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KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 401k Plan overview

Plan NameKELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN
Plan identification number 502

KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

KELLY MITCHELL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:KELLY MITCHELL GROUP, INC.
Employer identification number (EIN):431810274
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Additional information about KELLY MITCHELL GROUP, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5133512

More information about KELLY MITCHELL GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01MARK LOCIGNO2021-05-27
5022019-01-01MARK LOCIGNO2020-09-14
5022018-01-01MARK LOCIGNO
5022017-01-01REBECCA BOYER
5022016-01-01REBECCA BOYER
5022015-05-01REBECCA BOYER
5022014-05-01REBECCA BOYER
5022013-05-01REBECCA BOYER
5022012-05-01REBECCA BOYER REBECCA BOYER2013-11-27
5022011-05-01REBECCA BOYER MARK LOCIGNO2013-02-15
5022009-05-01REBECCA BOYER MARK LOCIGNO2010-11-04

Plan Statistics for KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN

401k plan membership statisitcs for KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN

Measure Date Value
2020: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01267
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of employers contributing to the scheme2020-01-010
2019: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01242
Total number of active participants reported on line 7a of the Form 55002019-01-01159
Number of retired or separated participants receiving benefits2019-01-016
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01165
Number of employers contributing to the scheme2019-01-010
2018: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01180
Total number of active participants reported on line 7a of the Form 55002018-01-01177
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01180
2017: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01253
Total number of active participants reported on line 7a of the Form 55002017-01-01187
Number of retired or separated participants receiving benefits2017-01-016
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01193
2016: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01255
Total number of active participants reported on line 7a of the Form 55002016-01-01253
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01253
2015: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01227
Total number of active participants reported on line 7a of the Form 55002015-05-01244
Number of retired or separated participants receiving benefits2015-05-0111
Total of all active and inactive participants2015-05-01255
2014: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01255
Total number of active participants reported on line 7a of the Form 55002014-05-01227
Total of all active and inactive participants2014-05-01227
2013: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01273
Total number of active participants reported on line 7a of the Form 55002013-05-01255
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-01255
2012: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01242
Total number of active participants reported on line 7a of the Form 55002012-05-01259
Number of retired or separated participants receiving benefits2012-05-0114
Total of all active and inactive participants2012-05-01273
2011: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01169
Total number of active participants reported on line 7a of the Form 55002011-05-01228
Number of retired or separated participants receiving benefits2011-05-0114
Total of all active and inactive participants2011-05-01242
Total participants2011-05-01242
2009: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01105
Total number of active participants reported on line 7a of the Form 55002009-05-01105
Number of retired or separated participants receiving benefits2009-05-0120
Total of all active and inactive participants2009-05-01125
Total participants2009-05-01125

Form 5500 Responses for KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN

2020: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: KELLY MITCHELL GROUP, INC. 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: KELLY MITCHELL GROUP, INC. 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: KELLY MITCHELL GROUP, INC. 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: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: KELLY MITCHELL GROUP, INC. DENTAL INSURANCE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number1190550
Policy instance 1
Insurance contract or identification number1190550
Number of Individuals Covered314
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,740
Total amount of fees paid to insurance companyUSD $1,304
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,740
Amount paid for insurance broker fees1304
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number1190550
Policy instance 1
Insurance contract or identification number1190550
Number of Individuals Covered374
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,314
Total amount of fees paid to insurance companyUSD $5,056
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $168,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,992
Amount paid for insurance broker fees5056
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0284047
Policy instance 1
Insurance contract or identification number0284047
Number of Individuals Covered273
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $14,528
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
Welfare Benefit Premiums Paid to CarrierUSD $125,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,528
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0284047
Policy instance 1
Insurance contract or identification number0284047
Number of Individuals Covered292
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $13,302
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
Welfare Benefit Premiums Paid to CarrierUSD $139,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,302
Insurance broker organization code?3
Insurance broker nameTHE HAYS GROUP, INC.

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