DELTA DENTAL OF WISCONSIN, INC. has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2017: TRIANGLE TOOL DENTAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-12-01 | 164 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 182 |
| Number of retired or separated participants receiving benefits | 2017-12-01 | 1 |
| Total of all active and inactive participants | 2017-12-01 | 183 |
| Total participants, beginning-of-year | 2017-05-01 | 210 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 207 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 1 |
| Total of all active and inactive participants | 2017-05-01 | 208 |
| 2016: TRIANGLE TOOL DENTAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 215 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 210 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 211 |
| 2015: TRIANGLE TOOL DENTAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 222 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 214 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 215 |
| 2014: TRIANGLE TOOL DENTAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 203 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 222 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 1 |
| Total of all active and inactive participants | 2014-05-01 | 224 |
| 2013: TRIANGLE TOOL DENTAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 205 |
| Total of all active and inactive participants | 2013-05-01 | 205 |
| 2012: TRIANGLE TOOL DENTAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 191 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 198 |
| Total of all active and inactive participants | 2012-05-01 | 198 |
| 2011: TRIANGLE TOOL DENTAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 115 |
| Number of retired or separated participants receiving benefits | 2011-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-05-01 | 0 |
| Total of all active and inactive participants | 2011-05-01 | 115 |
| 2009: TRIANGLE TOOL DENTAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 170 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 171 |
| Number of retired or separated participants receiving benefits | 2009-05-01 | 2 |
| Total of all active and inactive participants | 2009-05-01 | 173 |
| 2017: TRIANGLE TOOL DENTAL PLAN 2017 form 5500 responses |
|---|
| 2017-12-01 | Type of plan entity | Single employer plan |
| 2017-12-01 | First time form 5500 has been submitted | Yes |
| 2017-12-01 | Plan funding arrangement – Insurance | Yes |
| 2017-12-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-12-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Submission has been amended | No |
| 2017-05-01 | This submission is the final filing | No |
| 2017-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-05-01 | Plan is a collectively bargained plan | No |
| 2017-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: TRIANGLE TOOL DENTAL PLAN 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Submission has been amended | No |
| 2016-05-01 | This submission is the final filing | No |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-05-01 | Plan is a collectively bargained plan | No |
| 2016-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: TRIANGLE TOOL DENTAL PLAN 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Submission has been amended | No |
| 2015-05-01 | This submission is the final filing | No |
| 2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-05-01 | Plan is a collectively bargained plan | No |
| 2015-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: TRIANGLE TOOL DENTAL PLAN 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Submission has been amended | Yes |
| 2014-05-01 | This submission is the final filing | No |
| 2014-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-05-01 | Plan is a collectively bargained plan | No |
| 2014-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: TRIANGLE TOOL DENTAL PLAN 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Submission has been amended | No |
| 2013-05-01 | This submission is the final filing | No |
| 2013-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-05-01 | Plan is a collectively bargained plan | No |
| 2013-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: TRIANGLE TOOL DENTAL PLAN 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Submission has been amended | No |
| 2012-05-01 | This submission is the final filing | No |
| 2012-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-05-01 | Plan is a collectively bargained plan | No |
| 2012-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: TRIANGLE TOOL DENTAL PLAN 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Submission has been amended | No |
| 2011-05-01 | This submission is the final filing | No |
| 2011-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-05-01 | Plan is a collectively bargained plan | No |
| 2011-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: TRIANGLE TOOL DENTAL PLAN 2009 form 5500 responses |
|---|
| 2009-05-01 | Type of plan entity | Single employer plan |
| 2009-05-01 | Submission has been amended | No |
| 2009-05-01 | This submission is the final filing | No |
| 2009-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-05-01 | Plan is a collectively bargained plan | No |
| 2009-05-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-05-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 ) |
| Policy contract number | 148030 |
| Policy instance | 1 |
| Insurance contract or identification number | 148030 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $31,633 | | Total amount of fees paid to insurance company | USD $5,317 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $986,598 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54046 ) |
| Policy contract number | 10308 00000 |
| Policy instance | 2 |
| Insurance contract or identification number | 10308 00000 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $3,780 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 1072030 |
| Policy instance | 3 |
| Insurance contract or identification number | 1072030 | | Number of Individuals Covered | 197 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $2,123 | | Total amount of fees paid to insurance company | USD $719 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,574 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 9S6150 |
| Policy instance | 4 |
| Insurance contract or identification number | 9S6150 | | Number of Individuals Covered | 97 | | Insurance policy start date | 2017-12-01 | | Insurance policy end date | 2018-11-30 | | Total amount of commissions paid to insurance broker | USD $966 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,259 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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