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MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 401k Plan overview

Plan NameMENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL
Plan identification number 501

MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC.
Employer identification number (EIN):730618672
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-07-01ERIC HOWARD2019-04-10 ERIC HOWARD2019-04-10
5012015-01-01ERWIN HANCOCK ERWIN HANCOCK2016-08-11
5012013-07-01ERWIN HANCOCK ERWIN HANCOCK2014-09-29
5012012-07-01ERWIN HANCOCK ERWIN HANCOCK2013-09-18
5012012-01-01ERWIN HANCOCK
5012011-01-01ERWIN HANCOCK
5012010-07-01ERWIN HANCOCK
5012009-01-01 ERWIN HANCOCK2010-02-25

Plan Statistics for MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL

401k plan membership statisitcs for MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL

Measure Date Value
2017: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2017 401k membership
Total participants, beginning-of-year2017-07-01100
Total number of active participants reported on line 7a of the Form 55002017-07-010
Total of all active and inactive participants2017-07-010
2015: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2015 401k membership
Total participants, beginning-of-year2015-01-0173
Total number of active participants reported on line 7a of the Form 55002015-01-01100
Total of all active and inactive participants2015-01-01100
Total participants2015-01-01100
2013: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2013 401k membership
Total participants, beginning-of-year2013-07-0193
Total number of active participants reported on line 7a of the Form 55002013-07-0194
Total of all active and inactive participants2013-07-0194
Total participants2013-07-0194
2012: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2012 401k membership
Total participants, beginning-of-year2012-07-0197
Total number of active participants reported on line 7a of the Form 55002012-07-0193
Total of all active and inactive participants2012-07-0193
Total participants2012-07-0193
Total participants, beginning-of-year2012-01-0198
Total number of active participants reported on line 7a of the Form 55002012-01-0197
Total of all active and inactive participants2012-01-0197
Total participants2012-01-0197
2011: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2011 401k membership
Total participants, beginning-of-year2011-01-0197
Total number of active participants reported on line 7a of the Form 55002011-01-0198
Total of all active and inactive participants2011-01-0198
Total participants2011-01-0198
2010: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2010 401k membership
Total participants, beginning-of-year2010-07-01113
Total number of active participants reported on line 7a of the Form 55002010-07-0197
Total of all active and inactive participants2010-07-0197
Total participants2010-07-0197
2009: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2009 401k membership
Total participants, beginning-of-year2009-01-01115
Total number of active participants reported on line 7a of the Form 55002009-01-01113
Total of all active and inactive participants2009-01-01113
Total participants2009-01-01113

Form 5500 Responses for MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL

2017: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01This submission is the final filingYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2015: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 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
2013: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
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: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 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
2010: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA DENTAL 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
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

DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number7614
Policy instance 1
Insurance contract or identification number7614
Number of Individuals Covered100
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $4,639
Total amount of fees paid to insurance companyUSD $4,499
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
Commission paid to Insurance BrokerUSD $4,639
Amount paid for insurance broker fees4499
Additional information about fees paid to insurance brokerADMIN
Insurance broker nameGALLAGHER BENEFIT SERVICES INC
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number7614
Policy instance 1
Insurance contract or identification number7614
Number of Individuals Covered94
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,416
Total amount of fees paid to insurance companyUSD $4,115
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
Welfare Benefit Premiums Paid to CarrierUSD $42,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,416
Amount paid for insurance broker fees4115
Additional information about fees paid to insurance brokerADMIN
Insurance broker nameCAPITOL BENEFITS GROUP INC
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number7614
Policy instance 1
Insurance contract or identification number7614
Number of Individuals Covered93
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $3,303
Total amount of fees paid to insurance companyUSD $4,440
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,303
Amount paid for insurance broker fees4440
Insurance broker nameCAPITOL BENEFITS GROUP INC
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number7614
Policy instance 1
Insurance contract or identification number7614
Number of Individuals Covered97
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,351
Total amount of fees paid to insurance companyUSD $4,059
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3351
Insurance broker nameCAPITOL BENEFITS GROUP INC.
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number7614
Policy instance 1
Insurance contract or identification number7614
Number of Individuals Covered98
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,187
Total amount of fees paid to insurance companyUSD $2,550
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )
Policy contract number7614
Policy instance 1
Insurance contract or identification number7614
Number of Individuals Covered97
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $3,466
Total amount of fees paid to insurance companyUSD $3,078
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,466
Amount paid for insurance broker fees3078
Insurance broker organization code?3
Insurance broker nameCAPITAL BENEFIT GROUP INC

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