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DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 401k Plan overview

Plan NameDENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE
Plan identification number 503

DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

NEW HAMPSHIRE ELECTRIC COOPERATIVE has sponsored the creation of one or more 401k plans.

Company Name:NEW HAMPSHIRE ELECTRIC COOPERATIVE
Employer identification number (EIN):020172119
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-08-01
5032018-08-01
5032017-08-01
5032016-08-01 SUSAN KARKHECK2020-05-18
5032015-08-01SUSAN KARKHECK SUSAN KARKHECK2017-02-16

Plan Statistics for DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE

401k plan membership statisitcs for DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE

Measure Date Value
2019: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2019 401k membership
Total participants, beginning-of-year2019-08-01206
Total number of active participants reported on line 7a of the Form 55002019-08-01197
Number of retired or separated participants receiving benefits2019-08-018
Total of all active and inactive participants2019-08-01205
Total participants2019-08-01205
2018: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2018 401k membership
Total participants, beginning-of-year2018-08-01205
Total number of active participants reported on line 7a of the Form 55002018-08-01194
Number of retired or separated participants receiving benefits2018-08-0111
Total of all active and inactive participants2018-08-01205
Total participants2018-08-01205
2017: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2017 401k membership
Total participants, beginning-of-year2017-08-01205
Total number of active participants reported on line 7a of the Form 55002017-08-01194
Number of retired or separated participants receiving benefits2017-08-0111
Total of all active and inactive participants2017-08-01205
Total participants2017-08-01205
2016: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2016 401k membership
Total participants, beginning-of-year2016-08-01201
Total number of active participants reported on line 7a of the Form 55002016-08-01196
Number of retired or separated participants receiving benefits2016-08-019
Total of all active and inactive participants2016-08-01205
Total participants2016-08-01205
2015: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2015 401k membership
Total participants, beginning-of-year2015-08-01191
Total number of active participants reported on line 7a of the Form 55002015-08-01189
Number of retired or separated participants receiving benefits2015-08-0112
Total of all active and inactive participants2015-08-01201
Total participants2015-08-01201

Form 5500 Responses for DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE

2019: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingNo
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planNo
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01First time form 5500 has been submittedYes
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01First time form 5500 has been submittedYes
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: DENTAL OF NEW HAMSHIRE ELECTRIC COOPERATIVE 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01First time form 5500 has been submittedYes
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 )
Policy contract number000011711
Policy instance 1
Insurance contract or identification number000011711
Number of Individuals Covered553
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $14,008
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $284,772
Commission paid to Insurance BrokerUSD $11,328
Insurance broker organization code?3
NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 )
Policy contract number000011711
Policy instance 1
Insurance contract or identification number000011711
Number of Individuals Covered562
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $13,938
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $306,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,248
Insurance broker organization code?3
DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC (National Association of Insurance Commissioners NAIC id number: )
Policy contract number000011711
Policy instance 1
Insurance contract or identification number000011711
Number of Individuals Covered543
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $14,417
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $321,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHEAST DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 47079 )
Policy contract number000011711
Policy instance 1
Insurance contract or identification number000011711
Number of Individuals Covered558
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $11,279
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 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $265,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,131
Insurance broker organization code?3
Insurance broker nameCOMBINED SERVICES LLC

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