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PENNSYLVANIA DENTAL ASSOCIATION 401k Plan overview

Plan NamePENNSYLVANIA DENTAL ASSOCIATION
Plan identification number 501

PENNSYLVANIA DENTAL ASSOCIATION Benefits

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

401k Sponsoring company profile

PENNSYLVANIA DENTAL ASSOCIATION INSURANCE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:PENNSYLVANIA DENTAL ASSOCIATION INSURANCE SERVICES, INC.
Employer identification number (EIN):230961120
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PENNSYLVANIA DENTAL ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-02-01
5012013-02-01
5012012-02-01GILBERT DAVIS
5012011-02-01GILBERT DAVIS
5012010-02-01GILBERT DAVIS
5012009-02-01GILBERT DAVIS

Plan Statistics for PENNSYLVANIA DENTAL ASSOCIATION

401k plan membership statisitcs for PENNSYLVANIA DENTAL ASSOCIATION

Measure Date Value
2014: PENNSYLVANIA DENTAL ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-02-01956
Total number of active participants reported on line 7a of the Form 55002014-02-010
Total of all active and inactive participants2014-02-010
2013: PENNSYLVANIA DENTAL ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-02-011,368
Total number of active participants reported on line 7a of the Form 55002013-02-01956
Total of all active and inactive participants2013-02-01956
Total participants2013-02-01956
2012: PENNSYLVANIA DENTAL ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-02-011,498
Total number of active participants reported on line 7a of the Form 55002012-02-011,368
Total of all active and inactive participants2012-02-011,368
2011: PENNSYLVANIA DENTAL ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-02-011,554
Total number of active participants reported on line 7a of the Form 55002011-02-011,498
Total of all active and inactive participants2011-02-011,498
2010: PENNSYLVANIA DENTAL ASSOCIATION 2010 401k membership
Total participants, beginning-of-year2010-02-011,543
Total number of active participants reported on line 7a of the Form 55002010-02-011,554
Total of all active and inactive participants2010-02-011,554
2009: PENNSYLVANIA DENTAL ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-02-011,325
Total number of active participants reported on line 7a of the Form 55002009-02-011,543
Total of all active and inactive participants2009-02-011,543

Form 5500 Responses for PENNSYLVANIA DENTAL ASSOCIATION

2014: PENNSYLVANIA DENTAL ASSOCIATION 2014 form 5500 responses
2014-02-01Type of plan entityMulitple employer plan
2014-02-01This submission is the final filingYes
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: PENNSYLVANIA DENTAL ASSOCIATION 2013 form 5500 responses
2013-02-01Type of plan entityMulitple employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: PENNSYLVANIA DENTAL ASSOCIATION 2012 form 5500 responses
2012-02-01Type of plan entityMulitple employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: PENNSYLVANIA DENTAL ASSOCIATION 2011 form 5500 responses
2011-02-01Type of plan entityMulitple employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: PENNSYLVANIA DENTAL ASSOCIATION 2010 form 5500 responses
2010-02-01Type of plan entityMulitple employer plan
2010-02-01Submission has been amendedYes
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: PENNSYLVANIA DENTAL ASSOCIATION 2009 form 5500 responses
2009-02-01Type of plan entityMulitple employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00502642
Policy instance 2
Insurance contract or identification number00502642
Number of Individuals Covered0
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00502642
Policy instance 1
Insurance contract or identification number00502642
Number of Individuals Covered0
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00502642
Policy instance 1
Insurance contract or identification number00502642
Number of Individuals Covered956
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00502642
Policy instance 2
Insurance contract or identification number00502642
Number of Individuals Covered6
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 54720 )
Policy contract number00502642
Policy instance 3
Insurance contract or identification number00502642
Number of Individuals Covered122
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 54720 )
Policy contract number00502642
Policy instance 1
Insurance contract or identification number00502642
Number of Individuals Covered158
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00502642
Policy instance 2
Insurance contract or identification number00502642
Number of Individuals Covered1368
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 54720 )
Policy contract number00502642
Policy instance 1
Insurance contract or identification number00502642
Number of Individuals Covered177
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00502642
Policy instance 2
Insurance contract or identification number00502642
Number of Individuals Covered1498
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 54720 )
Policy contract number00502642
Policy instance 1
Insurance contract or identification number00502642
Number of Individuals Covered214
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00502642
Policy instance 2
Insurance contract or identification number00502642
Number of Individuals Covered1554
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL VISION ADMINISTRATORS, LLC (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number00502642
Policy instance 3
Insurance contract or identification number00502642
Number of Individuals Covered570
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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