401k Plan data: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN plan

STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 401k Plan overview

Plan Name	STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN
Plan identification number	502

STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

STUDENT CONSERVATION ASSOCIATION INC. has sponsored the creation of one or more 401k plans.

Company Name: STUDENT CONSERVATION ASSOCIATION INC.

Employer identification number (EIN): 910880684

NAIC Classification: 115310
NAIC Description: Support Activities for Forestry

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01 BARBARA MCINTOSH
502 2016-01-01 BARBARA GONZALEZ-MCINTOSH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2017-01-01	BARBARA MCINTOSH
502	2016-01-01	BARBARA GONZALEZ-MCINTOSH

Plan Statistics for STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN

401k plan membership statisitcs for STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN

Measure Date Value
2017: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 132
Number of retired or separated participants receiving benefits 2017-01-01 4
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 136
2016: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 98
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 94
Number of retired or separated participants receiving benefits 2016-01-01 1
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 95

Measure	Date	Value
2017: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	132
Number of retired or separated participants receiving benefits	2017-01-01	4
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	136
2016: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	98
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	94
Number of retired or separated participants receiving benefits	2016-01-01	1
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	95

Form 5500 Responses for STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN

2017: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: STUDENT CONSERVATION ASSOCIATION INC. DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 )

Policy contract number

11005

Policy instance

Insurance contract or identification number	11005
Number of Individuals Covered	108
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $814
Total amount of fees paid to insurance company	USD $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 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
Welfare Benefit Premiums Paid to Carrier	USD $68,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $814
Insurance broker organization code?	3
Insurance broker name	COMBINED SERVICES LLC

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Company Name:	STUDENT CONSERVATION ASSOCIATION INC.
Employer identification number (EIN):	910880684
NAIC Classification:	115310
NAIC Description:	Support Activities for Forestry