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COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN 401k Plan overview

Plan NameCOMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN
Plan identification number 501

COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

COMMUNITIES IN SCHOOL OF THE SOUTH PLAINS has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITIES IN SCHOOL OF THE SOUTH PLAINS
Employer identification number (EIN):752819581
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JAMARA RODRIGUEZ2023-06-30

Plan Statistics for COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN

401k plan membership statisitcs for COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN

Measure Date Value
2022: COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01113
Total number of active participants reported on line 7a of the Form 55002022-01-01104
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01105

Form 5500 Responses for COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN

2022: COMMUNITIES IN SCHOOLS OF THE SOUTH PLAINS DENTAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number308659
Policy instance 1
Insurance contract or identification number308659
Number of Individuals Covered191
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $50,869
Total amount of fees paid to insurance companyUSD $1,498
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $905,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,869
Amount paid for insurance broker fees1498
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3

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