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COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN 401k Plan overview

Plan NameCOMMUNITY COUNSELING SOLUTIONS DENTAL PLAN
Plan identification number 502

COMMUNITY COUNSELING SOLUTIONS 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

COMMUNITY COUNSELING SOLUTIONS has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY COUNSELING SOLUTIONS
Employer identification number (EIN):342057513
NAIC Classification:621330
NAIC Description:Offices of Mental Health Practitioners (except Physicians)

Additional information about COMMUNITY COUNSELING SOLUTIONS

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 2005-11-02
Company Identification Number: 32067597
Legal Registered Office Address: 550 W SPERRY ST

HEPPNER
United States of America (USA)
97836

More information about COMMUNITY COUNSELING SOLUTIONS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-01-01KIMBERLY LINDSAY2020-05-16

Plan Statistics for COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN

401k plan membership statisitcs for COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN

Measure Date Value
2019: COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01103
Total number of active participants reported on line 7a of the Form 55002019-01-0199
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0199
Number of employers contributing to the scheme2019-01-010

Form 5500 Responses for COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN

2019: COMMUNITY COUNSELING SOLUTIONS DENTAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number546976
Policy instance 1
Insurance contract or identification number546976
Number of Individuals Covered99
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,722
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,695
Amount paid for insurance broker fees0
Insurance broker organization code?3

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