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ASEMBIA DENTAL 401k Plan overview

Plan NameASEMBIA DENTAL
Plan identification number 502

ASEMBIA DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ASEMBIA has sponsored the creation of one or more 401k plans.

Company Name:ASEMBIA
Employer identification number (EIN):201863446
NAIC Classification:424210
NAIC Description:Drugs and Druggists' Sundries Merchant Wholesalers

Additional information about ASEMBIA

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3863885

More information about ASEMBIA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASEMBIA DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-03-01BOB ANDERSON2022-11-15
5022021-03-01BOB ANDERSON2023-06-16
5022020-03-01MARY TACKMANN2021-10-06
5022019-03-01MARY TACKMANN2021-05-21
5022017-09-01
5022017-09-01MARY TACKMANN2021-05-02
5022016-09-01

Plan Statistics for ASEMBIA DENTAL

401k plan membership statisitcs for ASEMBIA DENTAL

Measure Date Value
2021: ASEMBIA DENTAL 2021 401k membership
Total participants, beginning-of-year2021-03-01426
Total number of active participants reported on line 7a of the Form 55002021-03-01441
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01441
Number of employers contributing to the scheme2021-03-010
2020: ASEMBIA DENTAL 2020 401k membership
Total participants, beginning-of-year2020-03-01450
Total number of active participants reported on line 7a of the Form 55002020-03-01426
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01426
Number of employers contributing to the scheme2020-03-010
2019: ASEMBIA DENTAL 2019 401k membership
Total participants, beginning-of-year2019-03-01520
Total number of active participants reported on line 7a of the Form 55002019-03-01450
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01450
Number of employers contributing to the scheme2019-03-010
2017: ASEMBIA DENTAL 2017 401k membership
Total participants, beginning-of-year2017-09-01265
Total number of active participants reported on line 7a of the Form 55002017-09-01265
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01265
Number of employers contributing to the scheme2017-09-010
2016: ASEMBIA DENTAL 2016 401k membership
Total participants, beginning-of-year2016-09-0198
Total number of active participants reported on line 7a of the Form 55002016-09-01238
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01238

Form 5500 Responses for ASEMBIA DENTAL

2021: ASEMBIA DENTAL 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Submission has been amendedYes
2021-03-01This submission is the final filingYes
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: ASEMBIA DENTAL 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: ASEMBIA DENTAL 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2017: ASEMBIA DENTAL 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedYes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: ASEMBIA DENTAL 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01First time form 5500 has been submittedYes
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05952716
Policy instance 1
Insurance contract or identification numberTS05952716
Number of Individuals Covered1036
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $41,008
Total amount of fees paid to insurance companyUSD $1,641
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $302,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,339
Amount paid for insurance broker fees21
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5952716
Policy instance 1
Insurance contract or identification number5952716
Number of Individuals Covered1000
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $39,012
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $283,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,008
Amount paid for insurance broker fees0
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5952716
Policy instance 1
Insurance contract or identification number5952716
Number of Individuals Covered1008
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $47,379
Total amount of fees paid to insurance companyUSD $1,478
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $315,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,586
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05336792
Policy instance 1
Insurance contract or identification numberTS05336792
Number of Individuals Covered706
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $9,107
Total amount of fees paid to insurance companyUSD $895
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $98,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,505
Amount paid for insurance broker fees895
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3

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