401k Plan data: L.C.C.C.C.A. STEP INC, DENTAL PLAN plan

L.C.C.C.C.A. STEP INC, DENTAL PLAN 401k Plan overview

Plan Name	L.C.C.C.C.A. STEP INC, DENTAL PLAN
Plan identification number	503

L.C.C.C.C.A. STEP INC, DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

DELTA DENTAL OF PENNSYLVANIA has sponsored the creation of one or more 401k plans.

Company Name: DELTA DENTAL OF PENNSYLVANIA

Employer identification number (EIN): 231667011

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Additional information about DELTA DENTAL OF PENNSYLVANIA

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 1015746

More information about DELTA DENTAL OF PENNSYLVANIA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan L.C.C.C.C.A. STEP INC, DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2018-07-01
503 2018-07-01

Plan Statistics for L.C.C.C.C.A. STEP INC, DENTAL PLAN

401k plan membership statisitcs for L.C.C.C.C.A. STEP INC, DENTAL PLAN

Measure Date Value
2018: L.C.C.C.C.A. STEP INC, DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 220
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 222
Number of other retired or separated participants entitled to future benefits 2018-07-01 3
Total of all active and inactive participants 2018-07-01 225
Total participants 2018-07-01 225

Measure	Date	Value
2018: L.C.C.C.C.A. STEP INC, DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	220
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	222
Number of other retired or separated participants entitled to future benefits	2018-07-01	3
Total of all active and inactive participants	2018-07-01	225
Total participants	2018-07-01	225

Form 5500 Responses for L.C.C.C.C.A. STEP INC, DENTAL PLAN

2018: L.C.C.C.C.A. STEP INC, DENTAL PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	Yes
2018-07-01	This submission is the final filing	Yes
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

Insurance Providers Used on plan

DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )

Policy contract number

17838

Policy instance

Insurance contract or identification number	17838
Number of Individuals Covered	352
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $5,770
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	Yes
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 $76,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,770
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	DELTA DENTAL OF PENNSYLVANIA
Employer identification number (EIN):	231667011
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	1015746