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DENTAL PLAN FOR EMPLOYEES 401k Plan overview

Plan NameDENTAL PLAN FOR EMPLOYEES
Plan identification number 504

DENTAL PLAN FOR EMPLOYEES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA has sponsored the creation of one or more 401k plans.

Company Name:BLUE CROSS BLUE SHIELD OF NORTH DAKOTA
Employer identification number (EIN):450173185
NAIC Classification:524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL PLAN FOR EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-01-01DAVE BREUER2021-07-27
5042019-01-01DAVE BREUER2020-07-23
5042018-01-01
5042017-01-01
5042016-01-01
5042015-01-01
5042014-01-01
5042014-01-01
5042013-01-01
5042012-01-01DAVE BREUER
5042011-01-01DAVE BREUER
5042010-01-01DAVE BREUER
5042009-01-01KRISTEN KUTZER

Plan Statistics for DENTAL PLAN FOR EMPLOYEES

401k plan membership statisitcs for DENTAL PLAN FOR EMPLOYEES

Measure Date Value
2020: DENTAL PLAN FOR EMPLOYEES 2020 401k membership
Total participants, beginning-of-year2020-01-012,590
Total number of active participants reported on line 7a of the Form 55002020-01-010
Total of all active and inactive participants2020-01-010
Total participants2020-01-010
2019: DENTAL PLAN FOR EMPLOYEES 2019 401k membership
Total participants, beginning-of-year2019-01-012,529
Total number of active participants reported on line 7a of the Form 55002019-01-012,590
Total of all active and inactive participants2019-01-012,590
Total participants2019-01-012,590
2018: DENTAL PLAN FOR EMPLOYEES 2018 401k membership
Total participants, beginning-of-year2018-01-012,464
Total number of active participants reported on line 7a of the Form 55002018-01-012,529
Total of all active and inactive participants2018-01-012,529
Total participants2018-01-012,529
2017: DENTAL PLAN FOR EMPLOYEES 2017 401k membership
Total participants, beginning-of-year2017-01-012,614
Total number of active participants reported on line 7a of the Form 55002017-01-012,464
Total of all active and inactive participants2017-01-012,464
Total participants2017-01-012,464
2016: DENTAL PLAN FOR EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-01-012,675
Total number of active participants reported on line 7a of the Form 55002016-01-012,614
Total of all active and inactive participants2016-01-012,614
Total participants2016-01-012,614
2015: DENTAL PLAN FOR EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-012,857
Total number of active participants reported on line 7a of the Form 55002015-01-012,675
Total of all active and inactive participants2015-01-012,675
Total participants2015-01-012,675
2014: DENTAL PLAN FOR EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-012,452
Total number of active participants reported on line 7a of the Form 55002014-01-012,857
Total of all active and inactive participants2014-01-012,857
Total participants2014-01-012,857
2013: DENTAL PLAN FOR EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-011,712
Total number of active participants reported on line 7a of the Form 55002013-01-012,452
Total of all active and inactive participants2013-01-012,452
Total participants2013-01-012,452
2012: DENTAL PLAN FOR EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-011,600
Total number of active participants reported on line 7a of the Form 55002012-01-011,712
Total of all active and inactive participants2012-01-011,712
Total participants2012-01-011,712
2011: DENTAL PLAN FOR EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-011,876
Total number of active participants reported on line 7a of the Form 55002011-01-011,600
Total of all active and inactive participants2011-01-011,600
Total participants2011-01-011,600
2010: DENTAL PLAN FOR EMPLOYEES 2010 401k membership
Total participants, beginning-of-year2010-01-011,929
Total number of active participants reported on line 7a of the Form 55002010-01-011,876
Total of all active and inactive participants2010-01-011,876
Total participants2010-01-011,876
2009: DENTAL PLAN FOR EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-012,105
Total number of active participants reported on line 7a of the Form 55002009-01-011,929
Total of all active and inactive participants2009-01-011,929
Total participants2009-01-011,929

Form 5500 Responses for DENTAL PLAN FOR EMPLOYEES

2020: DENTAL PLAN FOR EMPLOYEES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: DENTAL PLAN FOR EMPLOYEES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: DENTAL PLAN FOR EMPLOYEES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: DENTAL PLAN FOR EMPLOYEES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: DENTAL PLAN FOR EMPLOYEES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: DENTAL PLAN FOR EMPLOYEES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: DENTAL PLAN FOR EMPLOYEES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: DENTAL PLAN FOR EMPLOYEES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: DENTAL PLAN FOR EMPLOYEES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: DENTAL PLAN FOR EMPLOYEES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: DENTAL PLAN FOR EMPLOYEES 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: DENTAL PLAN FOR EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number632748
Policy instance 1
Insurance contract or identification number632748
Number of Individuals Covered270
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $38,100
Welfare Benefit Premiums Paid to CarrierUSD $317,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees38100
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3

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