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SOUTH TEXAS DENTAL ASSOCIATES, LP 401k Plan overview

Plan NameSOUTH TEXAS DENTAL ASSOCIATES, LP
Plan identification number 501

SOUTH TEXAS DENTAL ASSOCIATES, LP Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

STX HEALTHCARE MANAGEMENT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:STX HEALTHCARE MANAGEMENT SERVICES, INC.
Employer identification number (EIN):264473606
NAIC Classification:621210
NAIC Description:Offices of Dentists

Additional information about STX HEALTHCARE MANAGEMENT SERVICES, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4663483

More information about STX HEALTHCARE MANAGEMENT SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH TEXAS DENTAL ASSOCIATES, LP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01ROXANNE ADAMS2019-08-12

Plan Statistics for SOUTH TEXAS DENTAL ASSOCIATES, LP

401k plan membership statisitcs for SOUTH TEXAS DENTAL ASSOCIATES, LP

Measure Date Value
2018: SOUTH TEXAS DENTAL ASSOCIATES, LP 2018 401k membership
Total participants, beginning-of-year2018-01-01100
Total number of active participants reported on line 7a of the Form 55002018-01-01345
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01345
Number of employers contributing to the scheme2018-01-010

Form 5500 Responses for SOUTH TEXAS DENTAL ASSOCIATES, LP

2018: SOUTH TEXAS DENTAL ASSOCIATES, LP 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number913415
Policy instance 1
Insurance contract or identification number913415
Number of Individuals Covered345
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $75,072
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,810,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees75072
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number17584
Policy instance 2
Insurance contract or identification number17584
Number of Individuals Covered233
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number543624
Policy instance 3
Insurance contract or identification number543624
Number of Individuals Covered345
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $96,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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