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ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 401k Plan overview

Plan NameASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN
Plan identification number 501

ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN Benefits

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

401k Sponsoring company profile

ASSOCIATES IN OPHTHALMOLOGY, LTD. has sponsored the creation of one or more 401k plans.

Company Name:ASSOCIATES IN OPHTHALMOLOGY, LTD.
Employer identification number (EIN):251100359
NAIC Classification:621320
NAIC Description:Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-07-01
5012014-07-01
5012013-07-01

Plan Statistics for ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN

401k plan membership statisitcs for ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN

Measure Date Value
2015: ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0179
Total number of active participants reported on line 7a of the Form 55002015-07-0182
Number of retired or separated participants receiving benefits2015-07-014
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0186
2014: ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01123
Total number of active participants reported on line 7a of the Form 55002014-07-01121
Number of retired or separated participants receiving benefits2014-07-013
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01124
2013: ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01107
Total number of active participants reported on line 7a of the Form 55002013-07-01123
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 participants2013-07-01123

Form 5500 Responses for ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN

2015: ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: ASSOCIATES IN OPHTHALMOLOGY, LTD. DENTAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01First time form 5500 has been submittedYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0865955-DENTAL
Policy instance 1
Insurance contract or identification number0865955-DENTAL
Number of Individuals Covered149
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,065
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,065
Insurance broker organization code?3
Insurance broker nameTUCKER JOHNSTON & SMELZER INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0865955-DENTAL
Policy instance 1
Insurance contract or identification number0865955-DENTAL
Number of Individuals Covered179
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,995
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,995
Insurance broker organization code?3
Insurance broker nameTUCKER JOHNSTON & SMELZER INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05757452
Policy instance 1
Insurance contract or identification numberTM05757452
Number of Individuals Covered222
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $2,540
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,540
Insurance broker organization code?3
Insurance broker nameTUCKER JOHNSTON & SMELZER INC.

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