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AVE MARIA HOME DENTAL, LIFE, VISION 401k Plan overview

Plan NameAVE MARIA HOME DENTAL, LIFE, VISION
Plan identification number 502

AVE MARIA HOME DENTAL, LIFE, VISION Benefits

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

401k Sponsoring company profile

AVE MARIA HOME has sponsored the creation of one or more 401k plans.

Company Name:AVE MARIA HOME
Employer identification number (EIN):620561701
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVE MARIA HOME DENTAL, LIFE, VISION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01CRAIG HOFER2023-02-23
5022020-10-01FRANK GATTUSO2022-06-30
5022019-10-01FRANK GATTUSO2021-06-30
5022018-10-01FRANK GATTUSO2020-06-01
5022017-10-01
5022016-10-01
5022015-10-01
5022014-10-01

Plan Statistics for AVE MARIA HOME DENTAL, LIFE, VISION

401k plan membership statisitcs for AVE MARIA HOME DENTAL, LIFE, VISION

Measure Date Value
2021: AVE MARIA HOME DENTAL, LIFE, VISION 2021 401k membership
Total participants, beginning-of-year2021-10-01139
Total number of active participants reported on line 7a of the Form 55002021-10-01160
Total of all active and inactive participants2021-10-01160
2020: AVE MARIA HOME DENTAL, LIFE, VISION 2020 401k membership
Total participants, beginning-of-year2020-10-01122
Total number of active participants reported on line 7a of the Form 55002020-10-01139
Total of all active and inactive participants2020-10-01139
2019: AVE MARIA HOME DENTAL, LIFE, VISION 2019 401k membership
Total participants, beginning-of-year2019-10-01134
Total number of active participants reported on line 7a of the Form 55002019-10-01122
Total of all active and inactive participants2019-10-01122
2018: AVE MARIA HOME DENTAL, LIFE, VISION 2018 401k membership
Total participants, beginning-of-year2018-10-01151
Total number of active participants reported on line 7a of the Form 55002018-10-01134
Total of all active and inactive participants2018-10-01134
2017: AVE MARIA HOME DENTAL, LIFE, VISION 2017 401k membership
Total participants, beginning-of-year2017-10-01155
Total number of active participants reported on line 7a of the Form 55002017-10-01151
Total of all active and inactive participants2017-10-01151
2016: AVE MARIA HOME DENTAL, LIFE, VISION 2016 401k membership
Total participants, beginning-of-year2016-10-01160
Total number of active participants reported on line 7a of the Form 55002016-10-01155
Total of all active and inactive participants2016-10-01155
2015: AVE MARIA HOME DENTAL, LIFE, VISION 2015 401k membership
Total participants, beginning-of-year2015-10-01157
Total number of active participants reported on line 7a of the Form 55002015-10-01160
Total of all active and inactive participants2015-10-01160
2014: AVE MARIA HOME DENTAL, LIFE, VISION 2014 401k membership
Total participants, beginning-of-year2014-10-01143
Total number of active participants reported on line 7a of the Form 55002014-10-01157
Total of all active and inactive participants2014-10-01157

Form 5500 Responses for AVE MARIA HOME DENTAL, LIFE, VISION

2021: AVE MARIA HOME DENTAL, LIFE, VISION 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: AVE MARIA HOME DENTAL, LIFE, VISION 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: AVE MARIA HOME DENTAL, LIFE, VISION 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: AVE MARIA HOME DENTAL, LIFE, VISION 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: AVE MARIA HOME DENTAL, LIFE, VISION 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: AVE MARIA HOME DENTAL, LIFE, VISION 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: AVE MARIA HOME DENTAL, LIFE, VISION 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: AVE MARIA HOME DENTAL, LIFE, VISION 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01First time form 5500 has been submittedYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0169874
Policy instance 1
Insurance contract or identification number0169874
Number of Individuals Covered160
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $4,899
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $564,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,899
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0169874
Policy instance 1
Insurance contract or identification number0169874
Number of Individuals Covered139
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $12,559
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $509,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,559
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00417994
Policy instance 1
Insurance contract or identification number00417994
Number of Individuals Covered122
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $9,484
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,484
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WR419
Policy instance 1
Insurance contract or identification number000WR419
Number of Individuals Covered134
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $11,860
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,860
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WR419
Policy instance 1
Insurance contract or identification number000WR419
Number of Individuals Covered151
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $10,378
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $97,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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