HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN 401k Plan overview
| Plan Name | HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN |
| Plan identification number | 503 |
HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | |
401k Sponsoring company profile
HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC has sponsored the creation of one or more 401k plans.
Additional information about HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC
| Jurisdiction of Incorporation: | Michigan Department of Licensing & Regulatory Affairs |
| Incorporation Date: | |
| Company Identification Number: | B1489J |
More information about HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2021-12-01 | SCOTT D. JOHNSON | 2023-05-24 | | |
| 503 | 2020-12-01 | SCOTT D. JOHNSON | 2022-09-12 | | |
Plan Statistics for HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN
401k plan membership statisitcs for HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN
| Measure | Date | Value |
|---|
| 2021: HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-12-01 | 80 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
| Total of all active and inactive participants | 2021-12-01 | 0 |
| Number of employers contributing to the scheme | 2021-12-01 | 0 |
| 2020: HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-12-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-12-01 | 0 |
| Total of all active and inactive participants | 2020-12-01 | 0 |
| Number of employers contributing to the scheme | 2020-12-01 | 0 |
Form 5500 Responses for HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN
| 2021: HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN 2021 form 5500 responses |
|---|
| 2021-12-01 | Type of plan entity | Single employer plan |
| 2021-12-01 | This submission is the final filing | Yes |
| 2021-12-01 | Plan funding arrangement – Insurance | Yes |
| 2021-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: HUDSONVILLE CREAMERY AND ICE CREAM COMPANY, LLC DENTAL PLAN 2020 form 5500 responses |
|---|
| 2020-12-01 | Type of plan entity | Single employer plan |
| 2020-12-01 | First time form 5500 has been submitted | Yes |
| 2020-12-01 | This submission is the final filing | Yes |
| 2020-12-01 | Plan funding arrangement – Insurance | Yes |
| 2020-12-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 ) |
| Policy contract number | 10764 |
| Policy instance | 1 |
| Insurance contract or identification number | 10764 | | Number of Individuals Covered | 557 | | Insurance policy start date | 2021-12-01 | | Insurance policy end date | 2022-11-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $2,670 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 2670 | | Additional information about fees paid to insurance broker | NEW BUSINESS BONUS | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 532300 |
| Policy instance | 1 |
| Insurance contract or identification number | 532300 | | Number of Individuals Covered | 188 | | Insurance policy start date | 2020-12-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $9,897 | | Total amount of fees paid to insurance company | USD $2,373 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $123,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,621 | | Amount paid for insurance broker fees | 2373 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
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