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BFG DENTAL PLAN 401k Plan overview

Plan NameBFG DENTAL PLAN
Plan identification number 539

BFG DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

MICHELIN NORTH AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:MICHELIN NORTH AMERICA, INC.
Employer identification number (EIN):111724631
NAIC Classification:326200

Additional information about MICHELIN NORTH AMERICA, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1950-12-28
Company Identification Number: 66186
Legal Registered Office Address: 28 LIBERTY ST.
New York
NEW YORK
United States of America (USA)
10005

More information about MICHELIN NORTH AMERICA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BFG DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5392018-08-01
5392017-08-01
5392016-08-01CEMEKA EVANS-POOLE BARRY CROSS2018-04-06
5392015-08-01CEMEKA EVANS-POOLE BARRY CROSS2017-04-11
5392014-08-01CEMEKA EVANS-POOLE BARRY CROSS2016-09-29
5392013-08-01CEMEKA EVANS-POOLE BARRY CROSS2015-10-09
5392011-08-01CEMEKA EVANS-POOLE AUDIE PENN2013-10-15
5392009-08-01JUDITH ARMBRUSTER J MARTIN STOREY2011-10-11
5392008-08-01JUDITH ARMBRUSTER

Plan Statistics for BFG DENTAL PLAN

401k plan membership statisitcs for BFG DENTAL PLAN

Measure Date Value
2018: BFG DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-012,451
Total number of active participants reported on line 7a of the Form 55002018-08-010
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-010
2017: BFG DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-012,497
Total number of active participants reported on line 7a of the Form 55002017-08-012,451
Total of all active and inactive participants2017-08-012,451
Total participants2017-08-012,451
2016: BFG DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-012,502
Total number of active participants reported on line 7a of the Form 55002016-08-012,476
Total of all active and inactive participants2016-08-012,476
Total participants2016-08-012,476
2015: BFG DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-012,452
Total number of active participants reported on line 7a of the Form 55002015-08-012,512
Total of all active and inactive participants2015-08-012,512
Total participants2015-08-012,512
2014: BFG DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-012,345
Total number of active participants reported on line 7a of the Form 55002014-08-012,445
Total of all active and inactive participants2014-08-012,445
Total participants2014-08-012,445
2013: BFG DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-012,229
Total number of active participants reported on line 7a of the Form 55002013-08-012,333
Total of all active and inactive participants2013-08-012,333
Total participants2013-08-012,333
2011: BFG DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-013,018
Total number of active participants reported on line 7a of the Form 55002011-08-012,519
Total of all active and inactive participants2011-08-012,519
Total participants2011-08-012,519
2009: BFG DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-013,313
Total number of active participants reported on line 7a of the Form 55002009-08-013,035
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-013,035
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-08-010
Total participants2009-08-013,035
2008: BFG DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-08-013,275
Total number of active participants reported on line 7a of the Form 55002008-08-013,320
Number of retired or separated participants receiving benefits2008-08-010
Number of other retired or separated participants entitled to future benefits2008-08-010
Total of all active and inactive participants2008-08-013,320
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-08-010
Total participants2008-08-013,320

Form 5500 Responses for BFG DENTAL PLAN

2018: BFG DENTAL PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingYes
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planYes
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: BFG DENTAL PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planYes
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: BFG DENTAL PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planYes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: BFG DENTAL PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planYes
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: BFG DENTAL PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planYes
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: BFG DENTAL PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planYes
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2011: BFG DENTAL PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planYes
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2009: BFG DENTAL PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planYes
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes
2008: BFG DENTAL PLAN 2008 form 5500 responses
2008-08-01Type of plan entitySingle employer plan
2008-08-01Submission has been amendedNo
2008-08-01This submission is the final filingNo
2008-08-01This return/report is a short plan year return/report (less than 12 months)No
2008-08-01Plan is a collectively bargained planYes
2008-08-01Plan funding arrangement – InsuranceYes
2008-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0103512
Policy instance 1
Insurance contract or identification number0103512
Number of Individuals Covered12554
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Are there contracts with allocated funds for individual policies?0
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 $2,793,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0103512
Policy instance 1
Insurance contract or identification number0103512
Number of Individuals Covered6595
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $3,129,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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