Plan Name | ADA WEST DERMATOLOGY, P.C. DENTAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | ADA WEST DERMATOLOGY, P.C. |
Employer identification number (EIN): | 203276415 |
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 |
---|---|---|---|---|---|
502 | 2022-01-01 | COLLEEN JONES | 2023-10-10 | ||
502 | 2021-01-01 | COLLEEN JONES | 2023-10-05 |
Measure | Date | Value |
---|---|---|
2022: ADA WEST DERMATOLOGY, P.C. DENTAL PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 103 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 105 |
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 | 105 |
Number of employers contributing to the scheme | 2022-01-01 | 0 |
2021: ADA WEST DERMATOLOGY, P.C. DENTAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 103 |
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 | 103 |
Number of employers contributing to the scheme | 2021-01-01 | 0 |
2022: ADA WEST DERMATOLOGY, P.C. DENTAL PLAN 2022 form 5500 responses | ||
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: ADA WEST DERMATOLOGY, P.C. DENTAL PLAN 2021 form 5500 responses | ||
2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | First time form 5500 has been submitted | Yes |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL OF IDAHO, INC (National Association of Insurance Commissioners NAIC id number: 47791 ) | |||||||||||||||||||||||
Policy contract number | 2406 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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DELTA DENTAL OF IDAHO, INC (National Association of Insurance Commissioners NAIC id number: 47791 ) | |||||||||||||||||||||||
Policy contract number | 2406 | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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