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GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 401k Plan overview

Plan NameGOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN
Plan identification number 504

GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

GOOD SHEPHERD REHABILITATION NETWORK has sponsored the creation of one or more 401k plans.

Company Name:GOOD SHEPHERD REHABILITATION NETWORK
Employer identification number (EIN):231371947
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042018-01-01KRISTEN M MELAN2019-10-09 RONALD JOHN PETOLA2019-10-09
5042018-01-01
5042017-01-01
5042016-01-01
5042015-01-01
5042014-01-01
5042013-01-01
5042012-01-01LAURA PORTER
5042011-01-01KEITH FEINOUR
5042010-01-01KEITH FEINOUR
5042009-01-01ANTHONY BONGIOVANNI

Plan Statistics for GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN

401k plan membership statisitcs for GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN

Measure Date Value
2018: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,493
Total number of active participants reported on line 7a of the Form 55002018-01-011,564
Number of retired or separated participants receiving benefits2018-01-0114
Total of all active and inactive participants2018-01-011,578
Number of other retired or separated participants entitled to future benefits2018-01-010
2017: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,361
Total number of active participants reported on line 7a of the Form 55002017-01-011,487
Number of retired or separated participants receiving benefits2017-01-016
Total of all active and inactive participants2017-01-011,493
2016: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01904
Total number of active participants reported on line 7a of the Form 55002016-01-011,354
Number of retired or separated participants receiving benefits2016-01-017
Total of all active and inactive participants2016-01-011,361
2015: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01916
Total number of active participants reported on line 7a of the Form 55002015-01-01904
Number of retired or separated participants receiving benefits2015-01-011
Total of all active and inactive participants2015-01-01905
2014: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,346
Total number of active participants reported on line 7a of the Form 55002014-01-01909
Number of retired or separated participants receiving benefits2014-01-017
Total of all active and inactive participants2014-01-01916
2013: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01882
Total number of active participants reported on line 7a of the Form 55002013-01-011,329
Number of retired or separated participants receiving benefits2013-01-0117
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,346
2012: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01861
Total number of active participants reported on line 7a of the Form 55002012-01-01872
Number of retired or separated participants receiving benefits2012-01-0110
Total of all active and inactive participants2012-01-01882
2011: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01834
Total number of active participants reported on line 7a of the Form 55002011-01-01849
Number of retired or separated participants receiving benefits2011-01-0112
Total of all active and inactive participants2011-01-01861
2010: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01803
Total number of active participants reported on line 7a of the Form 55002010-01-01806
Number of retired or separated participants receiving benefits2010-01-0113
Number of other retired or separated participants entitled to future benefits2010-01-0115
Total of all active and inactive participants2010-01-01834
2009: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01775
Total number of active participants reported on line 7a of the Form 55002009-01-01792
Number of retired or separated participants receiving benefits2009-01-0111
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01803

Form 5500 Responses for GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN

2018: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingYes
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: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GOOD SHEPHERD REHABILITATION HOSPITAL DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04678
Policy instance 1
Insurance contract or identification number04678
Number of Individuals Covered3163
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
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
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
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04678
Policy instance 1
Insurance contract or identification number04678
Number of Individuals Covered2896
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04678
Policy instance 1
Insurance contract or identification number04678
Number of Individuals Covered2837
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04678
Policy instance 1
Insurance contract or identification number04678
Number of Individuals Covered2860
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04678
Policy instance 1
Insurance contract or identification number04678
Number of Individuals Covered2899
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number04678
Policy instance 1
Insurance contract or identification number04678
Number of Individuals Covered1962
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $497,828
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 numberPA4678
Policy instance 1
Insurance contract or identification numberPA4678
Number of Individuals Covered1866
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $484,047
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 numberPA4678
Policy instance 1
Insurance contract or identification numberPA4678
Number of Individuals Covered1738
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $441,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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