401k Plan data: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN plan

ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 401k Plan overview

Plan Name	ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN
Plan identification number	502

ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

ILLINOIS EDUCATION ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: ILLINOIS EDUCATION ASSOCIATION

Employer identification number (EIN): 370343490

NAIC Classification: 813930
NAIC Description: Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01 JAMIE SCHUMACHER
502 2016-01-01 DOUG BARRINGER
502 2015-01-01 DOUG BARRINGER
502 2014-12-01 DOUG BARRINGER
502 2013-12-01 DOUG BARRINGER
502 2012-12-01 DOUG BARRINGER
502 2011-12-01 RANDY WELCH RANDY WELCH 2013-06-24
502 2010-12-01 RANDY WELCH
502 2009-12-01 RANDY WELCH
502 2008-12-01 RANDY WELCH

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2017-01-01	JAMIE SCHUMACHER
502	2016-01-01	DOUG BARRINGER
502	2015-01-01	DOUG BARRINGER
502	2014-12-01	DOUG BARRINGER
502	2013-12-01	DOUG BARRINGER
502	2012-12-01	DOUG BARRINGER
502	2011-12-01	RANDY WELCH	RANDY WELCH	2013-06-24
502	2010-12-01	RANDY WELCH
502	2009-12-01	RANDY WELCH
502	2008-12-01	RANDY WELCH

Plan Statistics for ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN

401k plan membership statisitcs for ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN

Measure Date Value
2017: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 313
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 310
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 211
Number of retired or separated participants receiving benefits 2016-01-01 102
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 313
2015: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 302
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 210
Number of retired or separated participants receiving benefits 2015-01-01 100
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 310
2014: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-12-01 301
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 211
Number of retired or separated participants receiving benefits 2014-12-01 91
Number of other retired or separated participants entitled to future benefits 2014-12-01 0
Total of all active and inactive participants 2014-12-01 302
2013: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-12-01 301
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 211
Number of retired or separated participants receiving benefits 2013-12-01 91
Number of other retired or separated participants entitled to future benefits 2013-12-01 91
Total of all active and inactive participants 2013-12-01 393
2012: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-12-01 295
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 214
Number of retired or separated participants receiving benefits 2012-12-01 86
Total of all active and inactive participants 2012-12-01 300
Total participants 2012-12-01 300
2011: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-12-01 295
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 215
Number of retired or separated participants receiving benefits 2011-12-01 80
Total of all active and inactive participants 2011-12-01 295
Total participants 2011-12-01 295
2010: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-12-01 286
Total number of active participants reported on line 7a of the Form 5500 2010-12-01 219
Number of retired or separated participants receiving benefits 2010-12-01 76
Total of all active and inactive participants 2010-12-01 295
Total participants 2010-12-01 295
2009: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-12-01 287
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 217
Number of retired or separated participants receiving benefits 2009-12-01 69
Total of all active and inactive participants 2009-12-01 286
Total participants 2009-12-01 286
2008: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year 2008-12-01 287
Total number of active participants reported on line 7a of the Form 5500 2008-12-01 221
Number of retired or separated participants receiving benefits 2008-12-01 66
Total of all active and inactive participants 2008-12-01 287
Total participants 2008-12-01 287

Measure	Date	Value
2017: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	313
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	310
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	211
Number of retired or separated participants receiving benefits	2016-01-01	102
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	313
2015: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	302
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	210
Number of retired or separated participants receiving benefits	2015-01-01	100
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	310
2014: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-12-01	301
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	211
Number of retired or separated participants receiving benefits	2014-12-01	91
Number of other retired or separated participants entitled to future benefits	2014-12-01	0
Total of all active and inactive participants	2014-12-01	302
2013: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-12-01	301
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	211
Number of retired or separated participants receiving benefits	2013-12-01	91
Number of other retired or separated participants entitled to future benefits	2013-12-01	91
Total of all active and inactive participants	2013-12-01	393
2012: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-12-01	295
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	214
Number of retired or separated participants receiving benefits	2012-12-01	86
Total of all active and inactive participants	2012-12-01	300
Total participants	2012-12-01	300
2011: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-12-01	295
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	215
Number of retired or separated participants receiving benefits	2011-12-01	80
Total of all active and inactive participants	2011-12-01	295
Total participants	2011-12-01	295
2010: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-12-01	286
Total number of active participants reported on line 7a of the Form 5500	2010-12-01	219
Number of retired or separated participants receiving benefits	2010-12-01	76
Total of all active and inactive participants	2010-12-01	295
Total participants	2010-12-01	295
2009: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-12-01	287
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	217
Number of retired or separated participants receiving benefits	2009-12-01	69
Total of all active and inactive participants	2009-12-01	286
Total participants	2009-12-01	286
2008: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year	2008-12-01	287
Total number of active participants reported on line 7a of the Form 5500	2008-12-01	221
Number of retired or separated participants receiving benefits	2008-12-01	66
Total of all active and inactive participants	2008-12-01	287
Total participants	2008-12-01	287

Form 5500 Responses for ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN

2017: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Submission has been amended	No
2014-12-01	This submission is the final filing	No
2014-12-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-12-01	Plan is a collectively bargained plan	Yes
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2013: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	Yes
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2012: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	No
2012-12-01	This submission is the final filing	No
2012-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-01	Plan is a collectively bargained plan	Yes
2012-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2011: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	No
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-01	Plan is a collectively bargained plan	Yes
2011-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2010: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2010 form 5500 responses
2010-12-01	Type of plan entity	Single employer plan
2010-12-01	Submission has been amended	No
2010-12-01	This submission is the final filing	No
2010-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-12-01	Plan is a collectively bargained plan	Yes
2010-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-12-01	Plan benefit arrangement – Insurance	Yes
2009: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Submission has been amended	Yes
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	Yes
2009-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes
2008: ILLINOIS EDUCATION ASSOCIATION DENTAL PLAN 2008 form 5500 responses
2008-12-01	Type of plan entity	Single employer plan
2008-12-01	Submission has been amended	No
2008-12-01	This submission is the final filing	No
2008-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-12-01	Plan is a collectively bargained plan	Yes
2008-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )

Policy contract number

00608

Policy instance

Insurance contract or identification number	00608
Number of Individuals Covered	303
Insurance policy start date	2014-12-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $1,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )

Policy contract number

00608

Policy instance

Insurance contract or identification number	00608
Number of Individuals Covered	302
Insurance policy start date	2013-12-01
Insurance policy end date	2014-11-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $14,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ILLINOIS EDUCATION ASSOCIATION
Employer identification number (EIN):	370343490
NAIC Classification:	813930
NAIC Description:	Labor Unions and Similar Labor Organizations