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THE NEW YORK PROTON CENTER DENTAL PLAN 401k Plan overview

Plan NameTHE NEW YORK PROTON CENTER DENTAL PLAN
Plan identification number 504

THE NEW YORK PROTON CENTER DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

THE NEW YORK PROTON CENTER has sponsored the creation of one or more 401k plans.

Company Name:THE NEW YORK PROTON CENTER
Employer identification number (EIN):474495295
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE NEW YORK PROTON CENTER DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-06-01MARK MCNALLY2023-10-26

Plan Statistics for THE NEW YORK PROTON CENTER DENTAL PLAN

401k plan membership statisitcs for THE NEW YORK PROTON CENTER DENTAL PLAN

Measure Date Value
2022: THE NEW YORK PROTON CENTER DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01100
Total number of active participants reported on line 7a of the Form 55002022-06-01102
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01102
Number of employers contributing to the scheme2022-06-010

Form 5500 Responses for THE NEW YORK PROTON CENTER DENTAL PLAN

2022: THE NEW YORK PROTON CENTER DENTAL PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01First time form 5500 has been submittedYes
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0636186
Policy instance 1
Insurance contract or identification number0636186
Number of Individuals Covered102
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $12,142
Total amount of fees paid to insurance companyUSD $4,047
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,142
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS

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