SPRAGUE RESOURCES GP LLC has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2023: SPRAGUE MEDICAL-DENTAL-VISION 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 496 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 468 |
| Number of retired or separated participants receiving benefits | 2023-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-01-01 | 0 |
| Total of all active and inactive participants | 2023-01-01 | 468 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2022: SPRAGUE MEDICAL-DENTAL-VISION 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 480 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 496 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 496 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
| 2021: SPRAGUE MEDICAL-DENTAL-VISION 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 485 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 480 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 480 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2023: SPRAGUE MEDICAL-DENTAL-VISION 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: SPRAGUE MEDICAL-DENTAL-VISION 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: SPRAGUE MEDICAL-DENTAL-VISION 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 ) |
| Policy contract number | 14190 |
| Policy instance | 1 |
| Insurance contract or identification number | 14190 | | Number of Individuals Covered | 1100 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $17,730 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $469,093 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 40151811 |
| Policy instance | 2 |
| Insurance contract or identification number | 40151811 | | Number of Individuals Covered | 463 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,881 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | NH3001 |
| Policy instance | 1 |
| Insurance contract or identification number | NH3001 | | Number of Individuals Covered | 1102 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $104,843 | | Total amount of fees paid to insurance company | USD $15,280 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,815,834 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $96,304 | | Amount paid for insurance broker fees | 7788 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| MATTHEW THORNTON HEALTH PLAN INC. (National Association of Insurance Commissioners NAIC id number: 95527 ) |
| Policy contract number | NH3001 |
| Policy instance | 2 |
| Insurance contract or identification number | NH3001 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $104,843 | | Total amount of fees paid to insurance company | USD $15,280 | | Welfare Benefit Premiums Paid to Carrier | USD $1,583,428 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $96,288 | | Amount paid for insurance broker fees | 7788 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. (National Association of Insurance Commissioners NAIC id number: 53759 ) |
| Policy contract number | NH3001 |
| Policy instance | 1 |
| Insurance contract or identification number | NH3001 | | Number of Individuals Covered | 1138 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $102,696 | | Total amount of fees paid to insurance company | USD $4,609 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,865,061 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,066 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | FEES |
|
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