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| Plan Name | COMMUNITY ACCESS DENTAL & VISION PLANS |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COMMUNITY ACCESS, INC. |
| Employer identification number (EIN): | 237399839 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
Additional information about COMMUNITY ACCESS, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1974-08-28 |
| Company Identification Number: | 350961 |
| Legal Registered Office Address: |
2 WASHINGTON ST., 9TH FLOOR New York NEW YORK United States of America (USA) 10004 |
More information about COMMUNITY ACCESS, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2019-08-01 | MORENIKE WILLIAMS | 2021-02-08 |
| Measure | Date | Value |
|---|---|---|
| 2019: COMMUNITY ACCESS DENTAL & VISION PLANS 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-08-01 | 212 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 0 |
| Number of employers contributing to the scheme | 2019-08-01 | 0 |
| 2019: COMMUNITY ACCESS DENTAL & VISION PLANS 2019 form 5500 responses | ||
|---|---|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | First time form 5500 has been submitted | Yes |
| 2019-08-01 | This submission is the final filing | Yes |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) | |||||||||||||||||||||||||||
| Policy contract number | 626622 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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