401k Plan data: REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE plan

REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE 401k Plan overview

Plan Name	REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE
Plan identification number	503

REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental

401k Sponsoring company profile

REGULATOR MARINE, INC. has sponsored the creation of one or more 401k plans.

Company Name: REGULATOR MARINE, INC.

Employer identification number (EIN): 561625075

NAIC Classification: 336610

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-10-01 DELICIA RANKINS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2017-10-01	DELICIA RANKINS

Plan Statistics for REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE

401k plan membership statisitcs for REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE

Measure Date Value
2017: REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE 2017 401k membership
Total participants, beginning-of-year 2017-10-01 141
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 141
Total of all active and inactive participants 2017-10-01 141
Total participants 2017-10-01 141

Measure	Date	Value
2017: REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE 2017 401k membership
Total participants, beginning-of-year	2017-10-01	141
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	141
Total of all active and inactive participants	2017-10-01	141
Total participants	2017-10-01	141

Form 5500 Responses for REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE

2017: REGULATOR MARINE GROUP DENTAL AND SUPPLEMENTAL LIFE 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	First time form 5500 has been submitted	Yes
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00471659

Policy instance

Insurance contract or identification number	00471659
Number of Individuals Covered	141
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $5,384
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	REGULATOR MARINE, INC.
Employer identification number (EIN):	561625075
NAIC Classification:	336610