401k Plan data: MEDICAL DENTAL AND INSURANCE PLAN plan

MEDICAL DENTAL AND INSURANCE PLAN 401k Plan overview

Plan Name	MEDICAL DENTAL AND INSURANCE PLAN
Plan identification number	501

MEDICAL DENTAL AND INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental

401k Sponsoring company profile

ROCHE OPERATIONS LTD has sponsored the creation of one or more 401k plans.

Company Name: ROCHE OPERATIONS LTD

Employer identification number (EIN): 660446098

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL DENTAL AND INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01
501 2015-01-01
501 2014-01-01 GLORIBEL LUGO
501 2013-01-01 GLORIBEL LUGO
501 2012-01-01 BRENDA GONZALEZ BRENDA GONZALEZ 2013-10-15
501 2011-01-01 BRENDA GONZALEZ
501 2006-01-01 MAYRA LOPEZ
501 2005-01-01 MAYRA LOPEZ

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-01-01
501	2015-01-01
501	2014-01-01	GLORIBEL LUGO
501	2013-01-01	GLORIBEL LUGO
501	2012-01-01	BRENDA GONZALEZ	BRENDA GONZALEZ	2013-10-15
501	2011-01-01	BRENDA GONZALEZ
501	2006-01-01	MAYRA LOPEZ
501	2005-01-01	MAYRA LOPEZ

Plan Statistics for MEDICAL DENTAL AND INSURANCE PLAN

401k plan membership statisitcs for MEDICAL DENTAL AND INSURANCE PLAN

Measure Date Value
2016: MEDICAL DENTAL AND INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 220
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 220
2015: MEDICAL DENTAL AND INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 216
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 220
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 220
2014: MEDICAL DENTAL AND INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 227
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 214
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 214
2013: MEDICAL DENTAL AND INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 228
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 228
2012: MEDICAL DENTAL AND INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 239
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 237
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 237
2011: MEDICAL DENTAL AND INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 240
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 240
2006: MEDICAL DENTAL AND INSURANCE PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 156
Number of retired or separated participants receiving benefits 2006-01-01 0
Number of other retired or separated participants entitled to future benefits 2006-01-01 0
Total of all active and inactive participants 2006-01-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-01-01 0
Total participants 2006-01-01 156
2005: MEDICAL DENTAL AND INSURANCE PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 161
Number of retired or separated participants receiving benefits 2005-01-01 0
Number of other retired or separated participants entitled to future benefits 2005-01-01 0
Total of all active and inactive participants 2005-01-01 161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2005-01-01 0
Total participants 2005-01-01 161

Measure	Date	Value
2016: MEDICAL DENTAL AND INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	220
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	220
2015: MEDICAL DENTAL AND INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	220
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	220
2014: MEDICAL DENTAL AND INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	227
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	214
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	214
2013: MEDICAL DENTAL AND INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	228
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	228
2012: MEDICAL DENTAL AND INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	239
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	237
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	237
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	237
2011: MEDICAL DENTAL AND INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	240
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	240
2006: MEDICAL DENTAL AND INSURANCE PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	156
Number of retired or separated participants receiving benefits	2006-01-01	0
Number of other retired or separated participants entitled to future benefits	2006-01-01	0
Total of all active and inactive participants	2006-01-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-01-01	0
Total participants	2006-01-01	156
2005: MEDICAL DENTAL AND INSURANCE PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	161
Number of retired or separated participants receiving benefits	2005-01-01	0
Number of other retired or separated participants entitled to future benefits	2005-01-01	0
Total of all active and inactive participants	2005-01-01	161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2005-01-01	0
Total participants	2005-01-01	161

Financial Data on MEDICAL DENTAL AND INSURANCE PLAN

Measure	Date	Value
2016 : MEDICAL DENTAL AND INSURANCE PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$0
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$0
2015 : MEDICAL DENTAL AND INSURANCE PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$0
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$0
2014 : MEDICAL DENTAL AND INSURANCE PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$0
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$0
2013 : MEDICAL DENTAL AND INSURANCE PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$0

Form 5500 Responses for MEDICAL DENTAL AND INSURANCE PLAN

2016: MEDICAL DENTAL AND INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: MEDICAL DENTAL AND INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: MEDICAL DENTAL AND INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: MEDICAL DENTAL AND INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: MEDICAL DENTAL AND INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: MEDICAL DENTAL AND INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2006: MEDICAL DENTAL AND INSURANCE PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	First time form 5500 has been submitted	Yes
2006-01-01	Submission has been amended	No
2006-01-01	This submission is the final filing	No
2006-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-01-01	Plan is a collectively bargained plan	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: MEDICAL DENTAL AND INSURANCE PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	First time form 5500 has been submitted	Yes
2005-01-01	Submission has been amended	No
2005-01-01	This submission is the final filing	No
2005-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2005-01-01	Plan is a collectively bargained plan	No
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ROCHE OPERATIONS LTD
Employer identification number (EIN):	660446098
NAIC Classification:	339900