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| Plan Name | MAYO REGIONAL HOSPITAL DENTAL PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MRH CORP |
| Employer identification number (EIN): | 843689003 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2020-03-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: MAYO REGIONAL HOSPITAL DENTAL PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-03-01 | 323 |
| Total of all active and inactive participants | 2020-03-01 | 0 |
| Total participants | 2020-03-01 | 0 |
| 2020: MAYO REGIONAL HOSPITAL DENTAL PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-03-01 | Type of plan entity | Single employer plan |
| 2020-03-01 | First time form 5500 has been submitted | Yes |
| 2020-03-01 | This submission is the final filing | Yes |
| 2020-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-03-01 | Plan funding arrangement – Insurance | Yes |
| 2020-03-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 ) | |||||||||||||||||||||
| Policy contract number | 000006816 | ||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||
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