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| Plan Name | ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC |
| Employer identification number (EIN): | 113531435 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1999-12-09 |
| Company Identification Number: | 2448072 |
| Legal Registered Office Address: |
80 STATE STREET Suffolk ALBANY United States of America (USA) 12207 |
More information about ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-11-01 | TERRANCE LOVELL | |||
| 503 | 2016-11-01 | WENDY WALKER | |||
| 503 | 2015-11-01 | JOAN F. DE LA PRIDA | |||
| 503 | 2014-11-01 | JOAN F. DE LA PRIDA |
| Measure | Date | Value |
|---|---|---|
| 2017: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-11-01 | 303 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-11-01 | 0 |
| Total of all active and inactive participants | 2017-11-01 | 0 |
| 2016: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-11-01 | 302 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 302 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2016-11-01 | 0 |
| Total of all active and inactive participants | 2016-11-01 | 303 |
| 2015: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-11-01 | 258 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 299 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 0 |
| Total of all active and inactive participants | 2015-11-01 | 302 |
| 2014: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-11-01 | 534 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 488 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2014-11-01 | 0 |
| Total of all active and inactive participants | 2014-11-01 | 491 |
| 2017: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | Yes |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2016 form 5500 responses | ||
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Submission has been amended | No |
| 2016-11-01 | This submission is the final filing | No |
| 2016-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-11-01 | Plan is a collectively bargained plan | No |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2015 form 5500 responses | ||
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ISLAND MEDICAL MANAGEMENT HOLDINGS, LLC DENTAL VISION PLAN 2014 form 5500 responses | ||
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | First time form 5500 has been submitted | Yes |
| 2014-11-01 | Submission has been amended | No |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 7210191 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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