401k Plan data: HAMILTON DENTAL ASSOCIATES plan

HAMILTON DENTAL ASSOCIATES 401k Plan overview

Plan Name	HAMILTON DENTAL ASSOCIATES
Plan identification number	303

HAMILTON DENTAL ASSOCIATES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover

401k Sponsoring company profile

HAMILTON DENTAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: HAMILTON DENTAL ASSOCIATES

Employer identification number (EIN): 221896752

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAMILTON DENTAL ASSOCIATES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
303 2018-07-01
303 2018-07-01
303 2017-07-01
303 2017-07-01

Plan Statistics for HAMILTON DENTAL ASSOCIATES

401k plan membership statisitcs for HAMILTON DENTAL ASSOCIATES

Measure Date Value
2018: HAMILTON DENTAL ASSOCIATES 2018 401k membership
Total participants, beginning-of-year 2018-07-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 106
Number of retired or separated participants receiving benefits 2018-07-01 2
Total of all active and inactive participants 2018-07-01 108
Total participants 2018-07-01 108
2017: HAMILTON DENTAL ASSOCIATES 2017 401k membership
Total participants, beginning-of-year 2017-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 106
Number of retired or separated participants receiving benefits 2017-07-01 2
Total of all active and inactive participants 2017-07-01 108
Total participants 2017-07-01 108

Measure	Date	Value
2018: HAMILTON DENTAL ASSOCIATES 2018 401k membership
Total participants, beginning-of-year	2018-07-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	106
Number of retired or separated participants receiving benefits	2018-07-01	2
Total of all active and inactive participants	2018-07-01	108
Total participants	2018-07-01	108
2017: HAMILTON DENTAL ASSOCIATES 2017 401k membership
Total participants, beginning-of-year	2017-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	106
Number of retired or separated participants receiving benefits	2017-07-01	2
Total of all active and inactive participants	2017-07-01	108
Total participants	2017-07-01	108

Form 5500 Responses for HAMILTON DENTAL ASSOCIATES

2018: HAMILTON DENTAL ASSOCIATES 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: HAMILTON DENTAL ASSOCIATES 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	First time form 5500 has been submitted	Yes
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50030137

Policy instance

Insurance contract or identification number	50030137
Number of Individuals Covered	108
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $3,805
Total amount of fees paid to insurance company	USD $2,616
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $31,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2616
Commission paid to Insurance Broker	USD $3,805

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50030137

Policy instance

Insurance contract or identification number	50030137
Number of Individuals Covered	108
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $3,499
Total amount of fees paid to insurance company	USD $2,425
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $29,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2425
Commission paid to Insurance Broker	USD $3,499

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Company Name:	HAMILTON DENTAL ASSOCIATES
Employer identification number (EIN):	221896752
NAIC Classification:	621210
NAIC Description:	Offices of Dentists