| Plan Name | KIDS UNLIMITED OF OREGON MEDICAL DENTAL VISION PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | KIDS UNLIMITED OF OREGON |
| Employer identification number (EIN): | 931329922 |
| NAIC Classification: | 611000 |
Additional information about KIDS UNLIMITED OF OREGON
| Jurisdiction of Incorporation: | Oregon Secretary of State Corporations Division |
| Incorporation Date: | 2001-11-05 |
| Company Identification Number: | 4768990 |
| Legal Registered Office Address: |
14 N CENTRAL #104 MEDFORD United States of America (USA) 97501 |
More information about KIDS UNLIMITED OF OREGON
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-01-01 | TOM COLE | 2023-10-25 |
| 2022: KIDS UNLIMITED OF OREGON MEDICAL DENTAL VISION PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| OREGON DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 54941 ) | |
| Policy contract number | 10011503 |
| Policy instance | 1 |
| MODA HEALTH (National Association of Insurance Commissioners NAIC id number: 47098 ) | |
| Policy contract number | 10011503 |
| Policy instance | 2 |