401k Plan data: RAINBOW OF CHALLENGES-DENTAL plan

RAINBOW OF CHALLENGES-DENTAL 401k Plan overview

Plan Name	RAINBOW OF CHALLENGES-DENTAL
Plan identification number	502

RAINBOW OF CHALLENGES-DENTAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

RAINBOW OF CHALLENGES, INC has sponsored the creation of one or more 401k plans.

Company Name: RAINBOW OF CHALLENGES, INC

Employer identification number (EIN): 710417425

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAINBOW OF CHALLENGES-DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2015-12-01 TERESA PORTER
502 2013-12-01 BEN ROBBINS
502 2012-12-01 BEN ROBBINS BEN ROBBINS 2014-06-30
502 2011-12-01 BEN ROBBINS BEN ROBBINS 2013-09-09

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2015-12-01	TERESA PORTER
502	2013-12-01	BEN ROBBINS
502	2012-12-01	BEN ROBBINS	BEN ROBBINS	2014-06-30
502	2011-12-01	BEN ROBBINS	BEN ROBBINS	2013-09-09

Plan Statistics for RAINBOW OF CHALLENGES-DENTAL

401k plan membership statisitcs for RAINBOW OF CHALLENGES-DENTAL

Measure Date Value
2015: RAINBOW OF CHALLENGES-DENTAL 2015 401k membership
Total participants, beginning-of-year 2015-12-01 155
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 171
Total of all active and inactive participants 2015-12-01 171
Total participants 2015-12-01 171
2013: RAINBOW OF CHALLENGES-DENTAL 2013 401k membership
Total participants, beginning-of-year 2013-12-01 126
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 141
Total of all active and inactive participants 2013-12-01 141
Total participants 2013-12-01 141
2012: RAINBOW OF CHALLENGES-DENTAL 2012 401k membership
Total participants, beginning-of-year 2012-12-01 126
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 126
Total of all active and inactive participants 2012-12-01 126
Total participants 2012-12-01 126
2011: RAINBOW OF CHALLENGES-DENTAL 2011 401k membership
Total participants, beginning-of-year 2011-12-01 116
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 116
Total of all active and inactive participants 2011-12-01 116
Total participants 2011-12-01 116

Measure	Date	Value
2015: RAINBOW OF CHALLENGES-DENTAL 2015 401k membership
Total participants, beginning-of-year	2015-12-01	155
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	171
Total of all active and inactive participants	2015-12-01	171
Total participants	2015-12-01	171
2013: RAINBOW OF CHALLENGES-DENTAL 2013 401k membership
Total participants, beginning-of-year	2013-12-01	126
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	141
Total of all active and inactive participants	2013-12-01	141
Total participants	2013-12-01	141
2012: RAINBOW OF CHALLENGES-DENTAL 2012 401k membership
Total participants, beginning-of-year	2012-12-01	126
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	126
Total of all active and inactive participants	2012-12-01	126
Total participants	2012-12-01	126
2011: RAINBOW OF CHALLENGES-DENTAL 2011 401k membership
Total participants, beginning-of-year	2011-12-01	116
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	116
Total of all active and inactive participants	2011-12-01	116
Total participants	2011-12-01	116

Form 5500 Responses for RAINBOW OF CHALLENGES-DENTAL

2015: RAINBOW OF CHALLENGES-DENTAL 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2013: RAINBOW OF CHALLENGES-DENTAL 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	No
2013-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: RAINBOW OF CHALLENGES-DENTAL 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	No
2012-12-01	This submission is the final filing	No
2012-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-01	Plan is a collectively bargained plan	No
2012-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: RAINBOW OF CHALLENGES-DENTAL 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	No
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-01	Plan is a collectively bargained plan	No
2011-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-12-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )

Policy contract number

027225

Policy instance

Insurance contract or identification number	027225
Number of Individuals Covered	141
Insurance policy start date	2013-12-01
Insurance policy end date	2014-11-30
Total amount of commissions paid to insurance broker	USD $6,768
Are there contracts with allocated funds for individual policies?	No
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	No
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
Commission paid to Insurance Broker	USD $6,768
Insurance broker organization code?	3
Insurance broker name	THE HATCHER AGENCY

ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )

Policy contract number

027225

Policy instance

Insurance contract or identification number	027225
Number of Individuals Covered	126
Insurance policy start date	2012-12-01
Insurance policy end date	2013-11-30
Total amount of commissions paid to insurance broker	USD $1,696
Total amount of fees paid to insurance company	USD $11,192
Are there contracts with allocated funds for individual policies?	No
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	No
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

ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )

Policy contract number

027225

Policy instance

Insurance contract or identification number	027225
Number of Individuals Covered	116
Insurance policy start date	2011-12-01
Insurance policy end date	2012-11-30
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )

Policy contract number

00000430V

Policy instance

Insurance contract or identification number	00000430V
Number of Individuals Covered	197
Insurance policy start date	2011-01-01
Insurance policy end date	2011-11-30
Total amount of commissions paid to insurance broker	USD $4,290
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	RAINBOW OF CHALLENGES, INC
Employer identification number (EIN):	710417425
NAIC Classification:	611000