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Plan Name | PROACTIVE MD MANAGEMENT SERVICES, LLC DENTAL |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PROACTIVE MD MANAGMENT SERVICES |
Employer identification number (EIN): | 810960095 |
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 | 2022-01-01 | BENJAMIN R. STONER | 2023-10-13 | ||
502 | 2021-01-01 | BENJAMIN R. STONER | 2022-07-18 | ||
502 | 2020-01-01 | BENJAMIN R. STONER | 2021-07-16 |
Measure | Date | Value |
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2022: PROACTIVE MD MANAGEMENT SERVICES, LLC DENTAL 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 172 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 233 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 233 |
Number of employers contributing to the scheme | 2022-01-01 | 0 |
2021: PROACTIVE MD MANAGEMENT SERVICES, LLC DENTAL 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 200 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 172 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 172 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2020: PROACTIVE MD MANAGEMENT SERVICES, LLC DENTAL 2020 401k membership | ||
Total participants, beginning-of-year | 2020-01-01 | 170 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 152 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 152 |
Number of employers contributing to the scheme | 2020-01-01 | 0 |
2022: PROACTIVE MD MANAGEMENT SERVICES, LLC DENTAL 2022 form 5500 responses | ||
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Submission has been amended | Yes |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: PROACTIVE MD MANAGEMENT SERVICES, LLC 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: PROACTIVE MD MANAGEMENT SERVICES, LLC DENTAL 2020 form 5500 responses | ||
2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | First time form 5500 has been submitted | Yes |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | GLTD0BT9D | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | GLTD0BT9D | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | LA49 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
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