401k Plan data: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN plan

DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 401k Plan overview

Plan Name	DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN
Plan identification number	001

DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DELTA DENTAL PLAN OF NEW MEXICO, INC. has sponsored the creation of one or more 401k plans.

Company Name: DELTA DENTAL PLAN OF NEW MEXICO, INC.

Employer identification number (EIN): 850224562

NAIC Classification: 524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 AMY BASEL 2023-06-07 AMY BASEL 2023-06-07
001 2021-01-01 AMY BASEL 2022-06-20 AMY BASEL 2022-06-20
001 2020-01-01 AMY BASEL 2021-07-08 AMY BASEL 2021-07-08
001 2019-01-01 AMY BASEL 2020-07-16 AMY BASEL 2020-07-16
001 2018-01-01 AMY BASEL 2019-07-23 AMY BASEL 2019-07-23
001 2017-01-01 AMY BASEL 2018-10-04 AMY BASEL 2018-10-04
001 2016-01-01 GORAN JURKOVIC
001 2015-01-01 GORAN JURKOVIC
001 2014-01-01 GORAN JURKOVIC
001 2013-01-01 SARAH SIMON
001 2012-01-01 GORAN JURKOVIC
001 2011-01-01 GORAN JURKOVIC
001 2009-01-01 NANCY PRESSLEY-NAIMARK

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	AMY BASEL	2023-06-07	AMY BASEL	2023-06-07
001	2021-01-01	AMY BASEL	2022-06-20	AMY BASEL	2022-06-20
001	2020-01-01	AMY BASEL	2021-07-08	AMY BASEL	2021-07-08
001	2019-01-01	AMY BASEL	2020-07-16	AMY BASEL	2020-07-16
001	2018-01-01	AMY BASEL	2019-07-23	AMY BASEL	2019-07-23
001	2017-01-01	AMY BASEL	2018-10-04	AMY BASEL	2018-10-04
001	2016-01-01	GORAN JURKOVIC
001	2015-01-01	GORAN JURKOVIC
001	2014-01-01	GORAN JURKOVIC
001	2013-01-01	SARAH SIMON
001	2012-01-01	GORAN JURKOVIC
001	2011-01-01	GORAN JURKOVIC
001	2009-01-01	NANCY PRESSLEY-NAIMARK

Plan Statistics for DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN

401k plan membership statisitcs for DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN

Measure Date Value
2016: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 41
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 24
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 12
Total of all active and inactive participants 2016-01-01 36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 36
Number of participants with account balances 2016-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 24
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 17
Total of all active and inactive participants 2015-01-01 41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 41
Number of participants with account balances 2015-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 38
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 28
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 9
Total of all active and inactive participants 2014-01-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 37
Number of participants with account balances 2014-01-01 37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 28
Number of other retired or separated participants entitled to future benefits 2013-01-01 10
Total of all active and inactive participants 2013-01-01 38
Total participants 2013-01-01 38
Number of participants with account balances 2013-01-01 37
2012: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 39
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 29
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 14
Total of all active and inactive participants 2012-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 43
Number of participants with account balances 2012-01-01 42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 26
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 13
Total of all active and inactive participants 2011-01-01 39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 39
Number of participants with account balances 2011-01-01 39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 30
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 15
Total of all active and inactive participants 2009-01-01 45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 45
Number of participants with account balances 2009-01-01 45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2016: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	41
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	24
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	12
Total of all active and inactive participants	2016-01-01	36
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	36
Number of participants with account balances	2016-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	24
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	17
Total of all active and inactive participants	2015-01-01	41
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	41
Number of participants with account balances	2015-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	38
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	28
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	9
Total of all active and inactive participants	2014-01-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	37
Number of participants with account balances	2014-01-01	37
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	28
Number of other retired or separated participants entitled to future benefits	2013-01-01	10
Total of all active and inactive participants	2013-01-01	38
Total participants	2013-01-01	38
Number of participants with account balances	2013-01-01	37
2012: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	39
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	29
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	14
Total of all active and inactive participants	2012-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	43
Number of participants with account balances	2012-01-01	42
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	26
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	13
Total of all active and inactive participants	2011-01-01	39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	39
Number of participants with account balances	2011-01-01	39
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	30
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	15
Total of all active and inactive participants	2009-01-01	45
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	45
Number of participants with account balances	2009-01-01	45
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN

Measure	Date	Value
2016 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2016 401k financial data
Transfers to/from the plan	2016-12-31	$0
Total plan liabilities at end of year	2016-12-31	$0
Total plan liabilities at beginning of year	2016-12-31	$0
Total income from all sources	2016-12-31	$660,635
Expenses. Total of all expenses incurred	2016-12-31	$2,307,893
Benefits paid (including direct rollovers)	2016-12-31	$2,307,093
Total plan assets at end of year	2016-12-31	$2,777,016
Total plan assets at beginning of year	2016-12-31	$4,424,274
Value of fidelity bond covering the plan	2016-12-31	$10,000,000
Total contributions received or receivable from participants	2016-12-31	$147,686
Expenses. Other expenses not covered elsewhere	2016-12-31	$0
Contributions received from other sources (not participants or employers)	2016-12-31	$0
Other income received	2016-12-31	$326,893
Noncash contributions received	2016-12-31	$0
Net income (gross income less expenses)	2016-12-31	$-1,647,258
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,777,016
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$4,424,274
Assets. Value of participant loans	2016-12-31	$30,688
Total contributions received or receivable from employer(s)	2016-12-31	$186,056
Value of certain deemed distributions of participant loans	2016-12-31	$0
Value of corrective distributions	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$800
2015 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$314,769
Expenses. Total of all expenses incurred	2015-12-31	$189,025
Benefits paid (including direct rollovers)	2015-12-31	$188,625
Total plan assets at end of year	2015-12-31	$4,424,274
Total plan assets at beginning of year	2015-12-31	$4,298,530
Value of fidelity bond covering the plan	2015-12-31	$10,000,000
Total contributions received or receivable from participants	2015-12-31	$141,573
Expenses. Other expenses not covered elsewhere	2015-12-31	$0
Contributions received from other sources (not participants or employers)	2015-12-31	$5,055
Other income received	2015-12-31	$-38,493
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$125,744
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$4,424,274
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$4,298,530
Assets. Value of participant loans	2015-12-31	$83,344
Total contributions received or receivable from employer(s)	2015-12-31	$206,634
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$400
2014 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$573,526
Expenses. Total of all expenses incurred	2014-12-31	$64,377
Benefits paid (including direct rollovers)	2014-12-31	$64,352
Total plan assets at end of year	2014-12-31	$4,298,530
Total plan assets at beginning of year	2014-12-31	$3,789,381
Value of fidelity bond covering the plan	2014-12-31	$10,000,000
Total contributions received or receivable from participants	2014-12-31	$116,108
Expenses. Other expenses not covered elsewhere	2014-12-31	$0
Contributions received from other sources (not participants or employers)	2014-12-31	$28,486
Other income received	2014-12-31	$233,937
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$509,149
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$4,298,530
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$3,789,381
Assets. Value of participant loans	2014-12-31	$36,544
Total contributions received or receivable from employer(s)	2014-12-31	$194,995
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$25
2013 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$0
Total plan liabilities at end of year	2013-12-31	$0
Total income from all sources	2013-12-31	$967,961
Expenses. Total of all expenses incurred	2013-12-31	$1,017,167
Benefits paid (including direct rollovers)	2013-12-31	$1,016,327
Total plan assets at end of year	2013-12-31	$3,789,381
Total plan assets at beginning of year	2013-12-31	$3,838,587
Value of fidelity bond covering the plan	2013-12-31	$10,000,000
Total contributions received or receivable from participants	2013-12-31	$130,333
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$640,187
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$-49,206
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$3,789,381
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,838,587
Assets. Value of participant loans	2013-12-31	$71,023
Total contributions received or receivable from employer(s)	2013-12-31	$197,441
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$840
2012 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$825,943
Expenses. Total of all expenses incurred	2012-12-31	$429,902
Benefits paid (including direct rollovers)	2012-12-31	$429,452
Total plan assets at end of year	2012-12-31	$3,838,587
Total plan assets at beginning of year	2012-12-31	$3,442,546
Value of fidelity bond covering the plan	2012-12-31	$10,000,000
Total contributions received or receivable from participants	2012-12-31	$137,749
Other income received	2012-12-31	$451,798
Net income (gross income less expenses)	2012-12-31	$396,041
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,838,587
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,442,546
Assets. Value of participant loans	2012-12-31	$83,061
Total contributions received or receivable from employer(s)	2012-12-31	$236,396
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$450
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$339,830
Expenses. Total of all expenses incurred	2011-12-31	$90,652
Benefits paid (including direct rollovers)	2011-12-31	$90,288
Total plan assets at end of year	2011-12-31	$3,442,546
Total plan assets at beginning of year	2011-12-31	$3,193,368
Value of fidelity bond covering the plan	2011-12-31	$3,000,000
Total contributions received or receivable from participants	2011-12-31	$161,960
Other income received	2011-12-31	$-50,862
Net income (gross income less expenses)	2011-12-31	$249,178
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,442,546
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,193,368
Assets. Value of participant loans	2011-12-31	$91,428
Total contributions received or receivable from employer(s)	2011-12-31	$228,732
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$364
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$801,325
Expenses. Total of all expenses incurred	2010-12-31	$361,196
Benefits paid (including direct rollovers)	2010-12-31	$359,736
Total plan assets at end of year	2010-12-31	$3,193,368
Total plan assets at beginning of year	2010-12-31	$2,753,239
Value of fidelity bond covering the plan	2010-12-31	$3,000,000
Total contributions received or receivable from participants	2010-12-31	$212,822
Other income received	2010-12-31	$342,607
Net income (gross income less expenses)	2010-12-31	$440,129
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,193,368
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,753,239
Assets. Value of participant loans	2010-12-31	$95,446
Total contributions received or receivable from employer(s)	2010-12-31	$245,896
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$1,460
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN

2016: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DELTA DENTAL PLAN OF NEW MEXICO 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DELTA DENTAL PLAN OF NEW MEXICO, INC.
Employer identification number (EIN):	850224562
NAIC Classification:	524290