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TRUSTEES OF PHILLIPS ACADEMY DENTAL 401k Plan overview

Plan NameTRUSTEES OF PHILLIPS ACADEMY DENTAL
Plan identification number 506

TRUSTEES OF PHILLIPS ACADEMY DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

TRUSTEES OF PHILLIPS ACADEMY has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF PHILLIPS ACADEMY
Employer identification number (EIN):042103579
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRUSTEES OF PHILLIPS ACADEMY DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062014-06-01LEEANN BENNETT
5062013-06-01LEEANN BENNETT
5062012-06-01LEEANN BENNETT
5062011-06-01LEEANN BENNETT
5062009-06-01MAUREEN FERRIS
5062009-06-01MAUREEN FERRIS

Plan Statistics for TRUSTEES OF PHILLIPS ACADEMY DENTAL

401k plan membership statisitcs for TRUSTEES OF PHILLIPS ACADEMY DENTAL

Measure Date Value
2014: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2014 401k membership
Total participants, beginning-of-year2014-06-01942
Total number of active participants reported on line 7a of the Form 55002014-06-010
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-010
2013: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2013 401k membership
Total participants, beginning-of-year2013-06-01942
Total number of active participants reported on line 7a of the Form 55002013-06-01942
Total of all active and inactive participants2013-06-01942
Total participants2013-06-01942
2012: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2012 401k membership
Total participants, beginning-of-year2012-06-01965
Total number of active participants reported on line 7a of the Form 55002012-06-01965
Total of all active and inactive participants2012-06-01965
Total participants2012-06-01965
2011: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2011 401k membership
Total participants, beginning-of-year2011-06-01937
Total number of active participants reported on line 7a of the Form 55002011-06-01937
Total of all active and inactive participants2011-06-01937
Total participants2011-06-01937
2009: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2009 401k membership
Total participants, beginning-of-year2009-06-01987
Total number of active participants reported on line 7a of the Form 55002009-06-01987
Number of retired or separated participants receiving benefits2009-06-010
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-01987
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-06-010
Total participants2009-06-01987

Form 5500 Responses for TRUSTEES OF PHILLIPS ACADEMY DENTAL

2014: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingYes
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01First time form 5500 has been submittedYes
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01First time form 5500 has been submittedYes
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01First time form 5500 has been submittedYes
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes
2009: TRUSTEES OF PHILLIPS ACADEMY DENTAL 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedYes
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number19640001
Policy instance 1
Insurance contract or identification number19640001
Number of Individuals Covered952
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
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?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 $431,198
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 number0019646601
Policy instance 1
Insurance contract or identification number0019646601
Number of Individuals Covered942
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $6,478
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 $430,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,478
Insurance broker nameBORISLOW INSURANCE AGENCY
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number0019646601
Policy instance 1
Insurance contract or identification number0019646601
Number of Individuals Covered965
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $6,450
Welfare Benefit Premiums Paid to CarrierUSD $426,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,450
Insurance broker nameBORISLOW INSURANCE AGENCY
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number0019646601
Policy instance 1
Insurance contract or identification number0019646601
Number of Individuals Covered937
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $3,981
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $396,915
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 number0019646601
Policy instance 1
Insurance contract or identification number0019646601
Number of Individuals Covered954
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $3,764
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $380,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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