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DENTAL INSURANCE PLAN 401k Plan overview

Plan NameDENTAL INSURANCE PLAN
Plan identification number 511

DENTAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

BRANDEIS UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name:BRANDEIS UNIVERSITY
Employer identification number (EIN):042103552
NAIC Classification:611000

Additional information about BRANDEIS UNIVERSITY

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1893190

More information about BRANDEIS UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112019-01-01KEVIN M PIERSON2020-07-29
5112018-01-01KEVIN M PIERSON2019-07-30 SAMUEL SOLOMON2019-07-30
5112017-01-01
5112016-01-01
5112015-01-01
5112015-01-01
5112014-01-01
5112013-01-01
5112012-01-01HARRY KALAJIAN HARRY KALAJIAN2013-07-15
5112011-01-01HARRY KALAJIAN HARRY KALAJIAN2012-07-13
5112009-01-01HARRY KALAJIAN HARRY KALAJIAN2010-10-13

Plan Statistics for DENTAL INSURANCE PLAN

401k plan membership statisitcs for DENTAL INSURANCE PLAN

Measure Date Value
2019: DENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,997
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
2018: DENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,938
Total number of active participants reported on line 7a of the Form 55002018-01-012,973
Number of retired or separated participants receiving benefits2018-01-0124
Total of all active and inactive participants2018-01-012,997
2017: DENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,922
Total number of active participants reported on line 7a of the Form 55002017-01-012,938
Number of retired or separated participants receiving benefits2017-01-0124
Total of all active and inactive participants2017-01-012,962
2016: DENTAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,911
Total number of active participants reported on line 7a of the Form 55002016-01-012,919
Number of retired or separated participants receiving benefits2016-01-013
Total of all active and inactive participants2016-01-012,922
Total participants2016-01-012,922
2015: DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,944
Total number of active participants reported on line 7a of the Form 55002015-01-012,889
Number of retired or separated participants receiving benefits2015-01-0122
Total of all active and inactive participants2015-01-012,911
Total participants2015-01-012,911
2014: DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,973
Total number of active participants reported on line 7a of the Form 55002014-01-012,903
Number of retired or separated participants receiving benefits2014-01-0141
Total of all active and inactive participants2014-01-012,944
Total participants2014-01-012,944
2013: DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,732
Total number of active participants reported on line 7a of the Form 55002013-01-012,955
Number of retired or separated participants receiving benefits2013-01-0118
Total of all active and inactive participants2013-01-012,973
Total participants2013-01-012,973
2012: DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,688
Total number of active participants reported on line 7a of the Form 55002012-01-012,718
Number of retired or separated participants receiving benefits2012-01-0114
Total of all active and inactive participants2012-01-012,732
Total participants2012-01-012,732
2011: DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,851
Total number of active participants reported on line 7a of the Form 55002011-01-012,672
Number of retired or separated participants receiving benefits2011-01-0116
Total of all active and inactive participants2011-01-012,688
Total participants2011-01-012,688
2009: DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,364
Total number of active participants reported on line 7a of the Form 55002009-01-012,659
Total of all active and inactive participants2009-01-012,659
Total participants2009-01-012,659

Form 5500 Responses for DENTAL INSURANCE PLAN

2019: DENTAL INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: DENTAL INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: DENTAL INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: DENTAL INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: DENTAL INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: DENTAL INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered2973
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,017
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO, SELF INSURED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,017
Insurance broker organization code?3
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered2938
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $30,018
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO, SELF INSURED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,018
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (NY) LLC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered2889
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $33,495
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO, SELF INSURED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,495
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (NY) LLC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered2903
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $27,611
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO, SELF INSURED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,140
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES (NY) LLC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered2955
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $26,811
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO, SELF INSURED
Welfare Benefit Premiums Paid to CarrierUSD $84,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,811
Insurance broker organization code?3
Insurance broker nameTHORBAHN & ASSOC. INS AGENCY INC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered228
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,582
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO
Welfare Benefit Premiums Paid to CarrierUSD $82,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,582
Insurance broker organization code?3
Insurance broker nameTHORBAHN & ASSOC. INS AGENCY INC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 2
Insurance contract or identification number004623
Number of Individuals Covered2718
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $25,581
Dental Insurance Welfare BenefitYes
Other welfare benefits providedSELF INSURED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,581
Insurance broker organization code?3
Insurance broker nameTHORBAHN & ASSOC. INS AGENCY INC
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered234
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO
Welfare Benefit Premiums Paid to CarrierUSD $85,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 2
Insurance contract or identification number004623
Number of Individuals Covered2688
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,202
Dental Insurance Welfare BenefitYes
Other welfare benefits providedSELF INSURED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 2
Insurance contract or identification number004623
Number of Individuals Covered2647
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $24,937
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Other welfare benefits providedSELF INSURED
Commission paid to Insurance BrokerUSD $24,937
Insurance broker organization code?3
Insurance broker nameJOHN R. THORBAHN INS AGENCY
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004623
Policy instance 1
Insurance contract or identification number004623
Number of Individuals Covered204
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Other welfare benefits providedDENTAL DMO
Welfare Benefit Premiums Paid to CarrierUSD $72,114

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