401k Plan data: SALEMTOWNE DENTAL AND VISION INSURANCE plan

SALEMTOWNE DENTAL AND VISION INSURANCE 401k Plan overview

Plan Name	SALEMTOWNE DENTAL AND VISION INSURANCE
Plan identification number	507

SALEMTOWNE DENTAL AND VISION INSURANCE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision

401k Sponsoring company profile

MORAVIAN HOME, INC. DBA SALEMTOWNE has sponsored the creation of one or more 401k plans.

Company Name: MORAVIAN HOME, INC. DBA SALEMTOWNE

Employer identification number (EIN): 560963926

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SALEMTOWNE DENTAL AND VISION INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2020-09-01 ALLISON E. VESSELS 2022-03-09
507 2020-09-01 ALLISON E. VESSELS 2023-01-18
507 2019-09-01 BRIAN TUCKMANTEL 2021-06-02
507 2018-09-01 KATHY WILSON 2020-06-05
507 2017-09-01 KATHY WILSON 2019-06-13
507 2016-09-01
507 2015-09-01
507 2014-09-01
507 2013-09-01
507 2012-09-01 CAROLYN TWISDALE, CFO
507 2011-09-01 CAROLYN TWISDALE
507 2009-09-01 CAROLYN TWISDALE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
507	2020-09-01	ALLISON E. VESSELS	2022-03-09
507	2020-09-01	ALLISON E. VESSELS	2023-01-18
507	2019-09-01	BRIAN TUCKMANTEL	2021-06-02
507	2018-09-01	KATHY WILSON	2020-06-05
507	2017-09-01	KATHY WILSON	2019-06-13
507	2016-09-01
507	2015-09-01
507	2014-09-01
507	2013-09-01
507	2012-09-01	CAROLYN TWISDALE, CFO
507	2011-09-01	CAROLYN TWISDALE
507	2009-09-01	CAROLYN TWISDALE

Plan Statistics for SALEMTOWNE DENTAL AND VISION INSURANCE

401k plan membership statisitcs for SALEMTOWNE DENTAL AND VISION INSURANCE

Measure Date Value
2020: SALEMTOWNE DENTAL AND VISION INSURANCE 2020 401k membership
Total participants, beginning-of-year 2020-09-01 170
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 172
Total of all active and inactive participants 2020-09-01 172
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 0
Number of employers contributing to the scheme 2020-09-01 0
2019: SALEMTOWNE DENTAL AND VISION INSURANCE 2019 401k membership
Total participants, beginning-of-year 2019-09-01 268
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 170
Total of all active and inactive participants 2019-09-01 170
2018: SALEMTOWNE DENTAL AND VISION INSURANCE 2018 401k membership
Total participants, beginning-of-year 2018-09-01 252
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 268
Total of all active and inactive participants 2018-09-01 268
2017: SALEMTOWNE DENTAL AND VISION INSURANCE 2017 401k membership
Total participants, beginning-of-year 2017-09-01 225
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 252
Total of all active and inactive participants 2017-09-01 252
2016: SALEMTOWNE DENTAL AND VISION INSURANCE 2016 401k membership
Total participants, beginning-of-year 2016-09-01 170
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 225
Total of all active and inactive participants 2016-09-01 225
2015: SALEMTOWNE DENTAL AND VISION INSURANCE 2015 401k membership
Total participants, beginning-of-year 2015-09-01 166
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 170
Total of all active and inactive participants 2015-09-01 170
Total participants 2015-09-01 170
2014: SALEMTOWNE DENTAL AND VISION INSURANCE 2014 401k membership
Total participants, beginning-of-year 2014-09-01 177
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 166
Total of all active and inactive participants 2014-09-01 166
2013: SALEMTOWNE DENTAL AND VISION INSURANCE 2013 401k membership
Total participants, beginning-of-year 2013-09-01 170
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 177
Total of all active and inactive participants 2013-09-01 177
2012: SALEMTOWNE DENTAL AND VISION INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-09-01 176
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 170
Total of all active and inactive participants 2012-09-01 170
2011: SALEMTOWNE DENTAL AND VISION INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-09-01 167
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 176
Total of all active and inactive participants 2011-09-01 176
2009: SALEMTOWNE DENTAL AND VISION INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-09-01 183
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 173
Total of all active and inactive participants 2009-09-01 173

Measure	Date	Value
2020: SALEMTOWNE DENTAL AND VISION INSURANCE 2020 401k membership
Total participants, beginning-of-year	2020-09-01	170
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	172
Total of all active and inactive participants	2020-09-01	172
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	0
Number of employers contributing to the scheme	2020-09-01	0
2019: SALEMTOWNE DENTAL AND VISION INSURANCE 2019 401k membership
Total participants, beginning-of-year	2019-09-01	268
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	170
Total of all active and inactive participants	2019-09-01	170
2018: SALEMTOWNE DENTAL AND VISION INSURANCE 2018 401k membership
Total participants, beginning-of-year	2018-09-01	252
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	268
Total of all active and inactive participants	2018-09-01	268
2017: SALEMTOWNE DENTAL AND VISION INSURANCE 2017 401k membership
Total participants, beginning-of-year	2017-09-01	225
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	252
Total of all active and inactive participants	2017-09-01	252
2016: SALEMTOWNE DENTAL AND VISION INSURANCE 2016 401k membership
Total participants, beginning-of-year	2016-09-01	170
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	225
Total of all active and inactive participants	2016-09-01	225
2015: SALEMTOWNE DENTAL AND VISION INSURANCE 2015 401k membership
Total participants, beginning-of-year	2015-09-01	166
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	170
Total of all active and inactive participants	2015-09-01	170
Total participants	2015-09-01	170
2014: SALEMTOWNE DENTAL AND VISION INSURANCE 2014 401k membership
Total participants, beginning-of-year	2014-09-01	177
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	166
Total of all active and inactive participants	2014-09-01	166
2013: SALEMTOWNE DENTAL AND VISION INSURANCE 2013 401k membership
Total participants, beginning-of-year	2013-09-01	170
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	177
Total of all active and inactive participants	2013-09-01	177
2012: SALEMTOWNE DENTAL AND VISION INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-09-01	176
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	170
Total of all active and inactive participants	2012-09-01	170
2011: SALEMTOWNE DENTAL AND VISION INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-09-01	167
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	176
Total of all active and inactive participants	2011-09-01	176
2009: SALEMTOWNE DENTAL AND VISION INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-09-01	183
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	173
Total of all active and inactive participants	2009-09-01	173

Form 5500 Responses for SALEMTOWNE DENTAL AND VISION INSURANCE

2020: SALEMTOWNE DENTAL AND VISION INSURANCE 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Submission has been amended	Yes
2020-09-01	This submission is the final filing	Yes
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2019: SALEMTOWNE DENTAL AND VISION INSURANCE 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2018: SALEMTOWNE DENTAL AND VISION INSURANCE 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2017: SALEMTOWNE DENTAL AND VISION INSURANCE 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2016: SALEMTOWNE DENTAL AND VISION INSURANCE 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2015: SALEMTOWNE DENTAL AND VISION INSURANCE 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: SALEMTOWNE DENTAL AND VISION INSURANCE 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: SALEMTOWNE DENTAL AND VISION INSURANCE 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: SALEMTOWNE DENTAL AND VISION INSURANCE 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: SALEMTOWNE DENTAL AND VISION INSURANCE 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2009: SALEMTOWNE DENTAL AND VISION INSURANCE 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	This submission is the final filing	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	10-51540
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-051540
Policy instance	1
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number	010-051540
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05911569
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05911569
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05911569
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05911569
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05911569
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	00001D018396000
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	00001D018396000
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	00001D018396000
Policy instance	1

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Company Name:	MORAVIAN HOME, INC. DBA SALEMTOWNE
Employer identification number (EIN):	560963926
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities