| Plan Name | DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DOVE LEWIS EMERGENCY ANIMAL HOSPITAL |
| Employer identification number (EIN): | 930621534 |
| NAIC Classification: | 541940 |
| NAIC Description: | Veterinary Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | MONICA MAXWELL | 2024-07-26 | ||
| 502 | 2022-01-01 | MONICA MAXWELL | 2023-10-03 | ||
| 502 | 2021-01-01 | MONICA MAXWELL | 2022-08-03 | ||
| 502 | 2020-01-01 | MONICA MAXWELL | 2021-07-06 | ||
| 502 | 2019-01-01 | MONICA MAXWELL | 2020-07-09 | ||
| 502 | 2018-01-01 | ||||
| 502 | 2017-01-01 |
| 2023: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: DOVELEWIS EMERGENCY ANIMAL HOSPITAL LIFE AND DISABILITY PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) | |||||||||||||||||||||||||
| Policy contract number | 71487 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | WBT000154 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| |||||||||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | WBT000154 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | WBT000154 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | WBT000154 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | WBT000154 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) | |||||||||||||||||||||||||
| Policy contract number | WBT000154 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||