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| Plan Name | ADVANCED DIGITAL CABLE DENTAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ADVANCED DIGITAL CABLE, INC. |
| Employer identification number (EIN): | 621690046 |
| NAIC Classification: | 334200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-10-01 | JOSEPH GOBLE | 2019-04-03 | ||
| 503 | 2016-10-01 | JOSEPH GOBLE | 2019-04-03 |
| 2017: ADVANCED DIGITAL CABLE DENTAL PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | This submission is the final filing | Yes |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ADVANCED DIGITAL CABLE DENTAL PLAN 2016 form 5500 responses | ||
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | First time form 5500 has been submitted | Yes |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |
| Policy contract number | 5481711 |
| Policy instance | 1 |
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