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PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan NamePREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number 505

PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PREMIER DENTAL GROUP has sponsored the creation of one or more 401k plans.

Company Name:PREMIER DENTAL GROUP
Employer identification number (EIN):833819246
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-10-01
5052020-10-01
5052019-10-01

Plan Statistics for PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2021: PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-017
Total number of active participants reported on line 7a of the Form 55002021-10-016
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-016
2020: PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-016
Total number of active participants reported on line 7a of the Form 55002020-10-016
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-016
2019: PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-015
Total number of active participants reported on line 7a of the Form 55002019-10-015
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-015

Financial Data on PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2022 : PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-09-30$324
Total plan liabilities at beginning of year2022-09-30$143
Total income from all sources2022-09-30$51,549
Expenses. Total of all expenses incurred2022-09-30$45,103
Benefits paid (including direct rollovers)2022-09-30$34,801
Total plan assets at end of year2022-09-30$14,517
Total plan assets at beginning of year2022-09-30$7,890
Value of fidelity bond covering the plan2022-09-30$35,000
Total contributions received or receivable from participants2022-09-30$51,497
Other income received2022-09-30$52
Net income (gross income less expenses)2022-09-30$6,446
Net plan assets at end of year (total assets less liabilities)2022-09-30$14,193
Net plan assets at beginning of year (total assets less liabilities)2022-09-30$7,747
Expenses. Administrative service providers (salaries,fees and commissions)2022-09-30$10,302
2021 : PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-09-30$143
Total income from all sources2021-09-30$57,624
Expenses. Total of all expenses incurred2021-09-30$59,401
Benefits paid (including direct rollovers)2021-09-30$50,516
Total plan assets at end of year2021-09-30$7,890
Total plan assets at beginning of year2021-09-30$9,524
Value of fidelity bond covering the plan2021-09-30$35,000
Total contributions received or receivable from participants2021-09-30$25,056
Other income received2021-09-30$4
Net income (gross income less expenses)2021-09-30$-1,777
Net plan assets at end of year (total assets less liabilities)2021-09-30$7,747
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$9,524
Total contributions received or receivable from employer(s)2021-09-30$32,564
Expenses. Administrative service providers (salaries,fees and commissions)2021-09-30$8,885
2020 : PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k financial data
Total income from all sources2020-09-30$22,986
Expenses. Total of all expenses incurred2020-09-30$13,462
Benefits paid (including direct rollovers)2020-09-30$7,156
Total plan assets at end of year2020-09-30$9,524
Total plan assets at beginning of year2020-09-30$0
Value of fidelity bond covering the plan2020-09-30$35,000
Total contributions received or receivable from participants2020-09-30$9,556
Other income received2020-09-30$20
Net income (gross income less expenses)2020-09-30$9,524
Net plan assets at end of year (total assets less liabilities)2020-09-30$9,524
Net plan assets at beginning of year (total assets less liabilities)2020-09-30$0
Total contributions received or receivable from employer(s)2020-09-30$13,410
Expenses. Administrative service providers (salaries,fees and commissions)2020-09-30$6,306

Form 5500 Responses for PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2021: PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement - TrustYes
2020: PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement - TrustYes
2019: PREMIER DENTAL GROUP SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement - TrustYes

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