SUPER ATV has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2023: SUPER ATV DENTAL PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-10-01 | 310 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-10-01 | 0 |
| Number of retired or separated participants receiving benefits | 2023-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-10-01 | 0 |
| Total of all active and inactive participants | 2023-10-01 | 0 |
| Number of employers contributing to the scheme | 2023-10-01 | 0 |
| 2022: SUPER ATV DENTAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-10-01 | 305 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 310 |
| Number of retired or separated participants receiving benefits | 2022-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 0 |
| Total of all active and inactive participants | 2022-10-01 | 310 |
| Number of employers contributing to the scheme | 2022-10-01 | 0 |
| 2021: SUPER ATV DENTAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-10-01 | 299 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 305 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 305 |
| Number of employers contributing to the scheme | 2021-10-01 | 0 |
| 2020: SUPER ATV DENTAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 200 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 299 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
| Total of all active and inactive participants | 2020-10-01 | 299 |
| Number of employers contributing to the scheme | 2020-10-01 | 0 |
| 2019: SUPER ATV DENTAL PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 164 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 200 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
| Total of all active and inactive participants | 2019-10-01 | 200 |
| Number of employers contributing to the scheme | 2019-10-01 | 0 |
| 2018: SUPER ATV DENTAL PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 164 |
| Number of retired or separated participants receiving benefits | 2018-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 0 |
| Total of all active and inactive participants | 2018-10-01 | 164 |
| Number of employers contributing to the scheme | 2018-10-01 | 0 |
| 2023: SUPER ATV DENTAL PLAN 2023 form 5500 responses |
|---|
| 2023-10-01 | Type of plan entity | Single employer plan |
| 2023-10-01 | This submission is the final filing | Yes |
| 2023-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-10-01 | Plan funding arrangement – Insurance | Yes |
| 2023-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: SUPER ATV DENTAL PLAN 2022 form 5500 responses |
|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: SUPER ATV DENTAL PLAN 2021 form 5500 responses |
|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: SUPER ATV DENTAL PLAN 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: SUPER ATV DENTAL PLAN 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: SUPER ATV DENTAL PLAN 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | First time form 5500 has been submitted | Yes |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | IN2041 |
| Policy instance | 1 |
| Insurance contract or identification number | IN2041 | | Number of Individuals Covered | 534 | | Insurance policy start date | 2023-10-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,543 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC. (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | IN2041 |
| Policy instance | 1 |
| Insurance contract or identification number | IN2041 | | Number of Individuals Covered | 524 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Total amount of commissions paid to insurance broker | USD $5,817 | | Total amount of fees paid to insurance company | USD $143 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $129,031 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,817 | | Amount paid for insurance broker fees | 143 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | IN2041 |
| Policy instance | 1 |
| Insurance contract or identification number | IN2041 | | Number of Individuals Covered | 534 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $5,541 | | Total amount of fees paid to insurance company | USD $43 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $119,696 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $5,541 | | Amount paid for insurance broker fees | 43 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | IN2041 |
| Policy instance | 1 |
| Insurance contract or identification number | IN2041 | | Number of Individuals Covered | 530 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $9,350 | | Total amount of fees paid to insurance company | USD $518 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $107,431 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,350 | | Amount paid for insurance broker fees | 518 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | IN2041 |
| Policy instance | 1 |
| Insurance contract or identification number | IN2041 | | Number of Individuals Covered | 365 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $5,802 | | Total amount of fees paid to insurance company | USD $380 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $56,376 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,802 | | Amount paid for insurance broker fees | 380 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | IN2041 |
| Policy instance | 1 |
| Insurance contract or identification number | IN2041 | | Number of Individuals Covered | 288 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $4,277 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $47,293 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,277 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
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