-07-07 | ||
| 502 | 2019-01-01 |
| 2022: ROCHESTER GAUGES HEALTH AND WELFARE PLAN - DENTAL 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: ROCHESTER GAUGES HEALTH AND WELFARE PLAN - DENTAL 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: ROCHESTER GAUGES HEALTH AND WELFARE PLAN - DENTAL 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: ROCHESTER GAUGES HEALTH AND WELFARE PLAN - DENTAL 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 304943 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) | |||||||||||||||||||||
| Policy contract number | 304943 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||
| Policy contract number | 916455 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||
| Policy contract number | 5372236* | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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