| Plan Name | NORTH CENTRAL SERVICE, INC. VOLUNTARY DENTAL INSURANCE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTH CENTRAL SERVICE, INC. |
| Employer identification number (EIN): | 411330323 |
| NAIC Classification: | 238900 |
Additional information about NORTH CENTRAL SERVICE, INC.
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 1993-12-20 |
| Company Identification Number: | 1780848 |
| Legal Registered Office Address: |
353 N CENTRAL AVE Westchester HARTSDALE United States of America (USA) 10530 |
More information about NORTH CENTRAL SERVICE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-04-01 | JACOB WICKMAN | |||
| 501 | 2023-04-01 | ||||
| 501 | 2023-04-01 | JACOB WICKMAN |
| 2023: NORTH CENTRAL SERVICE, INC. VOLUNTARY DENTAL INSURANCE 2023 form 5500 responses | ||
|---|---|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | First time form 5500 has been submitted | Yes |
| 2023-04-01 | Submission has been amended | No |
| 2023-04-01 | This submission is the final filing | No |
| 2023-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-04-01 | Plan is a collectively bargained plan | No |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 400859 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||
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