| Plan Name | SALT DENTAL COLLECTIVE HEALTH & WELFARE BENEFITS PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SALT DENTAL COLLECTIVE, LLC |
| Employer identification number (EIN): | 833847706 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | AMY MARKHAM | 2024-09-30 |
| 2023: SALT DENTAL COLLECTIVE HEALTH & WELFARE BENEFITS PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||
| Policy contract number | 1133975 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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