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MARSHFIELD CLINIC - DENTAL COM 401k Plan overview

Plan NameMARSHFIELD CLINIC - DENTAL COM
Plan identification number 511

MARSHFIELD CLINIC - DENTAL COM Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

MARSHFIELD CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name:MARSHFIELD CLINIC, INC.
Employer identification number (EIN):390452970
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about MARSHFIELD CLINIC, INC.

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: 90083H

More information about MARSHFIELD CLINIC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARSHFIELD CLINIC - DENTAL COM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112015-01-01STEVEN CHRISTIANSON
5112014-01-01STEVEN CHRISTIANSON
5112013-01-01STEVEN CHRISTIANSON
5112012-01-01STEVEN CHRISTIANSON
5112011-01-01STEVEN CHRISTIANSON
5112009-01-01STEVEN CHRISTIANSON

Plan Statistics for MARSHFIELD CLINIC - DENTAL COM

401k plan membership statisitcs for MARSHFIELD CLINIC - DENTAL COM

Measure Date Value
2015: MARSHFIELD CLINIC - DENTAL COM 2015 401k membership
Total participants, beginning-of-year2015-01-012,013
Total number of active participants reported on line 7a of the Form 55002015-01-012,047
Total of all active and inactive participants2015-01-012,047
Total participants2015-01-012,047
2014: MARSHFIELD CLINIC - DENTAL COM 2014 401k membership
Total participants, beginning-of-year2014-01-012,327
Total number of active participants reported on line 7a of the Form 55002014-01-011,980
Total of all active and inactive participants2014-01-011,980
Total participants2014-01-011,980
2013: MARSHFIELD CLINIC - DENTAL COM 2013 401k membership
Total participants, beginning-of-year2013-01-012,327
Total number of active participants reported on line 7a of the Form 55002013-01-012,215
Total of all active and inactive participants2013-01-012,215
Total participants2013-01-012,215
2012: MARSHFIELD CLINIC - DENTAL COM 2012 401k membership
Total participants, beginning-of-year2012-01-012,374
Total number of active participants reported on line 7a of the Form 55002012-01-012,327
Total of all active and inactive participants2012-01-012,327
Total participants2012-01-012,327
2011: MARSHFIELD CLINIC - DENTAL COM 2011 401k membership
Total participants, beginning-of-year2011-01-012,352
Total number of active participants reported on line 7a of the Form 55002011-01-012,374
Total of all active and inactive participants2011-01-012,374
Total participants2011-01-012,374
2009: MARSHFIELD CLINIC - DENTAL COM 2009 401k membership
Total participants, beginning-of-year2009-01-012,370
Total number of active participants reported on line 7a of the Form 55002009-01-012,316
Total of all active and inactive participants2009-01-012,316
Total participants2009-01-012,316

Form 5500 Responses for MARSHFIELD CLINIC - DENTAL COM

2015: MARSHFIELD CLINIC - DENTAL COM 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MARSHFIELD CLINIC - DENTAL COM 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MARSHFIELD CLINIC - DENTAL COM 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MARSHFIELD CLINIC - DENTAL COM 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MARSHFIELD CLINIC - DENTAL COM 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: MARSHFIELD CLINIC - DENTAL COM 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MARSHFIELD CLINIC - DENTAL COM (National Association of Insurance Commissioners NAIC id number: 11826 )
Policy contract number
Policy instance 1
Number of Individuals Covered2011
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MARSHFIELD CLINIC - DENTAL COM (National Association of Insurance Commissioners NAIC id number: 11826 )
Policy contract number
Policy instance 1
Number of Individuals Covered1980
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MARSHFIELD CLINIC - DENTAL COM (National Association of Insurance Commissioners NAIC id number: 11826 )
Policy contract number
Policy instance 1
Number of Individuals Covered2215
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MARSHFIELD CLINIC - DENTAL COM (National Association of Insurance Commissioners NAIC id number: 11826 )
Policy contract number
Policy instance 1
Number of Individuals Covered2327
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?No
MARSHFIELD CLINIC - DENTAL COM (National Association of Insurance Commissioners NAIC id number: 11826 )
Policy contract number
Policy instance 1
Number of Individuals Covered2374
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?No
MARSHFIELD CLINIC - DENTAL COM (National Association of Insurance Commissioners NAIC id number: 11826 )
Policy contract number
Policy instance 1
Number of Individuals Covered2352
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?No

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