Logo

PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 401k Plan overview

Plan NamePUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN
Plan identification number 501

PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

PUBLIC EMPLOYEES SUPERVISORS UNION has sponsored the creation of one or more 401k plans.

Company Name:PUBLIC EMPLOYEES SUPERVISORS UNION
Employer identification number (EIN):223200829
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01LISA MADDOX-DOUGLAS2023-04-12
5012020-07-01LISA MADDOX-DOUGLAS2022-04-13
5012019-07-01LISA MADDOX-DOUGLAS2021-04-14 LISA MADDOX-DOUGLAS2021-04-14
5012018-07-01
5012017-07-01
5012016-07-01LISA MADDOX-DOUGLAS LISA MADDOX-DOUGLAS2018-04-17
5012015-07-01CAROL PERKINS CAROL PERKINS2017-04-17
5012014-07-01CAROL PERKINS
5012013-07-01CAROL PERKINS
5012012-07-01CAROL PERKINS
5012011-07-01CAROL PERKINS
5012009-07-01CAROL PERKINS

Plan Statistics for PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN

401k plan membership statisitcs for PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN

Measure Date Value
2021: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01117
Total number of active participants reported on line 7a of the Form 55002021-07-01143
Total of all active and inactive participants2021-07-01143
2020: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01142
Total number of active participants reported on line 7a of the Form 55002020-07-01143
Total of all active and inactive participants2020-07-01143
2019: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01135
Total number of active participants reported on line 7a of the Form 55002019-07-01142
Total of all active and inactive participants2019-07-01142
Total participants2019-07-01142
2018: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01137
Total number of active participants reported on line 7a of the Form 55002018-07-01135
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01135
2017: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01138
Total number of active participants reported on line 7a of the Form 55002017-07-01137
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01137
2016: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01136
Total number of active participants reported on line 7a of the Form 55002016-07-01138
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01138
2015: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01111
Total number of active participants reported on line 7a of the Form 55002015-07-01136
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01136
2014: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01101
Total number of active participants reported on line 7a of the Form 55002014-07-01111
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01111
2013: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01105
Total number of active participants reported on line 7a of the Form 55002013-07-01101
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01101
2012: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0194
Total number of active participants reported on line 7a of the Form 55002012-07-01105
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01105
2011: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01127
Total number of active participants reported on line 7a of the Form 55002011-07-0194
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-0194
2009: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01111
Total number of active participants reported on line 7a of the Form 55002009-07-01109
Number of retired or separated participants receiving benefits2009-07-011
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01110

Financial Data on PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN

Measure Date Value
2022 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$63,084
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$46,875
Total income from all sources (including contributions)2022-06-30$233,033
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$230,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$198,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$232,532
Value of total assets at end of year2022-06-30$355,146
Value of total assets at beginning of year2022-06-30$336,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$32,093
Total interest from all sources2022-06-30$501
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$22,493
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$75,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$42,812
Participant contributions at end of year2022-06-30$671
Participant contributions at beginning of year2022-06-30$500
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-30$46,800
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$10,755
Administrative expenses (other) incurred2022-06-30$9,600
Liabilities. Value of operating payables at end of year2022-06-30$26,000
Liabilities. Value of operating payables at beginning of year2022-06-30$26,000
Total non interest bearing cash at end of year2022-06-30$189,005
Total non interest bearing cash at beginning of year2022-06-30$160,563
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$2,150
Value of net assets at end of year (total assets less liabilities)2022-06-30$292,062
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$289,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$165,470
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$164,969
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$164,969
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$501
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$151,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$189,720
Liabilities. Value of benefit claims payable at end of year2022-06-30$37,084
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$20,875
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2022-06-30223271252
2021 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$46,875
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$56,995
Total income from all sources (including contributions)2021-06-30$234,850
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$235,629
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$204,080
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$232,867
Value of total assets at end of year2021-06-30$336,787
Value of total assets at beginning of year2021-06-30$347,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$31,549
Total interest from all sources2021-06-30$1,983
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$21,949
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$75,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$43,147
Participant contributions at end of year2021-06-30$500
Participant contributions at beginning of year2021-06-30$4,932
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-06-30$65,425
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$10,755
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$1,194
Administrative expenses (other) incurred2021-06-30$9,600
Liabilities. Value of operating payables at end of year2021-06-30$26,000
Liabilities. Value of operating payables at beginning of year2021-06-30$29,176
Total non interest bearing cash at end of year2021-06-30$160,563
Total non interest bearing cash at beginning of year2021-06-30$178,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-779
Value of net assets at end of year (total assets less liabilities)2021-06-30$289,912
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$290,691
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$164,969
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$162,986
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$162,986
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$1,983
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$138,655
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$189,720
Liabilities. Value of benefit claims payable at end of year2021-06-30$20,875
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$27,819
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2021-06-30223271252
2020 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$56,995
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$43,499
Total income from all sources (including contributions)2020-06-30$234,748
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$220,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$181,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$232,376
Value of total assets at end of year2020-06-30$347,686
Value of total assets at beginning of year2020-06-30$320,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$38,973
Total interest from all sources2020-06-30$2,372
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$29,373
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$75,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$42,656
Participant contributions at end of year2020-06-30$4,932
Participant contributions at beginning of year2020-06-30$3,234
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$46,494
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$1,194
Administrative expenses (other) incurred2020-06-30$9,600
Liabilities. Value of operating payables at end of year2020-06-30$29,176
Liabilities. Value of operating payables at beginning of year2020-06-30$36,499
Total non interest bearing cash at end of year2020-06-30$178,574
Total non interest bearing cash at beginning of year2020-06-30$156,556
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$13,786
Value of net assets at end of year (total assets less liabilities)2020-06-30$290,691
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$276,905
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$162,986
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$160,614
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$160,614
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$2,372
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$135,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$189,720
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$27,819
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$7,000
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2020-06-30223271252
2019 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$43,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$50,684
Total income from all sources (including contributions)2019-06-30$229,066
Total of all expenses incurred2019-06-30$219,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$195,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$228,482
Value of total assets at end of year2019-06-30$320,404
Value of total assets at beginning of year2019-06-30$317,707
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$23,481
Total interest from all sources2019-06-30$584
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$16,281
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$75,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$38,762
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-06-30$46,382
Administrative expenses (other) incurred2019-06-30$7,200
Liabilities. Value of operating payables at end of year2019-06-30$36,499
Liabilities. Value of operating payables at beginning of year2019-06-30$44,282
Total non interest bearing cash at end of year2019-06-30$156,556
Total non interest bearing cash at beginning of year2019-06-30$154,437
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$9,882
Value of net assets at end of year (total assets less liabilities)2019-06-30$276,905
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$267,023
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$160,614
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$160,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$160,030
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$584
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$149,321
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$189,720
Employer contributions (assets) at end of year2019-06-30$3,234
Employer contributions (assets) at beginning of year2019-06-30$3,240
Liabilities. Value of benefit claims payable at end of year2019-06-30$7,000
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$6,402
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2019-06-30223271252
2018 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$50,684
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$38,921
Total income from all sources (including contributions)2018-06-30$223,209
Total of all expenses incurred2018-06-30$199,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$179,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$222,824
Value of total assets at end of year2018-06-30$317,707
Value of total assets at beginning of year2018-06-30$282,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$20,149
Total interest from all sources2018-06-30$385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$20,149
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$75,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$33,104
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-06-30$33,068
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$8,952
Liabilities. Value of operating payables at end of year2018-06-30$44,282
Liabilities. Value of operating payables at beginning of year2018-06-30$31,095
Total non interest bearing cash at end of year2018-06-30$154,437
Total non interest bearing cash at beginning of year2018-06-30$110,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$23,777
Value of net assets at end of year (total assets less liabilities)2018-06-30$267,023
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$243,246
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$160,030
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$159,644
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$159,644
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$385
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$146,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$189,720
Employer contributions (assets) at end of year2018-06-30$3,240
Employer contributions (assets) at beginning of year2018-06-30$3,127
Liabilities. Value of benefit claims payable at end of year2018-06-30$6,402
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$7,826
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2018-06-30223271252
2017 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$38,921
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$16,432
Total income from all sources (including contributions)2017-06-30$223,832
Total of all expenses incurred2017-06-30$253,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$232,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$223,306
Value of total assets at end of year2017-06-30$282,167
Value of total assets at beginning of year2017-06-30$289,078
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$20,285
Total interest from all sources2017-06-30$526
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$20,285
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$75,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$33,586
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-06-30$85,817
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$8,952
Liabilities. Value of operating payables at end of year2017-06-30$31,095
Liabilities. Value of operating payables at beginning of year2017-06-30$11,325
Total non interest bearing cash at end of year2017-06-30$110,444
Total non interest bearing cash at beginning of year2017-06-30$106,771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-29,400
Value of net assets at end of year (total assets less liabilities)2017-06-30$243,246
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$272,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$159,644
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$179,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$179,119
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$526
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$147,130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$189,720
Employer contributions (assets) at end of year2017-06-30$3,127
Employer contributions (assets) at beginning of year2017-06-30$3,188
Liabilities. Value of benefit claims payable at end of year2017-06-30$7,826
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$5,107
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2017-06-30223271252
2016 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$16,432
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$21,241
Total income from all sources (including contributions)2016-06-30$235,952
Total of all expenses incurred2016-06-30$249,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$214,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$222,890
Value of total assets at end of year2016-06-30$289,078
Value of total assets at beginning of year2016-06-30$307,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$34,910
Total interest from all sources2016-06-30$1,062
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$28,696
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$300,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$33,170
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-06-30$65,914
Other income not declared elsewhere2016-06-30$12,000
Administrative expenses (other) incurred2016-06-30$6,214
Liabilities. Value of operating payables at end of year2016-06-30$11,325
Liabilities. Value of operating payables at beginning of year2016-06-30$16,323
Total non interest bearing cash at end of year2016-06-30$106,771
Total non interest bearing cash at beginning of year2016-06-30$126,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-13,166
Value of net assets at end of year (total assets less liabilities)2016-06-30$272,646
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$285,812
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$179,119
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$178,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$178,064
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$1,062
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$148,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$189,720
Employer contributions (assets) at end of year2016-06-30$3,188
Employer contributions (assets) at beginning of year2016-06-30$2,440
Liabilities. Value of benefit claims payable at end of year2016-06-30$5,107
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$4,918
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2016-06-30223271252
2015 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$21,241
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$27,496
Total income from all sources (including contributions)2015-06-30$224,394
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$238,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$200,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$223,934
Value of total assets at end of year2015-06-30$307,053
Value of total assets at beginning of year2015-06-30$327,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$37,744
Total interest from all sources2015-06-30$460
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$37,744
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$300,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$34,214
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-06-30$68,490
Liabilities. Value of operating payables at end of year2015-06-30$16,323
Liabilities. Value of operating payables at beginning of year2015-06-30$22,751
Total non interest bearing cash at end of year2015-06-30$126,549
Total non interest bearing cash at beginning of year2015-06-30$145,901
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-14,315
Value of net assets at end of year (total assets less liabilities)2015-06-30$285,812
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$300,127
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$178,064
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$177,633
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$177,633
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$460
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$132,475
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$189,720
Employer contributions (assets) at end of year2015-06-30$2,440
Employer contributions (assets) at beginning of year2015-06-30$4,089
Liabilities. Value of benefit claims payable at end of year2015-06-30$4,918
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$4,745
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30ROSENBERG RICH BAKER BERMAN & CO
Accountancy firm EIN2015-06-30223271252
2014 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$27,496
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$17,322
Total income from all sources (including contributions)2014-06-30$228,806
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$226,809
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$193,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$228,144
Value of total assets at end of year2014-06-30$327,623
Value of total assets at beginning of year2014-06-30$315,452
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$33,511
Total interest from all sources2014-06-30$662
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$33,511
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$300,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$38,424
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-06-30$49,222
Liabilities. Value of operating payables at end of year2014-06-30$22,751
Liabilities. Value of operating payables at beginning of year2014-06-30$11,946
Total non interest bearing cash at end of year2014-06-30$145,901
Total non interest bearing cash at beginning of year2014-06-30$138,423
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$1,997
Value of net assets at end of year (total assets less liabilities)2014-06-30$300,127
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$298,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$177,633
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$177,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$177,029
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$662
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$144,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$189,720
Employer contributions (assets) at end of year2014-06-30$4,089
Employer contributions (assets) at beginning of year2014-06-30$0
Liabilities. Value of benefit claims payable at end of year2014-06-30$4,745
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$5,376
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30SONZOGNI, BOTTITTO & FINGERHUT, LLC
Accountancy firm EIN2014-06-30223365377
2013 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$11,946
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$15,365
Total income from all sources (including contributions)2013-06-30$224,961
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$242,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$207,365
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$224,019
Value of total assets at end of year2013-06-30$315,452
Value of total assets at beginning of year2013-06-30$336,417
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$35,142
Total interest from all sources2013-06-30$942
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$29,053
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$300,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$34,299
Assets. Other investments not covered elsewhere at end of year2013-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2013-06-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-06-30$59,608
Administrative expenses (other) incurred2013-06-30$6,089
Liabilities. Value of operating payables at end of year2013-06-30$11,946
Liabilities. Value of operating payables at beginning of year2013-06-30$15,365
Total non interest bearing cash at end of year2013-06-30$138,423
Total non interest bearing cash at beginning of year2013-06-30$160,156
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-17,546
Value of net assets at end of year (total assets less liabilities)2013-06-30$303,506
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$321,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$177,029
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$176,261
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$176,261
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$942
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$147,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$189,720
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30SONZOGNI, BOTTITTO & FINGERHUT, LLC
Accountancy firm EIN2013-06-30223365377
2012 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$15,365
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$20,553
Total income from all sources (including contributions)2012-06-30$223,252
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$251,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$216,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$221,615
Value of total assets at end of year2012-06-30$336,417
Value of total assets at beginning of year2012-06-30$369,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$35,109
Total interest from all sources2012-06-30$1,637
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$300,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$31,895
Assets. Other investments not covered elsewhere at end of year2012-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2012-06-30$11,476
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-06-30$48,001
Liabilities. Value of operating payables at end of year2012-06-30$15,365
Liabilities. Value of operating payables at beginning of year2012-06-30$20,553
Total non interest bearing cash at end of year2012-06-30$160,156
Total non interest bearing cash at beginning of year2012-06-30$143,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-28,366
Value of net assets at end of year (total assets less liabilities)2012-06-30$321,052
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$349,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$176,261
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$214,825
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$214,825
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$1,637
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$154,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$189,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$14,093
Contract administrator fees2012-06-30$35,109
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30SONZOGNI, BOTTITTO & FINGERHUT, LLC
Accountancy firm EIN2012-06-30223365377
2011 : PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$20,553
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$4,949
Total income from all sources (including contributions)2011-06-30$226,081
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$267,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$244,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$224,374
Value of total assets at end of year2011-06-30$369,971
Value of total assets at beginning of year2011-06-30$395,393
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$22,404
Total interest from all sources2011-06-30$1,707
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$0
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$300,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$34,654
Assets. Other investments not covered elsewhere at end of year2011-06-30$11,476
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-06-30$46,399
Administrative expenses (other) incurred2011-06-30$0
Liabilities. Value of operating payables at end of year2011-06-30$20,553
Liabilities. Value of operating payables at beginning of year2011-06-30$4,949
Total non interest bearing cash at end of year2011-06-30$143,670
Total non interest bearing cash at beginning of year2011-06-30$182,083
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-41,026
Value of net assets at end of year (total assets less liabilities)2011-06-30$349,418
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$390,444
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$214,825
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$213,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$213,310
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$1,707
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$172,128
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$189,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$26,176
Contract administrator fees2011-06-30$22,404
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30SONZOGNI, BOTTITTO & FINGERHUT, LLC
Accountancy firm EIN2011-06-30223365377

Form 5500 Responses for PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN

2021: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 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 funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 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 funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes
2009: PUBLIC EMPLOYEES SUPERVISORS UNION DENTAL BENEFITS PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 3
Insurance contract or identification number127853
Number of Individuals Covered133
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $4,115
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $3,007
Insurance broker organization code?3
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number03581
Policy instance 2
Insurance contract or identification number03581
Number of Individuals Covered30
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $244
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $244
Insurance broker organization code?3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number03581
Policy instance 1
Insurance contract or identification number03581
Number of Individuals Covered208
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $6,863
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,863
Insurance broker organization code?3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number03581
Policy instance 1
Insurance contract or identification number03581
Number of Individuals Covered215
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $6,145
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,145
Insurance broker organization code?3
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number03581
Policy instance 2
Insurance contract or identification number03581
Number of Individuals Covered40
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $215
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $215
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 3
Insurance contract or identification number127853
Number of Individuals Covered117
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $2,833
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $2,125
Insurance broker organization code?3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number03581
Policy instance 1
Insurance contract or identification number03581
Number of Individuals Covered225
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $5,041
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,041
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 2
Insurance contract or identification number127853
Number of Individuals Covered120
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,137
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $796
Insurance broker organization code?3
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number03581
Policy instance 3
Insurance contract or identification number03581
Number of Individuals Covered31
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $225
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $225
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 2
Insurance contract or identification number127853
Number of Individuals Covered127
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,189
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,377
Insurance broker organization code?3
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number03581
Policy instance 3
Insurance contract or identification number03581
Number of Individuals Covered32
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $271
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $271
Insurance broker organization code?3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number03581
Policy instance 1
Insurance contract or identification number03581
Number of Individuals Covered229
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $4,429
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,429
Insurance broker organization code?3
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number03581
Policy instance 3
Insurance contract or identification number03581
Number of Individuals Covered31
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $165
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 2
Insurance contract or identification number127853
Number of Individuals Covered125
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,286
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number03581
Policy instance 1
Insurance contract or identification number03581
Number of Individuals Covered224
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,478
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 1
Insurance contract or identification number127853
Number of Individuals Covered106
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $2,326
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,326
Insurance broker organization code?3
Insurance broker nameCHADLER SOLUTIONS, INC.
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number03581
Policy instance 2
Insurance contract or identification number03581
Number of Individuals Covered99
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $4,745
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,745
Insurance broker organization code?3
Insurance broker nameCHADLER SOLUTIONS, INC.
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number03581
Policy instance 3
Insurance contract or identification number03581
Number of Individuals Covered9
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $159
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $159
Insurance broker organization code?3
Insurance broker nameCHADLER SOLUTIONS, INC.
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number3581
Policy instance 2
Insurance contract or identification number3581
Number of Individuals Covered100
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,934
Total amount of fees paid to insurance companyUSD $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 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 $4,934
Insurance broker organization code?3
Insurance broker nameCHADLER SOLUTIONS, INC.
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 3
Insurance contract or identification number127853
Number of Individuals Covered111
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,630
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $2,630
Insurance broker organization code?3
Insurance broker nameCHADLER SOLUTIONS
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number3581
Policy instance 1
Insurance contract or identification number3581
Number of Individuals Covered9
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $183
Total amount of fees paid to insurance companyUSD $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 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 $183
Insurance broker organization code?3
Insurance broker nameCHADLER SOLUTIONS, INC
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number3581
Policy instance 2
Insurance contract or identification number3581
Number of Individuals Covered99
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $5,061
Total amount of fees paid to insurance companyUSD $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 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 $5,061
Insurance broker organization code?3
Insurance broker nameBENEFIT SOURCES & SOLUTIONS CHADLER
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number3581
Policy instance 1
Insurance contract or identification number3581
Number of Individuals Covered11
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $244
Total amount of fees paid to insurance companyUSD $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 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 $244
Insurance broker organization code?3
Insurance broker nameSCOTT RAPPOPORT CLU CHFC INC DBA BE
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 3
Insurance contract or identification number127853
Number of Individuals Covered101
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,751
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $1,751
Insurance broker organization code?3
Insurance broker nameBENEFIT SOURCES & SOLUTIONS CHADLER
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number3581
Policy instance 1
Insurance contract or identification number3581
Number of Individuals Covered8
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $67
Total amount of fees paid to insurance companyUSD $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 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 $67
Insurance broker organization code?3
Insurance broker nameSCOTT RAPPOPORT CLU CHFC INC DBA BE
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 3
Insurance contract or identification number127853
Number of Individuals Covered104
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $2,158
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $1,318
Insurance broker organization code?3
Insurance broker nameBENEFIT SOURCES & SOLUTIONS CHADLER
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number3581
Policy instance 2
Insurance contract or identification number3581
Number of Individuals Covered97
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $4,642
Total amount of fees paid to insurance companyUSD $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 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 $3,068
Insurance broker organization code?3
Insurance broker nameSCOTT RAPPOPORT CLU CHFC DBA BENEFI
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number3581
Policy instance 1
Insurance contract or identification number3581
Number of Individuals Covered12
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $168
Total amount of fees paid to insurance companyUSD $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 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
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number3581
Policy instance 2
Insurance contract or identification number3581
Number of Individuals Covered94
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $4,775
Total amount of fees paid to insurance companyUSD $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 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
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number127853
Policy instance 3
Insurance contract or identification number127853
Number of Individuals Covered127
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $2,555
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number3581
Policy instance 2
Insurance contract or identification number3581
Number of Individuals Covered101
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $4,932
Total amount of fees paid to insurance companyUSD $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 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
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 11179 )
Policy contract number3581
Policy instance 1
Insurance contract or identification number3581
Number of Individuals Covered9
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $135
Total amount of fees paid to insurance companyUSD $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 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

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S1