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| Plan Name | ADVANCED DIGESTIVE CARE DENTAL BENEFIT PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ADVANCED DIGESTIVE CARE, LLC |
| Employer identification number (EIN): | 464180470 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about ADVANCED DIGESTIVE CARE, LLC
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 2013-11-21 |
| Company Identification Number: | S480340 |
| Legal Registered Office Address: |
3022 WILLIAMS DRIVE FAIRFAX United States of America (USA) 22031 |
More information about ADVANCED DIGESTIVE CARE, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2019-09-01 |
| 2019: ADVANCED DIGESTIVE CARE DENTAL BENEFIT PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | First time form 5500 has been submitted | Yes |
| 2019-09-01 | Submission has been amended | No |
| 2019-09-01 | This submission is the final filing | No |
| 2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-09-01 | Plan is a collectively bargained plan | No |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) | |
| Policy contract number | 000500312 |
| Policy instance | 1 |
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