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Plan Name | EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | EMPIRE CORPORATION |
Employer identification number (EIN): | 621150184 |
NAIC Classification: | 236110 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2019-07-01 | SHAWN HEDRICK | 2020-06-23 | ||
502 | 2018-07-01 | SHAWN HEDRICK | 2020-01-27 | ||
502 | 2017-07-01 | SHAWN HEDRICK | 2019-04-11 | ||
502 | 2016-07-01 | DIANE JOHNSON |
Measure | Date | Value |
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2019: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-07-01 | 262 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 327 |
Number of retired or separated participants receiving benefits | 2019-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-07-01 | 0 |
Total of all active and inactive participants | 2019-07-01 | 327 |
2018: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-07-01 | 201 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 262 |
Number of retired or separated participants receiving benefits | 2018-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-07-01 | 0 |
Total of all active and inactive participants | 2018-07-01 | 262 |
2017: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-07-01 | 196 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 199 |
Number of retired or separated participants receiving benefits | 2017-07-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
Total of all active and inactive participants | 2017-07-01 | 201 |
2016: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-07-01 | 156 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 181 |
Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
Total of all active and inactive participants | 2016-07-01 | 181 |
2019: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2019 form 5500 responses | ||
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2019-07-01 | Type of plan entity | Single employer plan |
2019-07-01 | Submission has been amended | No |
2019-07-01 | This submission is the final filing | No |
2019-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2019-07-01 | Plan is a collectively bargained plan | No |
2019-07-01 | Plan funding arrangement – Insurance | Yes |
2019-07-01 | Plan benefit arrangement – Insurance | Yes |
2018: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2018 form 5500 responses | ||
2018-07-01 | Type of plan entity | Single employer plan |
2018-07-01 | Submission has been amended | No |
2018-07-01 | This submission is the final filing | No |
2018-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-07-01 | Plan is a collectively bargained plan | No |
2018-07-01 | Plan funding arrangement – Insurance | Yes |
2018-07-01 | Plan benefit arrangement – Insurance | Yes |
2017: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2017 form 5500 responses | ||
2017-07-01 | Type of plan entity | Single employer plan |
2017-07-01 | Submission has been amended | No |
2017-07-01 | This submission is the final filing | No |
2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-07-01 | Plan is a collectively bargained plan | No |
2017-07-01 | Plan funding arrangement – Insurance | Yes |
2017-07-01 | Plan benefit arrangement – Insurance | Yes |
2016: EMPIRE CORPORATION OF TENNESSEE, INC. DENTAL BENEFIT PLAN 2016 form 5500 responses | ||
2016-07-01 | Type of plan entity | Single employer plan |
2016-07-01 | First time form 5500 has been submitted | Yes |
2016-07-01 | Submission has been amended | No |
2016-07-01 | This submission is the final filing | No |
2016-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-07-01 | Plan is a collectively bargained plan | No |
2016-07-01 | Plan funding arrangement – Insurance | Yes |
2016-07-01 | Plan benefit arrangement – Insurance | Yes |
DELTA DENTAL OF TENNESSEE (National Association of Insurance Commissioners NAIC id number: 54526 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 7278 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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DELTA DENTAL OF TENNESSEE (National Association of Insurance Commissioners NAIC id number: 54526 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 7278 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 115980* | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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