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DENTAL PLAN 401k Plan overview

Plan NameDENTAL PLAN
Plan identification number 502

DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

PROTHERA INC. has sponsored the creation of one or more 401k plans.

Company Name:PROTHERA INC.
Employer identification number (EIN):880487638
NAIC Classification:325410

Additional information about PROTHERA INC.

Jurisdiction of Incorporation: Nevada Department of State
Incorporation Date: 2001-01-25
Company Identification Number: 20011196269
Legal Registered Office Address: 10439 DOUBLE R BLVD

RENO
United States of America (USA)
89521

More information about PROTHERA INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-03-01ROBERT HENDRIKS2023-08-27
5022021-03-01DOUG HARVEY2022-08-01
5022020-03-01DOUG HARVEY2021-08-12
5022019-03-01DOUGLAS HARVEY2020-09-17
5022018-03-01DOUGLAS HARVEY2019-12-16
5022017-03-01

Plan Statistics for DENTAL PLAN

401k plan membership statisitcs for DENTAL PLAN

Measure Date Value
2022: DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01132
Total number of active participants reported on line 7a of the Form 55002022-03-01121
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01121
Number of employers contributing to the scheme2022-03-010
2021: DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01133
Total number of active participants reported on line 7a of the Form 55002021-03-01132
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01132
Number of employers contributing to the scheme2021-03-010
2020: DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01124
Total number of active participants reported on line 7a of the Form 55002020-03-01133
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01133
Number of employers contributing to the scheme2020-03-010
2019: DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01123
Total number of active participants reported on line 7a of the Form 55002019-03-01118
Number of retired or separated participants receiving benefits2019-03-016
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01124
Number of employers contributing to the scheme2019-03-010
2018: DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01127
Total number of active participants reported on line 7a of the Form 55002018-03-01123
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01123
Number of employers contributing to the scheme2018-03-010
2017: DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01127
Total number of active participants reported on line 7a of the Form 55002017-03-01127
Number of retired or separated participants receiving benefits2017-03-011
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01128

Form 5500 Responses for DENTAL PLAN

2022: DENTAL PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: DENTAL PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: DENTAL PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: DENTAL PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: DENTAL PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: DENTAL PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01First time form 5500 has been submittedYes
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number196035
Policy instance 1
Insurance contract or identification number196035
Number of Individuals Covered247
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $5,625
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,625
Amount paid for insurance broker fees0
Insurance broker organization code?3
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number196035
Policy instance 1
Insurance contract or identification number196035
Number of Individuals Covered274
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $5,510
Total amount of fees paid to insurance companyUSD $217
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,510
Amount paid for insurance broker fees217
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number196035
Policy instance 1
Insurance contract or identification number196035
Number of Individuals Covered268
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $4,019
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,019
Amount paid for insurance broker fees0
Insurance broker organization code?3
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract numberGLT-24004
Policy instance 1
Insurance contract or identification numberGLT-24004
Number of Individuals Covered118
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $8,627
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,627
Amount paid for insurance broker fees0
Insurance broker organization code?3
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract numberGLT-24004
Policy instance 1
Insurance contract or identification numberGLT-24004
Number of Individuals Covered128
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $7,813
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,813
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLETTY QUINTANA

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