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DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 401k Plan overview

Plan NameDENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY
Plan identification number 505

DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

ROCKLAND TRUST COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ROCKLAND TRUST COMPANY
Employer identification number (EIN):041782600
NAIC Classification:522120
NAIC Description:Savings Institutions

Additional information about ROCKLAND TRUST COMPANY

Jurisdiction of Incorporation: Commonwealth of Massachusetts Corporations Division
Incorporation Date:
Company Identification Number: 041782600

More information about ROCKLAND TRUST COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-01-01
5052021-01-01
5052020-01-01
5052019-01-01
5052018-01-01
5052017-01-01MARIA HARRIS MARIA HARRIS2018-07-17
5052016-10-01RAYMOND G. FUERSCHBACH RAYMOND G. FUERSCHBACH2017-04-10
5052015-10-01RAYMOND G. FUERSCHBACH RAYMOND G. FUERSCHBACH2017-04-10
5052014-10-01RAYMOND FUERSCHBACH RAYMOND FUERSCHBACH2016-04-27
5052013-10-01RAYMOND G. FUERSCHBACH RAYMOND G. FUERSCHBACH2015-03-06
5052012-10-01RAYMOND G. FUERSCHBACH
5052011-10-01MARTHA ENGSTROM
5052010-10-01MARTHA ENGSTROM
5052009-10-01 MARTHA ENGSTROM2011-04-25
5052009-10-01MARTHA ENGSTROM

Plan Statistics for DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY

401k plan membership statisitcs for DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY

Measure Date Value
2022: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2022 401k membership
Total participants, beginning-of-year2022-01-012,883
Total number of active participants reported on line 7a of the Form 55002022-01-012,810
Total of all active and inactive participants2022-01-012,810
Total participants2022-01-012,810
2021: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2021 401k membership
Total participants, beginning-of-year2021-01-012,442
Total number of active participants reported on line 7a of the Form 55002021-01-012,883
Total of all active and inactive participants2021-01-012,883
Total participants2021-01-012,883
2020: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2020 401k membership
Total participants, beginning-of-year2020-01-012,466
Total number of active participants reported on line 7a of the Form 55002020-01-012,442
Total of all active and inactive participants2020-01-012,442
Total participants2020-01-012,442
2019: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2019 401k membership
Total participants, beginning-of-year2019-01-012,138
Total number of active participants reported on line 7a of the Form 55002019-01-012,466
Total of all active and inactive participants2019-01-012,466
Total participants2019-01-012,466
2018: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2018 401k membership
Total participants, beginning-of-year2018-01-012,039
Total number of active participants reported on line 7a of the Form 55002018-01-012,138
Total of all active and inactive participants2018-01-012,138
Total participants2018-01-012,138
2017: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2017 401k membership
Total participants, beginning-of-year2017-01-012,031
Total number of active participants reported on line 7a of the Form 55002017-01-012,039
Total of all active and inactive participants2017-01-012,039
Total participants2017-01-012,039
2016: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2016 401k membership
Total participants, beginning-of-year2016-10-012,021
Total number of active participants reported on line 7a of the Form 55002016-10-012,031
Total of all active and inactive participants2016-10-012,031
Total participants2016-10-012,031
2015: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2015 401k membership
Total participants, beginning-of-year2015-10-012,060
Total number of active participants reported on line 7a of the Form 55002015-10-012,021
Total of all active and inactive participants2015-10-012,021
Total participants2015-10-012,021
2014: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2014 401k membership
Total participants, beginning-of-year2014-10-011,898
Total number of active participants reported on line 7a of the Form 55002014-10-012,060
Total of all active and inactive participants2014-10-012,060
Total participants2014-10-012,060
2013: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2013 401k membership
Total participants, beginning-of-year2013-10-011,845
Total number of active participants reported on line 7a of the Form 55002013-10-011,898
Total of all active and inactive participants2013-10-011,898
Total participants2013-10-011,898
2012: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2012 401k membership
Total participants, beginning-of-year2012-10-011,772
Total number of active participants reported on line 7a of the Form 55002012-10-011,845
Total of all active and inactive participants2012-10-011,845
Total participants2012-10-011,845
2011: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2011 401k membership
Total participants, beginning-of-year2011-10-011,873
Total number of active participants reported on line 7a of the Form 55002011-10-011,772
Total of all active and inactive participants2011-10-011,772
Total participants2011-10-011,772
2010: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2010 401k membership
Total participants, beginning-of-year2010-10-011,825
Total number of active participants reported on line 7a of the Form 55002010-10-011,873
Total of all active and inactive participants2010-10-011,873
Total participants2010-10-011,873
2009: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2009 401k membership
Total participants, beginning-of-year2009-10-011,601
Total number of active participants reported on line 7a of the Form 55002009-10-011,825
Total of all active and inactive participants2009-10-011,825
Total participants2009-10-011,825

Form 5500 Responses for DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY

2022: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2021: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: DENTAL PLAN FOR EMPLOYEES OF ROCKLAND TRUST COMPANY 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2810
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number04589
Policy instance 1
Insurance contract or identification number04589
Number of Individuals Covered2883
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2442
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2466
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2039
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2031
Insurance policy start date2016-10-01
Insurance policy end date2016-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2021
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered2060
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004589
Policy instance 1
Insurance contract or identification number004589
Number of Individuals Covered1898
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number4589
Policy instance 1
Insurance contract or identification number4589
Number of Individuals Covered1845
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number4589
Policy instance 1
Insurance contract or identification number4589
Number of Individuals Covered1772
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number4589
Policy instance 1
Insurance contract or identification number4589
Number of Individuals Covered1873
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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