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DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 401k Plan overview

Plan NameDISMAS CHARITIES INC. GROUP DENTAL INSURANCE
Plan identification number 503

DISMAS CHARITIES INC. GROUP DENTAL INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

DISMAS CHARITES INC has sponsored the creation of one or more 401k plans.

Company Name:DISMAS CHARITES INC
Employer identification number (EIN):610663854
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DISMAS CHARITIES INC. GROUP DENTAL INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-06-01
5032022-06-01
5032021-06-01
5032019-12-01
5032018-12-01
5032017-12-01
5032016-12-01
5032015-12-01RAYMOND WEIS
5032014-12-01RAYMOND WEIS
5032013-12-01RAYMOND WEIS
5032012-12-01RAYMOND WEIS
5032010-12-01RAYMOND WEIS
5032009-12-01RAYMOND WEIS
5032008-12-01

Plan Statistics for DISMAS CHARITIES INC. GROUP DENTAL INSURANCE

401k plan membership statisitcs for DISMAS CHARITIES INC. GROUP DENTAL INSURANCE

Measure Date Value
2023: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2023 401k membership
Total participants, beginning-of-year2023-06-01233
Total number of active participants reported on line 7a of the Form 55002023-06-01285
Total of all active and inactive participants2023-06-01285
Total participants2023-06-01285
2022: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2022 401k membership
Total participants, beginning-of-year2022-06-01180
Total number of active participants reported on line 7a of the Form 55002022-06-01233
Total of all active and inactive participants2022-06-01233
Total participants2022-06-01233
2021: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2021 401k membership
Total participants, beginning-of-year2021-06-01176
Total number of active participants reported on line 7a of the Form 55002021-06-01180
Total of all active and inactive participants2021-06-01180
Total participants2021-06-01180
2019: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2019 401k membership
Total participants, beginning-of-year2019-12-01158
Total number of active participants reported on line 7a of the Form 55002019-12-01161
Total of all active and inactive participants2019-12-01161
Total participants2019-12-01161
2018: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2018 401k membership
Total participants, beginning-of-year2018-12-01177
Total number of active participants reported on line 7a of the Form 55002018-12-01158
Total of all active and inactive participants2018-12-01158
Total participants2018-12-01158
2017: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-12-01112
Total number of active participants reported on line 7a of the Form 55002017-12-01117
Total of all active and inactive participants2017-12-01117
Total participants2017-12-01117
2016: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-12-0190
Total number of active participants reported on line 7a of the Form 55002016-12-01112
Total of all active and inactive participants2016-12-01112
Total participants2016-12-01112
2015: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-12-0190
Total number of active participants reported on line 7a of the Form 55002015-12-0190
Total of all active and inactive participants2015-12-0190
Total participants2015-12-0190
2014: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-12-01251
Total number of active participants reported on line 7a of the Form 55002014-12-0190
Total of all active and inactive participants2014-12-0190
Total participants2014-12-0190
2013: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-12-01251
Total number of active participants reported on line 7a of the Form 55002013-12-01251
Total of all active and inactive participants2013-12-01251
Total participants2013-12-01251
2012: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-12-01118
Total number of active participants reported on line 7a of the Form 55002012-12-01251
Total of all active and inactive participants2012-12-01251
Total participants2012-12-01251
2010: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2010 401k membership
Total participants, beginning-of-year2010-12-01119
Total number of active participants reported on line 7a of the Form 55002010-12-01123
Total of all active and inactive participants2010-12-01123
Total participants2010-12-01123
2009: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-12-01122
Total number of active participants reported on line 7a of the Form 55002009-12-01119
Total of all active and inactive participants2009-12-01119
Total participants2009-12-01119

Form 5500 Responses for DISMAS CHARITIES INC. GROUP DENTAL INSURANCE

2023: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01Submission has been amendedNo
2023-06-01This submission is the final filingNo
2023-06-01This return/report is a short plan year return/report (less than 12 months)No
2023-06-01Plan is a collectively bargained planNo
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan benefit arrangement – InsuranceYes
2022: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2019: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2010: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)No
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan benefit arrangement – InsuranceYes
2009: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes
2008: DISMAS CHARITIES INC. GROUP DENTAL INSURANCE 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number
Policy instance 1
Number of Individuals Covered285
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number
Policy instance 1
Number of Individuals Covered233
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number7070502036
Policy instance 1
Insurance contract or identification number7070502036
Number of Individuals Covered180
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number7070502036
Policy instance 1
Insurance contract or identification number7070502036
Number of Individuals Covered158
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number7070502036
Policy instance 1
Insurance contract or identification number7070502036
Number of Individuals Covered177
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number659336
Policy instance 1
Insurance contract or identification number659336
Number of Individuals Covered112
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $4,481
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $4,481
Insurance broker organization code?3

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