TJ HALE COMPANY DENTAL PLAN 401k Plan overview
| Plan Name | TJ HALE COMPANY DENTAL PLAN |
| Plan identification number | 503 |
TJ HALE COMPANY DENTAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Dental
- Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
|
401k Sponsoring company profile
TJ HALE COMPANY, LLC has sponsored the creation of one or more 401k plans.
Additional information about TJ HALE COMPANY, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2014-04-21 |
| Company Identification Number: | 0801979828 |
| Legal Registered Office Address: |
PO BOX 250
MENOMONEE FLS
United States of America (USA)
53052
|
More information about TJ HALE COMPANY, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan TJ HALE COMPANY DENTAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2015-01-01 | | | | |
| 503 | 2014-01-01 | | | | |
| 503 | 2013-11-22 | | | | |
Plan Statistics for TJ HALE COMPANY DENTAL PLAN
401k plan membership statisitcs for TJ HALE COMPANY DENTAL PLAN
| Measure | Date | Value |
|---|
| 2015: TJ HALE COMPANY DENTAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 97 |
| Total of all active and inactive participants | 2015-01-01 | 97 |
| 2014: TJ HALE COMPANY DENTAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 98 |
| Total of all active and inactive participants | 2014-01-01 | 98 |
| 2013: TJ HALE COMPANY DENTAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-22 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-22 | 114 |
| Total of all active and inactive participants | 2013-11-22 | 114 |
Form 5500 Responses for TJ HALE COMPANY DENTAL PLAN
| 2015: TJ HALE COMPANY DENTAL PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: TJ HALE COMPANY DENTAL PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: TJ HALE COMPANY DENTAL PLAN 2013 form 5500 responses |
|---|
| 2013-11-22 | Type of plan entity | Single employer plan |
| 2013-11-22 | First time form 5500 has been submitted | Yes |
| 2013-11-22 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2013-11-22 | Plan funding arrangement – Insurance | Yes |
| 2013-11-22 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| DELTA DENTAL OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54046 ) |
| Policy contract number | 1161400000 |
| Policy instance | 1 |
| Insurance contract or identification number | 1161400000 | | Number of Individuals Covered | 97 | | Insurance policy start date | 2014-12-01 | | Insurance policy end date | 2015-11-30 | | Total amount of commissions paid to insurance broker | USD $3,937 | | 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 | | Commission paid to Insurance Broker | USD $3,937 | | Insurance broker organization code? | 3 | | Insurance broker name | GALLAGHER BENEFIT SERVICES INC |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | KM05914523 |
| Policy instance | 1 |
| Insurance contract or identification number | KM05914523 | | Number of Individuals Covered | 376 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-11-30 | | Total amount of commissions paid to insurance broker | USD $2,637 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $65,719 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,637 | | Insurance broker organization code? | 3 | | Insurance broker name | BURKWALD & ASSOCIATES INC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00483071 |
| Policy instance | 1 |
| Insurance contract or identification number | 00483071 | | Number of Individuals Covered | 114 | | Insurance policy start date | 2013-11-22 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $292 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,998 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $263 | | Insurance broker organization code? | 3 | | Insurance broker name | BURKWALD & ASSOCIATES |
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