401k Plan data: APC PAPER DENTAL PLAN plan

APC PAPER DENTAL PLAN 401k Plan overview

Plan Name	APC PAPER DENTAL PLAN
Plan identification number	503

APC PAPER DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

APC PAPER COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: APC PAPER COMPANY, INC.

Employer identification number (EIN): 020443901

NAIC Classification: 322200

Additional information about APC PAPER COMPANY, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2239111

More information about APC PAPER COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APC PAPER DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-02-01 THOMAS H MOORE THOMAS H MOORE 2014-06-23
503 2013-02-01 THOMAS H. MOORE 2022-08-09
503 2012-02-01 LAURA SNOW-GILBERT LAURA SNOW-GILBERT 2013-08-27
503 2011-02-01 THOMAS H MOORE THOMAS H MOORE 2012-07-18
503 2010-02-01 THOMAS H MOORE THOMAS H MOORE 2011-07-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2013-02-01	THOMAS H MOORE		THOMAS H MOORE	2014-06-23
503	2013-02-01	THOMAS H. MOORE	2022-08-09
503	2012-02-01	LAURA SNOW-GILBERT		LAURA SNOW-GILBERT	2013-08-27
503	2011-02-01	THOMAS H MOORE		THOMAS H MOORE	2012-07-18
503	2010-02-01	THOMAS H MOORE		THOMAS H MOORE	2011-07-15

Plan Statistics for APC PAPER DENTAL PLAN

401k plan membership statisitcs for APC PAPER DENTAL PLAN

Measure Date Value
2013: APC PAPER DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-02-01 106
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 34
Total of all active and inactive participants 2013-02-01 34
Number of retired or separated participants receiving benefits 2013-02-01 0
Number of other retired or separated participants entitled to future benefits 2013-02-01 0
Number of employers contributing to the scheme 2013-02-01 0
2012: APC PAPER DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-02-01 105
Total number of active participants reported on line 7a of the Form 5500 2012-02-01 106
Total of all active and inactive participants 2012-02-01 106
2011: APC PAPER DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-02-01 120
Total number of active participants reported on line 7a of the Form 5500 2011-02-01 105
Total of all active and inactive participants 2011-02-01 105
2010: APC PAPER DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-02-01 104
Total number of active participants reported on line 7a of the Form 5500 2010-02-01 120
Total of all active and inactive participants 2010-02-01 120

Measure	Date	Value
2013: APC PAPER DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-02-01	106
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	34
Total of all active and inactive participants	2013-02-01	34
Number of retired or separated participants receiving benefits	2013-02-01	0
Number of other retired or separated participants entitled to future benefits	2013-02-01	0
Number of employers contributing to the scheme	2013-02-01	0
2012: APC PAPER DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-02-01	105
Total number of active participants reported on line 7a of the Form 5500	2012-02-01	106
Total of all active and inactive participants	2012-02-01	106
2011: APC PAPER DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-02-01	120
Total number of active participants reported on line 7a of the Form 5500	2011-02-01	105
Total of all active and inactive participants	2011-02-01	105
2010: APC PAPER DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-02-01	104
Total number of active participants reported on line 7a of the Form 5500	2010-02-01	120
Total of all active and inactive participants	2010-02-01	120

Form 5500 Responses for APC PAPER DENTAL PLAN

2013: APC PAPER DENTAL PLAN 2013 form 5500 responses
2013-02-01	Type of plan entity	Multi-employer plan
2013-02-01	Submission has been amended	Yes
2013-02-01	This submission is the final filing	No
2013-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-02-01	Plan is a collectively bargained plan	No
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes
2012: APC PAPER DENTAL PLAN 2012 form 5500 responses
2012-02-01	Type of plan entity	Multi-employer plan
2012-02-01	Submission has been amended	No
2012-02-01	This submission is the final filing	No
2012-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-02-01	Plan is a collectively bargained plan	No
2012-02-01	Plan funding arrangement – Insurance	Yes
2012-02-01	Plan benefit arrangement – Insurance	Yes
2011: APC PAPER DENTAL PLAN 2011 form 5500 responses
2011-02-01	Type of plan entity	Multi-employer plan
2011-02-01	Submission has been amended	No
2011-02-01	This submission is the final filing	No
2011-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-02-01	Plan is a collectively bargained plan	No
2011-02-01	Plan funding arrangement – Insurance	Yes
2011-02-01	Plan benefit arrangement – Insurance	Yes
2010: APC PAPER DENTAL PLAN 2010 form 5500 responses
2010-02-01	Type of plan entity	Multi-employer plan
2010-02-01	Submission has been amended	No
2010-02-01	This submission is the final filing	No
2010-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-02-01	Plan is a collectively bargained plan	No
2010-02-01	Plan funding arrangement – Insurance	Yes
2010-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

602707

Policy instance

Insurance contract or identification number	602707
Number of Individuals Covered	34
Insurance policy start date	2013-02-01
Insurance policy end date	2014-01-31
Total amount of commissions paid to insurance broker	USD $2,021
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $40,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,021
Insurance broker organization code?	3
Amount paid for insurance broker fees	0
Insurance broker name	INSURANCE PLANNING GROUP

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

602707

Policy instance

Insurance contract or identification number	602707
Number of Individuals Covered	106
Insurance policy start date	2012-02-01
Insurance policy end date	2013-01-31
Total amount of commissions paid to insurance broker	USD $3,213
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $64,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,213
Insurance broker organization code?	3
Insurance broker name	INSURANCE PLANNING GROUP

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

602707

Policy instance

Insurance contract or identification number	602707
Number of Individuals Covered	105
Insurance policy start date	2011-02-01
Insurance policy end date	2012-01-31
Total amount of commissions paid to insurance broker	USD $3,444
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $68,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

602707

Policy instance

Insurance contract or identification number	602707
Number of Individuals Covered	120
Insurance policy start date	2010-02-01
Insurance policy end date	2011-01-31
Total amount of commissions paid to insurance broker	USD $3,572
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $71,442
Commission paid to Insurance Broker	USD $3,572
Insurance broker organization code?	3
Insurance broker name	INSURANCE PLANNING GROUP

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Company Name:	APC PAPER COMPANY, INC.
Employer identification number (EIN):	020443901
NAIC Classification:	322200

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2239111