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MOSAIC DENTAL COLLECTIVE 401(K) PLAN 401k Plan overview

Plan NameMOSAIC DENTAL COLLECTIVE 401(K) PLAN
Plan identification number 001

MOSAIC DENTAL COLLECTIVE 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MOSAIC DENTAL COLLECTIVE, LLC has sponsored the creation of one or more 401k plans.

Company Name:MOSAIC DENTAL COLLECTIVE, LLC
Employer identification number (EIN):853855660
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOSAIC DENTAL COLLECTIVE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01FIDUCIARY SERVICES
0012023-01-01
0012023-01-01
0012023-01-01FIDUCIARY SERVICES
0012023-01-01FIDUCIARY SERVICES
0012023-01-01FIDUCIARY SERVICES
0012022-01-01FIDUCIARY SERVICES2023-10-16 FIDUCIARY SERVICES2023-10-16
0012022-01-01
0012022-01-01FIDUCIARY SERVICES

Financial Data on MOSAIC DENTAL COLLECTIVE 401(K) PLAN

Measure Date Value
2023 : MOSAIC DENTAL COLLECTIVE 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total transfer of assets to this plan2023-12-31$5,941,767
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$7,160,321
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$1,286,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,219,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$3,711,564
Value of total assets at end of year2023-12-31$27,012,443
Value of total assets at beginning of year2023-12-31$15,196,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$67,408
Total interest from all sources2023-12-31$6,816
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$687,555
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$2,193,528
Participant contributions at end of year2023-12-31$96,248
Participant contributions at beginning of year2023-12-31$63,122
Participant contributions at end of year2023-12-31$31,317
Participant contributions at beginning of year2023-12-31$1,483
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$789,669
Total non interest bearing cash at end of year2023-12-31$50,237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$5,873,853
Value of net assets at end of year (total assets less liabilities)2023-12-31$27,012,443
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$15,196,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$25,527,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$13,836,594
Interest on participant loans2023-12-31$6,238
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$578
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$1,338,945
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$1,294,564
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$2,754,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$728,367
Employer contributions (assets) at end of year2023-12-31$1,933
Employer contributions (assets) at beginning of year2023-12-31$1,060
Income. Dividends from common stock2023-12-31$687,555
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,219,060
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31HEB CPA
Accountancy firm EIN2023-12-31870350273
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total transfer of assets to this plan2023-01-01$5,920,753
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$7,205,520
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$1,277,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$1,194,755
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$3,757,556
Value of total assets at end of year2023-01-01$27,045,693
Value of total assets at beginning of year2023-01-01$15,196,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$82,648
Total interest from all sources2023-01-01$6,603
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$687,555
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$2,224,067
Participant contributions at end of year2023-01-01$96,248
Participant contributions at beginning of year2023-01-01$63,122
Participant contributions at end of year2023-01-01$31,317
Participant contributions at beginning of year2023-01-01$1,483
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$789,667
Total non interest bearing cash at end of year2023-01-01$50,237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$5,928,117
Value of net assets at end of year (total assets less liabilities)2023-01-01$27,045,693
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$15,196,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$25,527,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$13,836,594
Interest on participant loans2023-01-01$6,023
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$580
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$1,338,945
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$1,294,564
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$2,753,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$743,822
Employer contributions (assets) at end of year2023-01-01$1,933
Employer contributions (assets) at beginning of year2023-01-01$1,060
Income. Dividends from common stock2023-01-01$687,555
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$1,194,755
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01HEB CPA
Accountancy firm EIN2023-01-01870350273
2022 : MOSAIC DENTAL COLLECTIVE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$13,107,782
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$2,888,738
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$799,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$791,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,575,101
Value of total assets at end of year2022-12-31$15,196,823
Value of total assets at beginning of year2022-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$8,402
Total interest from all sources2022-12-31$263
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$602,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$602,536
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,774,477
Participant contributions at end of year2022-12-31$1,483
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$195,320
Assets. Loans (other than to participants) at end of year2022-12-31$63,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$2,089,041
Value of net assets at end of year (total assets less liabilities)2022-12-31$15,196,823
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$13,836,594
Interest on participant loans2022-12-31$263
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,294,564
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-289,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$605,304
Employer contributions (assets) at end of year2022-12-31$1,060
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$791,295
Contract administrator fees2022-12-31$8,402
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HEB CPA
Accountancy firm EIN2022-12-31870350273
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total transfer of assets to this plan2022-01-01$13,107,782
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$2,888,738
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$799,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$791,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$2,575,101
Value of total assets at end of year2022-01-01$15,196,823
Value of total assets at beginning of year2022-01-01$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$8,402
Total interest from all sources2022-01-01$263
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$602,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$602,536
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$1,774,477
Participant contributions at end of year2022-01-01$1,483
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$195,320
Assets. Loans (other than to participants) at end of year2022-01-01$63,122
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$2,089,041
Value of net assets at end of year (total assets less liabilities)2022-01-01$15,196,823
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$13,836,594
Interest on participant loans2022-01-01$263
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$1,294,564
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-289,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$605,304
Employer contributions (assets) at end of year2022-01-01$1,060
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$791,295
Contract administrator fees2022-01-01$8,402
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01HEB CPA
Accountancy firm EIN2022-01-01870350273

Form 5500 Responses for MOSAIC DENTAL COLLECTIVE 401(K) PLAN

2023: MOSAIC DENTAL COLLECTIVE 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MOSAIC DENTAL COLLECTIVE 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number514898-01
Policy instance 1
Insurance contract or identification number514898-01
Number of Individuals Covered157
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number514898-01
Policy instance 1

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