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LAKE COUNTRY POWER DENTAL PLAN 401k Plan overview

Plan NameLAKE COUNTRY POWER DENTAL PLAN
Plan identification number 501

LAKE COUNTRY POWER DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

LAKE COUNTRY POWER has sponsored the creation of one or more 401k plans.

Company Name:LAKE COUNTRY POWER
Employer identification number (EIN):411857633
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAKE COUNTRY POWER DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012009-01-01BECKY SEELEY BILL BUSSEY2010-07-26
5012009-01-01

Plan Statistics for LAKE COUNTRY POWER DENTAL PLAN

401k plan membership statisitcs for LAKE COUNTRY POWER DENTAL PLAN

Measure Date Value
2009: LAKE COUNTRY POWER DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01123
Total number of active participants reported on line 7a of the Form 55002009-01-01124
Total of all active and inactive participants2009-01-01124
Total participants2009-01-010
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Number of employers contributing to the scheme2009-01-010

Form 5500 Responses for LAKE COUNTRY POWER DENTAL PLAN

2009: LAKE COUNTRY POWER DENTAL PLAN 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

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1001889
Policy instance 1
Insurance contract or identification number1001889
Number of Individuals Covered124
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $3,774
Total amount of fees paid to insurance companyUSD $1,206
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,774
Amount paid for insurance broker fees1206
Additional information about fees paid to insurance brokerBONUS - NOT FROM EMPLOYER PREMIUMS
Insurance broker organization code?3

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