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MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 401k Plan overview

Plan NameMCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN
Plan identification number 502

MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

MCNAUGHTON-MCKAY ELECTRIC COMPANY has sponsored the creation of one or more 401k plans.

Company Name:MCNAUGHTON-MCKAY ELECTRIC COMPANY
Employer identification number (EIN):380812640
NAIC Classification:423600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01CAROL HOEFLER2021-07-12
5022020-01-01CAROL HOEFLER2022-10-04
5022019-01-01CAROL HOEFLER2020-07-22
5022018-01-01CAROL HOEFLER2019-07-30
5022017-01-01CAROL HOEFLER CAROL HOEFLER2018-07-31
5022016-01-01CAROL HOEFLER CAROL HOEFLER2017-07-30
5022015-01-01CAROL HOEFLER CAROL HOEFLER2016-07-28
5022014-01-01CAROL HOEFLER CAROL HOEFLER2015-07-29
5022013-01-01CAROL HOEFLER CAROL HOEFLER2014-07-30
5022012-01-01CAROL HOEFLER CAROL HOEFLER2013-07-25
5022011-01-01CAROL HOEFLER
5022010-01-01CAROL HOEFLER
5022009-01-01CAROL HOEFLER

Plan Statistics for MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN

401k plan membership statisitcs for MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN

Measure Date Value
2020: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01808
Total number of active participants reported on line 7a of the Form 55002020-01-01771
Number of retired or separated participants receiving benefits2020-01-019
Number of other retired or separated participants entitled to future benefits2020-01-0125
Total of all active and inactive participants2020-01-01805
2019: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01722
Total number of active participants reported on line 7a of the Form 55002019-01-01808
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 participants2019-01-01808
2018: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01765
Total number of active participants reported on line 7a of the Form 55002018-01-01722
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01722
2017: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01737
Total number of active participants reported on line 7a of the Form 55002017-01-01705
Number of retired or separated participants receiving benefits2017-01-0160
Total of all active and inactive participants2017-01-01765
Total participants2017-01-01765
2016: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01728
Total number of active participants reported on line 7a of the Form 55002016-01-01679
Number of retired or separated participants receiving benefits2016-01-0158
Total of all active and inactive participants2016-01-01737
Total participants2016-01-01737
2015: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01712
Total number of active participants reported on line 7a of the Form 55002015-01-01683
Number of retired or separated participants receiving benefits2015-01-0152
Total of all active and inactive participants2015-01-01735
Total participants2015-01-01735
2014: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01706
Total number of active participants reported on line 7a of the Form 55002014-01-01652
Number of retired or separated participants receiving benefits2014-01-0160
Total of all active and inactive participants2014-01-01712
Total participants2014-01-01712
2013: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01699
Total number of active participants reported on line 7a of the Form 55002013-01-01649
Number of retired or separated participants receiving benefits2013-01-0157
Total of all active and inactive participants2013-01-01706
Total participants2013-01-01706
2012: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01669
Total number of active participants reported on line 7a of the Form 55002012-01-01637
Number of retired or separated participants receiving benefits2012-01-0156
Total of all active and inactive participants2012-01-01693
Total participants2012-01-01693
2011: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01654
Total number of active participants reported on line 7a of the Form 55002011-01-01615
Number of retired or separated participants receiving benefits2011-01-0154
Total of all active and inactive participants2011-01-01669
Total participants2011-01-01669
2010: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01673
Total number of active participants reported on line 7a of the Form 55002010-01-01599
Number of retired or separated participants receiving benefits2010-01-0155
Total of all active and inactive participants2010-01-01654
Total participants2010-01-01654
2009: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01783
Total number of active participants reported on line 7a of the Form 55002009-01-01603
Number of retired or separated participants receiving benefits2009-01-0174
Total of all active and inactive participants2009-01-01677
Total participants2009-01-01677

Form 5500 Responses for MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN

2020: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MCNAUGHTON-MCKAY ELECTRIC COMPANY DENTAL INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005482
Policy instance 1
Insurance contract or identification number0005482
Number of Individuals Covered1780
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $25,268
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,268
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005482
Policy instance 1
Insurance contract or identification number0005482
Number of Individuals Covered1779
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $24,866
Total amount of fees paid to insurance companyUSD $1,460
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,866
Amount paid for insurance broker fees1460
Additional information about fees paid to insurance brokerCOMMISSIONS AND FEES
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005482
Policy instance 1
Insurance contract or identification number0005482
Number of Individuals Covered1720
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $25,748
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,748
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005482
Policy instance 1
Insurance contract or identification number0005482
Number of Individuals Covered765
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $25,045
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,045
Additional information about fees paid to insurance brokerBROKER/CONSULTANT
Insurance broker organization code?3
Insurance broker nameCAMBRIDGE CONSULTING GROUP LLC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005482
Policy instance 1
Insurance contract or identification number0005482
Number of Individuals Covered735
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $26,135
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,135
Additional information about fees paid to insurance brokerBROKER AND CONSULTANT
Insurance broker organization code?3
Insurance broker nameCAMBRIDGE CONSULTING GROUP LLC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number5482
Policy instance 1
Insurance contract or identification number5482
Number of Individuals Covered712
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $25,255
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,255
Insurance broker organization code?3
Insurance broker nameCAMBRIDGE CONSULTING GROUP LLC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number5482
Policy instance 1
Insurance contract or identification number5482
Number of Individuals Covered706
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $25,092
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,092
Additional information about fees paid to insurance brokerBROKER/CONSULTANT
Insurance broker organization code?3
Insurance broker nameCAMBRIDGE FINANCIAL SERVICES, INC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number5482
Policy instance 1
Insurance contract or identification number5482
Number of Individuals Covered1716
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $25,437
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,437
Additional information about fees paid to insurance brokerBROKER/CONSULTANT
Insurance broker organization code?3
Insurance broker nameCAMBRIDGE FINANCIAL SERVICE, INC
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number5482
Policy instance 1
Insurance contract or identification number5482
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $23,896
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number0005482
Policy instance 1
Insurance contract or identification number0005482
Number of Individuals Covered654
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $27,071
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,071
Insurance broker organization code?3
Insurance broker nameCAMBRIDGE FINANCIAL SERVICES

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