J.C. BLAIR MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.
Additional information about J.C. BLAIR MEMORIAL HOSPITAL
Submission information for form 5500 for 401k plan GROUP DENTAL PLAN II AND III EMPLOYEES
| Measure | Date | Value |
|---|
| 2020: GROUP DENTAL PLAN II AND III EMPLOYEES 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-06-02 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-06-02 | 125 |
| Total of all active and inactive participants | 2020-06-02 | 125 |
| 2019: GROUP DENTAL PLAN II AND III EMPLOYEES 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-06-02 | 158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-06-02 | 132 |
| Total of all active and inactive participants | 2019-06-02 | 132 |
| 2018: GROUP DENTAL PLAN II AND III EMPLOYEES 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-06-02 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-06-02 | 158 |
| Total of all active and inactive participants | 2018-06-02 | 158 |
| 2017: GROUP DENTAL PLAN II AND III EMPLOYEES 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-06-02 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-06-02 | 127 |
| Total of all active and inactive participants | 2017-06-02 | 127 |
| 2016: GROUP DENTAL PLAN II AND III EMPLOYEES 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-06-02 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-06-02 | 103 |
| Total of all active and inactive participants | 2016-06-02 | 103 |
| 2015: GROUP DENTAL PLAN II AND III EMPLOYEES 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-06-02 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-06-02 | 121 |
| Total of all active and inactive participants | 2015-06-02 | 121 |
| 2014: GROUP DENTAL PLAN II AND III EMPLOYEES 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-06-02 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-02 | 110 |
| Total of all active and inactive participants | 2014-06-02 | 110 |
| 2013: GROUP DENTAL PLAN II AND III EMPLOYEES 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-06-02 | 88 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-02 | 98 |
| Total of all active and inactive participants | 2013-06-02 | 98 |
| 2012: GROUP DENTAL PLAN II AND III EMPLOYEES 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-06-02 | 89 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-02 | 88 |
| Total of all active and inactive participants | 2012-06-02 | 88 |
| 2011: GROUP DENTAL PLAN II AND III EMPLOYEES 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-06-02 | 88 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-06-02 | 89 |
| Total of all active and inactive participants | 2011-06-02 | 89 |
| 2009: GROUP DENTAL PLAN II AND III EMPLOYEES 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-06-02 | 242 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-02 | 98 |
| Total of all active and inactive participants | 2009-06-02 | 98 |
| 2020: GROUP DENTAL PLAN II AND III EMPLOYEES 2020 form 5500 responses |
|---|
| 2020-06-02 | Type of plan entity | Single employer plan |
| 2020-06-02 | Plan is a collectively bargained plan | Yes |
| 2020-06-02 | Plan funding arrangement – Insurance | Yes |
| 2020-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2019: GROUP DENTAL PLAN II AND III EMPLOYEES 2019 form 5500 responses |
|---|
| 2019-06-02 | Type of plan entity | Single employer plan |
| 2019-06-02 | Plan is a collectively bargained plan | Yes |
| 2019-06-02 | Plan funding arrangement – Insurance | Yes |
| 2019-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2018: GROUP DENTAL PLAN II AND III EMPLOYEES 2018 form 5500 responses |
|---|
| 2018-06-02 | Type of plan entity | Single employer plan |
| 2018-06-02 | Plan is a collectively bargained plan | Yes |
| 2018-06-02 | Plan funding arrangement – Insurance | Yes |
| 2018-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP DENTAL PLAN II AND III EMPLOYEES 2017 form 5500 responses |
|---|
| 2017-06-02 | Type of plan entity | Single employer plan |
| 2017-06-02 | Plan is a collectively bargained plan | Yes |
| 2017-06-02 | Plan funding arrangement – Insurance | Yes |
| 2017-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP DENTAL PLAN II AND III EMPLOYEES 2016 form 5500 responses |
|---|
| 2016-06-02 | Type of plan entity | Single employer plan |
| 2016-06-02 | Plan is a collectively bargained plan | Yes |
| 2016-06-02 | Plan funding arrangement – Insurance | Yes |
| 2016-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP DENTAL PLAN II AND III EMPLOYEES 2015 form 5500 responses |
|---|
| 2015-06-02 | Type of plan entity | Single employer plan |
| 2015-06-02 | Plan is a collectively bargained plan | Yes |
| 2015-06-02 | Plan funding arrangement – Insurance | Yes |
| 2015-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP DENTAL PLAN II AND III EMPLOYEES 2014 form 5500 responses |
|---|
| 2014-06-02 | Type of plan entity | Single employer plan |
| 2014-06-02 | Plan is a collectively bargained plan | Yes |
| 2014-06-02 | Plan funding arrangement – Insurance | Yes |
| 2014-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP DENTAL PLAN II AND III EMPLOYEES 2013 form 5500 responses |
|---|
| 2013-06-02 | Type of plan entity | Single employer plan |
| 2013-06-02 | Plan is a collectively bargained plan | Yes |
| 2013-06-02 | Plan funding arrangement – Insurance | Yes |
| 2013-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP DENTAL PLAN II AND III EMPLOYEES 2012 form 5500 responses |
|---|
| 2012-06-02 | Type of plan entity | Single employer plan |
| 2012-06-02 | Plan is a collectively bargained plan | Yes |
| 2012-06-02 | Plan funding arrangement – Insurance | Yes |
| 2012-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP DENTAL PLAN II AND III EMPLOYEES 2011 form 5500 responses |
|---|
| 2011-06-02 | Type of plan entity | Single employer plan |
| 2011-06-02 | Plan is a collectively bargained plan | Yes |
| 2011-06-02 | Plan funding arrangement – Insurance | Yes |
| 2011-06-02 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP DENTAL PLAN II AND III EMPLOYEES 2009 form 5500 responses |
|---|
| 2009-06-02 | Type of plan entity | Single employer plan |
| 2009-06-02 | This submission is the final filing | No |
| 2009-06-02 | Plan is a collectively bargained plan | Yes |
| 2009-06-02 | Plan funding arrangement – Insurance | Yes |
| 2009-06-02 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 125 | | Insurance policy start date | 2020-06-02 | | Insurance policy end date | 2021-06-01 | | Total amount of commissions paid to insurance broker | USD $403 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $403 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2019-06-02 | | Insurance policy end date | 2020-06-01 | | Total amount of commissions paid to insurance broker | USD $447 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $447 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2018-06-02 | | Insurance policy end date | 2019-06-01 | | Total amount of commissions paid to insurance broker | USD $451 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $451 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 127 | | Insurance policy start date | 2017-06-02 | | Insurance policy end date | 2018-06-01 | | Total amount of commissions paid to insurance broker | USD $360 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2015-06-02 | | Insurance policy end date | 2016-06-01 | | Total amount of commissions paid to insurance broker | USD $269 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $269 | | Insurance broker organization code? | 3 | | Insurance broker name | AIA BENEFITS RESOURCE GROUP INC |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2014-06-02 | | Insurance policy end date | 2015-06-01 | | Total amount of commissions paid to insurance broker | USD $279 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $279 | | Insurance broker organization code? | 3 | | Insurance broker name | AIA BENEFITS RESOURCE GROUP INC |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2013-06-02 | | Insurance policy end date | 2014-06-01 | | Total amount of commissions paid to insurance broker | USD $249 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $249 | | Insurance broker organization code? | 3 | | Insurance broker name | AIA BENEFITS RESOURCE GROUP INC |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2012-06-02 | | Insurance policy end date | 2013-06-01 | | Total amount of commissions paid to insurance broker | USD $230 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $230 | | Insurance broker organization code? | 3 | | Insurance broker name | AIA BENEFITS RESOURCE GROUP INC |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 89 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $240 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 ) |
| Policy contract number | 11396 |
| Policy instance | 1 |
| Insurance contract or identification number | 11396 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $273 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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