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ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 401k Plan overview

Plan NameST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN
Plan identification number 502

ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

ST. ANDREWS EPISCOPAL SCHOOL has sponsored the creation of one or more 401k plans.

Company Name:ST. ANDREWS EPISCOPAL SCHOOL
Employer identification number (EIN):521107876
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01MARK MCKINGHT2024-09-16
5022022-01-01MARK MCKINGHT2023-07-25
5022021-01-01DEBORAH HAYES2022-07-27

Plan Statistics for ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN

401k plan membership statisitcs for ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN

Measure Date Value
2023: ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01118
Total number of active participants reported on line 7a of the Form 55002023-01-01125
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01125
Number of employers contributing to the scheme2023-01-010
2022: ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01112
Total number of active participants reported on line 7a of the Form 55002022-01-01118
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01118
Number of employers contributing to the scheme2022-01-010
2021: ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01107
Total number of active participants reported on line 7a of the Form 55002021-01-01111
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01111
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN

2023: ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: ST. ANDREWS EPISCOPAL SCHOOL DENTAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number1G3B
Policy instance 1
Insurance contract or identification number1G3B
Number of Individuals Covered261
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,078
Total amount of fees paid to insurance companyUSD $96,400
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,241,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 )
Policy contract number1G3B
Policy instance 1
Insurance contract or identification number1G3B
Number of Individuals Covered232
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,635
Total amount of fees paid to insurance companyUSD $3,639
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,635
Amount paid for insurance broker fees883
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )
Policy contract number1G3B
Policy instance 1
Insurance contract or identification number1G3B
Number of Individuals Covered231
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,842
Total amount of fees paid to insurance companyUSD $57,495
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,225,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,842
Amount paid for insurance broker fees42843
Additional information about fees paid to insurance brokerPERSISTENCY BONUS, PRODUCER SERVICE FEE
Insurance broker organization code?3

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