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EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 401k Plan overview

Plan NameEASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN
Plan identification number 503

EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

THE ARC OF NORTHEAST INDIANA, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE ARC OF NORTHEAST INDIANA, INC.
Employer identification number (EIN):350998711
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032012-09-01MISTY WOLTMAN MISTY WOLTMAN2014-07-07
5032011-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032010-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032009-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032008-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032007-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032006-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032005-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30
5032004-09-01MISTY WOLTMAN MISTY WOLTMAN2013-12-30

Plan Statistics for EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN

401k plan membership statisitcs for EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN

Measure Date Value
2012: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01197
Total number of active participants reported on line 7a of the Form 55002012-09-010
Number of retired or separated participants receiving benefits2012-09-010
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-010
2011: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01208
Total number of active participants reported on line 7a of the Form 55002011-09-01187
Number of retired or separated participants receiving benefits2011-09-0110
Number of other retired or separated participants entitled to future benefits2011-09-010
Total of all active and inactive participants2011-09-01197
2010: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01214
Total number of active participants reported on line 7a of the Form 55002010-09-01200
Number of retired or separated participants receiving benefits2010-09-018
Number of other retired or separated participants entitled to future benefits2010-09-010
Total of all active and inactive participants2010-09-01208
2009: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01221
Total number of active participants reported on line 7a of the Form 55002009-09-01210
Number of retired or separated participants receiving benefits2009-09-014
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-01214
Total participants2009-09-010
2008: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2008 401k membership
Total participants, beginning-of-year2008-09-01211
Total number of active participants reported on line 7a of the Form 55002008-09-01221
Number of retired or separated participants receiving benefits2008-09-010
Number of other retired or separated participants entitled to future benefits2008-09-010
Total of all active and inactive participants2008-09-01221
2007: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2007 401k membership
Total participants, beginning-of-year2007-09-01183
Total number of active participants reported on line 7a of the Form 55002007-09-01211
Number of retired or separated participants receiving benefits2007-09-010
Number of other retired or separated participants entitled to future benefits2007-09-010
Total of all active and inactive participants2007-09-01211
2006: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2006 401k membership
Total participants, beginning-of-year2006-09-01141
Total number of active participants reported on line 7a of the Form 55002006-09-01183
Number of retired or separated participants receiving benefits2006-09-010
Number of other retired or separated participants entitled to future benefits2006-09-010
Total of all active and inactive participants2006-09-01183
2005: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2005 401k membership
Total participants, beginning-of-year2005-09-01162
Total number of active participants reported on line 7a of the Form 55002005-09-01141
Number of retired or separated participants receiving benefits2005-09-010
Number of other retired or separated participants entitled to future benefits2005-09-010
Total of all active and inactive participants2005-09-01141
2004: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2004 401k membership
Total participants, beginning-of-year2004-09-01128
Total number of active participants reported on line 7a of the Form 55002004-09-01162
Number of retired or separated participants receiving benefits2004-09-010
Number of other retired or separated participants entitled to future benefits2004-09-010
Total of all active and inactive participants2004-09-01162

Form 5500 Responses for EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN

2012: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedYes
2012-09-01This submission is the final filingYes
2012-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2010: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Submission has been amendedNo
2010-09-01This submission is the final filingNo
2010-09-01This return/report is a short plan year return/report (less than 12 months)No
2010-09-01Plan is a collectively bargained planNo
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan benefit arrangement – InsuranceYes
2009: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes
2008: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2008 form 5500 responses
2008-09-01Type of plan entitySingle employer plan
2008-09-01Submission has been amendedNo
2008-09-01This submission is the final filingNo
2008-09-01This return/report is a short plan year return/report (less than 12 months)No
2008-09-01Plan is a collectively bargained planNo
2008-09-01Plan funding arrangement – InsuranceYes
2008-09-01Plan benefit arrangement – InsuranceYes
2007: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2007 form 5500 responses
2007-09-01Type of plan entitySingle employer plan
2007-09-01Submission has been amendedNo
2007-09-01This submission is the final filingNo
2007-09-01This return/report is a short plan year return/report (less than 12 months)No
2007-09-01Plan is a collectively bargained planNo
2007-09-01Plan funding arrangement – InsuranceYes
2007-09-01Plan benefit arrangement – InsuranceYes
2006: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2006 form 5500 responses
2006-09-01Type of plan entitySingle employer plan
2006-09-01Submission has been amendedNo
2006-09-01This submission is the final filingNo
2006-09-01This return/report is a short plan year return/report (less than 12 months)No
2006-09-01Plan is a collectively bargained planNo
2006-09-01Plan funding arrangement – InsuranceYes
2006-09-01Plan benefit arrangement – InsuranceYes
2005: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2005 form 5500 responses
2005-09-01Type of plan entitySingle employer plan
2005-09-01Submission has been amendedNo
2005-09-01This submission is the final filingNo
2005-09-01This return/report is a short plan year return/report (less than 12 months)No
2005-09-01Plan is a collectively bargained planNo
2005-09-01Plan funding arrangement – InsuranceYes
2005-09-01Plan benefit arrangement – InsuranceYes
2004: EASTER SEALS ARC OF NORTHEAST INDIANA GROUP DENTAL INSURANCE PLAN 2004 form 5500 responses
2004-09-01Type of plan entitySingle employer plan
2004-09-01First time form 5500 has been submittedYes
2004-09-01Submission has been amendedNo
2004-09-01This submission is the final filingNo
2004-09-01This return/report is a short plan year return/report (less than 12 months)No
2004-09-01Plan is a collectively bargained planNo
2004-09-01Plan funding arrangement – InsuranceYes
2004-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Number of Individuals Covered197
Insurance policy start date2012-09-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,134
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,134
Insurance broker organization code?3
Insurance broker nameONB INSURANCE GROUP, INC.
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Number of Individuals Covered187
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $6,729
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Number of Individuals Covered200
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
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 $100,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533,CD0534
Policy instance 1
Insurance contract or identification numberCD0533,CD0534
Number of Individuals Covered221
Insurance policy start date2008-09-01
Insurance policy end date2009-08-31
Total amount of commissions paid to insurance brokerUSD $6,898
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,898
Insurance broker organization code?3
Insurance broker nameONB INSURANCE GROUP, INC.
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Insurance policy start date2007-09-01
Insurance policy end date2008-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Insurance policy start date2006-09-01
Insurance policy end date2007-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Insurance policy start date2005-09-01
Insurance policy end date2006-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )
Policy contract numberCD0533, CD0534
Policy instance 1
Insurance contract or identification numberCD0533, CD0534
Insurance policy start date2004-09-01
Insurance policy end date2005-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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