KENNEBEC BEHAVIORAL HEALTH has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN
| Measure | Date | Value |
|---|
| 2022: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-02-01 | 539 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-02-01 | 539 |
| Number of retired or separated participants receiving benefits | 2022-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-02-01 | 0 |
| Total of all active and inactive participants | 2022-02-01 | 539 |
| 2021: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-02-01 | 309 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-02-01 | 299 |
| Number of retired or separated participants receiving benefits | 2021-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-02-01 | 0 |
| Total of all active and inactive participants | 2021-02-01 | 299 |
| 2020: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-02-01 | 290 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-02-01 | 309 |
| Number of retired or separated participants receiving benefits | 2020-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-02-01 | 0 |
| Total of all active and inactive participants | 2020-02-01 | 309 |
| 2019: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-02-01 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-02-01 | 290 |
| Number of retired or separated participants receiving benefits | 2019-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-02-01 | 0 |
| Total of all active and inactive participants | 2019-02-01 | 290 |
| 2018: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-02-01 | 303 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-02-01 | 298 |
| Total of all active and inactive participants | 2018-02-01 | 298 |
| 2017: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-02-01 | 284 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 303 |
| Total of all active and inactive participants | 2017-02-01 | 303 |
| 2016: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-02-01 | 278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 284 |
| Total of all active and inactive participants | 2016-02-01 | 284 |
| 2015: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-02-01 | 274 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 278 |
| Total of all active and inactive participants | 2015-02-01 | 278 |
| 2014: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-02-01 | 622 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 602 |
| Total of all active and inactive participants | 2014-02-01 | 602 |
| 2013: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-02-01 | 607 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-02-01 | 622 |
| Total of all active and inactive participants | 2013-02-01 | 622 |
| 2012: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-02-01 | 472 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-02-01 | 607 |
| Total of all active and inactive participants | 2012-02-01 | 607 |
| 2011: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-02-01 | 505 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 472 |
| Total of all active and inactive participants | 2011-02-01 | 472 |
| 2009: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-02-01 | 455 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 465 |
| Total of all active and inactive participants | 2009-02-01 | 465 |
| 2022: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2022 form 5500 responses |
|---|
| 2022-02-01 | Type of plan entity | Single employer plan |
| 2022-02-01 | Plan funding arrangement – Insurance | Yes |
| 2022-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2021 form 5500 responses |
|---|
| 2021-02-01 | Type of plan entity | Single employer plan |
| 2021-02-01 | Plan funding arrangement – Insurance | Yes |
| 2021-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2020 form 5500 responses |
|---|
| 2020-02-01 | Type of plan entity | Single employer plan |
| 2020-02-01 | Plan funding arrangement – Insurance | Yes |
| 2020-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2019 form 5500 responses |
|---|
| 2019-02-01 | Type of plan entity | Single employer plan |
| 2019-02-01 | Plan funding arrangement – Insurance | Yes |
| 2019-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2018 form 5500 responses |
|---|
| 2018-02-01 | Type of plan entity | Single employer plan |
| 2018-02-01 | Plan funding arrangement – Insurance | Yes |
| 2018-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2017 form 5500 responses |
|---|
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2016 form 5500 responses |
|---|
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2015 form 5500 responses |
|---|
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2014 form 5500 responses |
|---|
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2013 form 5500 responses |
|---|
| 2013-02-01 | Type of plan entity | Single employer plan |
| 2013-02-01 | Plan funding arrangement – Insurance | Yes |
| 2013-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2012 form 5500 responses |
|---|
| 2012-02-01 | Type of plan entity | Single employer plan |
| 2012-02-01 | Plan funding arrangement – Insurance | Yes |
| 2012-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2011 form 5500 responses |
|---|
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Submission has been amended | Yes |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: KENNEBEC BEHAVIORAL HEALTH DENTAL PLAN 2009 form 5500 responses |
|---|
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | This submission is the final filing | No |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 927154 |
| Policy instance | 1 |
| Insurance contract or identification number | 927154 | | Number of Individuals Covered | 539 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $19,758 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $215,088 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,758 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 757503 |
| Policy instance | 1 |
| Insurance contract or identification number | 757503 | | Number of Individuals Covered | 299 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $21,394 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,394 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 757503 |
| Policy instance | 1 |
| Insurance contract or identification number | 757503 | | Number of Individuals Covered | 309 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $19,563 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,563 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 757503 |
| Policy instance | 1 |
| Insurance contract or identification number | 757503 | | Number of Individuals Covered | 290 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $19,582 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $195,817 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,582 | | Insurance broker organization code? | 3 |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 00001D036776 |
| Policy instance | 1 |
| Insurance contract or identification number | 00001D036776 | | Number of Individuals Covered | 298 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $19,604 | | Total amount of fees paid to insurance company | USD $9,802 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $196,043 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,604 | | Amount paid for insurance broker fees | 9802 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-040456 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-040456 | | Number of Individuals Covered | 666 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $20,931 | | Total amount of fees paid to insurance company | USD $560 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $209,312 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,931 | | Amount paid for insurance broker fees | 560 | | Additional information about fees paid to insurance broker | NOT SPECIFIED ON SCHEDULE A | | Insurance broker organization code? | 3 | | Insurance broker name | HEALEY & ASSOCIATES, INC. |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-040456 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-040456 | | Number of Individuals Covered | 611 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $19,094 | | Total amount of fees paid to insurance company | USD $516 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $190,940 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,094 | | Amount paid for insurance broker fees | 516 | | Additional information about fees paid to insurance broker | NOT SPECIFIED ON SCHEDULE A | | Insurance broker organization code? | 3 | | Insurance broker name | HEALEY & ASSOCIATES, INC. |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-040456 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-040456 | | Number of Individuals Covered | 602 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $17,214 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $172,144 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,214 | | Insurance broker organization code? | 3 | | Insurance broker name | HEALEY & ASSOCIATES, INC. |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05988712 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05988712 | | Number of Individuals Covered | 622 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $18,961 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $191,200 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $18,961 | | Insurance broker organization code? | 3 | | Insurance broker name | HEALEY & ASSOCIATES, INC. |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05988712 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05988712 | | Number of Individuals Covered | 607 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $16,334 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $177,930 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,334 | | Insurance broker organization code? | 3 | | Insurance broker name | HEALEY & ASSOCIATES, INC. |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05711471 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05711471 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $1,004 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $-1,452 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | MS3774 |
| Policy instance | 2 |
| Insurance contract or identification number | MS3774 | | Number of Individuals Covered | 472 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $13,252 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $160,943 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TM05711471 |
| Policy instance | 1 |
| Insurance contract or identification number | TM05711471 | | Number of Individuals Covered | 505 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $13,428 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $134,705 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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