401k Plan data: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN plan

WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 401k Plan overview

Plan Name	WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN
Plan identification number	502

WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

WESTMINSTER VILLAGE GREENWOOD, INC. has sponsored the creation of one or more 401k plans.

Company Name: WESTMINSTER VILLAGE GREENWOOD, INC.

Employer identification number (EIN): 351516199

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2019-07-01
502 2018-07-01
502 2017-07-01
502 2016-07-01 JANICE MERRIS
502 2015-07-01 JANICE MERRIS
502 2014-07-01 JANICE MERRIS JANICE MERRIS 2016-02-15
502 2013-07-01 JANICE MERRIS JANICE MERRIS 2015-01-09
502 2012-07-01 JANICE MERRIS JANICE MERRIS 2014-04-11
502 2011-07-01 JANICE MERRIS JANICE MERRIS 2013-01-29
502 2010-07-01 JANICE MERRIS JANICE MERRIS 2012-04-12
502 2010-01-01 JANICE MERRIS JANICE MERRIS 2011-03-24
502 2009-01-01 JANICE MERRIS JANICE MERRIS 2011-02-17
502 2008-01-01 JANICE MERRIS JANICE MERRIS 2011-02-17
502 2007-01-01 JANICE MERRIS JANICE MERRIS 2011-02-17
502 2006-01-01 JANICE MERRIS JANICE MERRIS 2011-02-18
502 2005-01-01 JANICE MERRIS JANICE MERRIS 2011-02-17
502 2004-06-01 JANICE MERRIS JANICE MERRIS 2011-02-17
502 2003-06-01 JANICE MERRIS JANICE MERRIS 2011-02-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2019-07-01
502	2018-07-01
502	2017-07-01
502	2016-07-01	JANICE MERRIS
502	2015-07-01	JANICE MERRIS
502	2014-07-01	JANICE MERRIS	JANICE MERRIS	2016-02-15
502	2013-07-01	JANICE MERRIS	JANICE MERRIS	2015-01-09
502	2012-07-01	JANICE MERRIS	JANICE MERRIS	2014-04-11
502	2011-07-01	JANICE MERRIS	JANICE MERRIS	2013-01-29
502	2010-07-01	JANICE MERRIS	JANICE MERRIS	2012-04-12
502	2010-01-01	JANICE MERRIS	JANICE MERRIS	2011-03-24
502	2009-01-01	JANICE MERRIS	JANICE MERRIS	2011-02-17
502	2008-01-01	JANICE MERRIS	JANICE MERRIS	2011-02-17
502	2007-01-01	JANICE MERRIS	JANICE MERRIS	2011-02-17
502	2006-01-01	JANICE MERRIS	JANICE MERRIS	2011-02-18
502	2005-01-01	JANICE MERRIS	JANICE MERRIS	2011-02-17
502	2004-06-01	JANICE MERRIS	JANICE MERRIS	2011-02-17
502	2003-06-01	JANICE MERRIS	JANICE MERRIS	2011-02-17

Plan Statistics for WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN

401k plan membership statisitcs for WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN

Measure Date Value
2019: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 143
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 0
Number of retired or separated participants receiving benefits 2019-07-01 0
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 0
2018: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 145
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 143
Number of retired or separated participants receiving benefits 2018-07-01 0
Number of other retired or separated participants entitled to future benefits 2018-07-01 0
Total of all active and inactive participants 2018-07-01 143
2017: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 146
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 140
Number of retired or separated participants receiving benefits 2017-07-01 0
Number of other retired or separated participants entitled to future benefits 2017-07-01 0
Total of all active and inactive participants 2017-07-01 140
2016: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 132
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 134
Number of retired or separated participants receiving benefits 2016-07-01 2
Number of other retired or separated participants entitled to future benefits 2016-07-01 0
Total of all active and inactive participants 2016-07-01 136
2015: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 134
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 131
Number of retired or separated participants receiving benefits 2015-07-01 1
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 132
2014: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 138
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 133
Number of retired or separated participants receiving benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 134
2013: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 142
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 137
Number of retired or separated participants receiving benefits 2013-07-01 1
Total of all active and inactive participants 2013-07-01 138
2012: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 146
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 140
Number of retired or separated participants receiving benefits 2012-07-01 3
Total of all active and inactive participants 2012-07-01 143
2011: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 153
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 146
Total of all active and inactive participants 2011-07-01 146
2010: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 305
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 153
Total of all active and inactive participants 2010-07-01 153
Total participants, beginning-of-year 2010-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 305
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 305
Total participants 2010-01-01 0
2009: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 296
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 312
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 312
Total participants 2009-01-01 0
2008: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 277
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 296
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 296
Total participants 2008-01-01 0
2007: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 276
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 277
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 277
Total participants 2007-01-01 0
2006: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 276
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 276
Total participants 2006-01-01 0
2005: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 271
Number of retired or separated participants receiving benefits 2005-01-01 0
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 271
Total participants 2005-01-01 0
2004: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2004 401k membership
Total participants, beginning-of-year 2004-06-01 262
Total number of active participants reported on line 7a of the Form 5500 2004-06-01 271
Number of retired or separated participants receiving benefits 2004-06-01 0
Number of other retired or separated participants entitled to future benefits 2004-06-01 0
Total of all active and inactive participants 2004-06-01 271
Total participants 2004-06-01 0
2003: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2003 401k membership
Total participants, beginning-of-year 2003-06-01 100
Total number of active participants reported on line 7a of the Form 5500 2003-06-01 262
Number of retired or separated participants receiving benefits 2003-06-01 0
Number of other retired or separated participants entitled to future benefits 2003-06-01 0
Total of all active and inactive participants 2003-06-01 262
Total participants 2003-06-01 0

Measure	Date	Value
2019: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	143
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	0
Number of retired or separated participants receiving benefits	2019-07-01	0
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	0
2018: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	145
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	143
Number of retired or separated participants receiving benefits	2018-07-01	0
Number of other retired or separated participants entitled to future benefits	2018-07-01	0
Total of all active and inactive participants	2018-07-01	143
2017: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	146
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	140
Number of retired or separated participants receiving benefits	2017-07-01	0
Number of other retired or separated participants entitled to future benefits	2017-07-01	0
Total of all active and inactive participants	2017-07-01	140
2016: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	132
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	134
Number of retired or separated participants receiving benefits	2016-07-01	2
Number of other retired or separated participants entitled to future benefits	2016-07-01	0
Total of all active and inactive participants	2016-07-01	136
2015: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	134
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	131
Number of retired or separated participants receiving benefits	2015-07-01	1
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	132
2014: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	138
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	133
Number of retired or separated participants receiving benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	134
2013: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	142
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	137
Number of retired or separated participants receiving benefits	2013-07-01	1
Total of all active and inactive participants	2013-07-01	138
2012: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	146
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	140
Number of retired or separated participants receiving benefits	2012-07-01	3
Total of all active and inactive participants	2012-07-01	143
2011: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	153
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	146
Total of all active and inactive participants	2011-07-01	146
2010: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	305
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	153
Total of all active and inactive participants	2010-07-01	153
Total participants, beginning-of-year	2010-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	305
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	305
Total participants	2010-01-01	0
2009: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	296
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	312
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	312
Total participants	2009-01-01	0
2008: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	277
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	296
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	296
Total participants	2008-01-01	0
2007: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	276
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	277
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	277
Total participants	2007-01-01	0
2006: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	276
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	276
Total participants	2006-01-01	0
2005: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	271
Number of retired or separated participants receiving benefits	2005-01-01	0
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	271
Total participants	2005-01-01	0
2004: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2004 401k membership
Total participants, beginning-of-year	2004-06-01	262
Total number of active participants reported on line 7a of the Form 5500	2004-06-01	271
Number of retired or separated participants receiving benefits	2004-06-01	0
Number of other retired or separated participants entitled to future benefits	2004-06-01	0
Total of all active and inactive participants	2004-06-01	271
Total participants	2004-06-01	0
2003: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2003 401k membership
Total participants, beginning-of-year	2003-06-01	100
Total number of active participants reported on line 7a of the Form 5500	2003-06-01	262
Number of retired or separated participants receiving benefits	2003-06-01	0
Number of other retired or separated participants entitled to future benefits	2003-06-01	0
Total of all active and inactive participants	2003-06-01	262
Total participants	2003-06-01	0

Form 5500 Responses for WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN

2019: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	Yes
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 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: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
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
2016: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	No
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2004: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2004 form 5500 responses
2004-06-01	Type of plan entity	Single employer plan
2004-06-01	Submission has been amended	No
2004-06-01	This submission is the final filing	No
2004-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2004-06-01	Plan is a collectively bargained plan	No
2004-06-01	Plan funding arrangement – Insurance	Yes
2004-06-01	Plan benefit arrangement – Insurance	Yes
2003: WESTMINSTER VILLAGE GREENWOOD, INC. DENTAL PLAN 2003 form 5500 responses
2003-06-01	Type of plan entity	Single employer plan
2003-06-01	First time form 5500 has been submitted	Yes
2003-06-01	Submission has been amended	No
2003-06-01	This submission is the final filing	No
2003-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2003-06-01	Plan is a collectively bargained plan	No
2003-06-01	Plan funding arrangement – Insurance	Yes
2003-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

620045303703

Policy instance

Insurance contract or identification number	620045303703
Number of Individuals Covered	267
Insurance policy start date	2019-07-01
Insurance policy end date	2020-06-30
Total amount of commissions paid to insurance broker	USD $8,043
Total amount of fees paid to insurance company	USD $0
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 $107,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,980
Insurance broker organization code?	3

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

620045303703

Policy instance

Insurance contract or identification number	620045303703
Number of Individuals Covered	277
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $8,201
Total amount of fees paid to insurance company	USD $0
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 $109,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,201
Insurance broker organization code?	3

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

620045303703

Policy instance

Insurance contract or identification number	620045303703
Number of Individuals Covered	140
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $8,464
Total amount of fees paid to insurance company	USD $0
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 $112,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	WESTMINSTER VILLAGE GREENWOOD, INC.
Employer identification number (EIN):	351516199
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities