401k Plan data: SPARKHOUND DENTAL VISION PLAN plan

SPARKHOUND DENTAL VISION PLAN 401k Plan overview

Plan Name	SPARKHOUND DENTAL VISION PLAN
Plan identification number	502

SPARKHOUND DENTAL VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SPARKHOUND, LLC has sponsored the creation of one or more 401k plans.

Company Name: SPARKHOUND, LLC

Employer identification number (EIN): 721418443

NAIC Classification: 541519
NAIC Description: Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPARKHOUND DENTAL VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 SANDY MICHELET 2024-07-31
502 2022-01-01 SANDY MICHELET 2023-08-28
502 2021-01-01 SANDY MICHELET 2022-07-05
502 2020-01-01 SANDY MICHELET 2021-07-08
502 2019-01-01 SANDY MICHELET 2020-11-30
502 2018-01-01 SANDY MICHELET 2020-11-30
502 2017-01-01 SANDY MICHELET 2020-11-30
502 2016-01-01 SANDY MICHELET 2020-11-30
502 2015-01-01 SANDY MICHELET 2020-11-30
502 2014-01-01 SANDY MICHELET 2020-11-30
502 2013-01-01 SANDY MICHELET 2020-11-30
502 2012-01-01 SANDY MICHELET 2020-11-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-01-01	SANDY MICHELET	2024-07-31
502	2022-01-01	SANDY MICHELET	2023-08-28
502	2021-01-01	SANDY MICHELET	2022-07-05
502	2020-01-01	SANDY MICHELET	2021-07-08
502	2019-01-01	SANDY MICHELET	2020-11-30
502	2018-01-01	SANDY MICHELET	2020-11-30
502	2017-01-01	SANDY MICHELET	2020-11-30
502	2016-01-01	SANDY MICHELET	2020-11-30
502	2015-01-01	SANDY MICHELET	2020-11-30
502	2014-01-01	SANDY MICHELET	2020-11-30
502	2013-01-01	SANDY MICHELET	2020-11-30
502	2012-01-01	SANDY MICHELET	2020-11-30

Form 5500 Responses for SPARKHOUND DENTAL VISION PLAN

2023: SPARKHOUND DENTAL VISION PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: SPARKHOUND DENTAL VISION PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: SPARKHOUND DENTAL VISION PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: SPARKHOUND DENTAL VISION PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: SPARKHOUND DENTAL VISION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: SPARKHOUND DENTAL VISION PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: SPARKHOUND DENTAL VISION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: SPARKHOUND DENTAL VISION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: SPARKHOUND DENTAL VISION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: SPARKHOUND DENTAL VISION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: SPARKHOUND DENTAL VISION PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: SPARKHOUND DENTAL VISION PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDB0C7DJ

Policy instance

Insurance contract or identification number	GUDB0C7DJ
Number of Individuals Covered	79
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $5,994
Total amount of fees paid to insurance company	USD $515
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $59,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073378

Policy instance

Insurance contract or identification number	1073378
Number of Individuals Covered	239
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $24,145
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $198,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073378

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1073378

Policy instance

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5487405

Policy instance

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5487405

Policy instance

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )

Policy contract number

682671

Policy instance

HUMANA (National Association of Insurance Commissioners NAIC id number: 95642 )

Policy contract number

682671

Policy instance

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )

Policy contract number

682671

Policy instance

HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )

Policy contract number

682671

Policy instance

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )

Policy contract number

682671

Policy instance

HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )

Policy contract number

682671

Policy instance

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )

Policy contract number

682671

Policy instance

HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )

Policy contract number

682671

Policy instance

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Company Name:	SPARKHOUND, LLC
Employer identification number (EIN):	721418443
NAIC Classification:	541519
NAIC Description:	Other Computer Related Services