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| Plan Name | JL ANDERSON DBA/PALMETTO BRICK DENTAL |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | JL ANDERSON CO., INC. |
| Employer identification number (EIN): | 570469973 |
| NAIC Classification: | 327900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2021-01-01 | MEL WEST | 2022-09-16 | ||
| 503 | 2021-01-01 | MEL WEST | 2023-06-20 |
| 2021: JL ANDERSON DBA/PALMETTO BRICK DENTAL 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 | Submission has been amended | Yes |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 ) | |
| Policy contract number | 1201260 |
| Policy instance | 1 |
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