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INTERMED, P.A. DENTAL PLAN 401k Plan overview

Plan NameINTERMED, P.A. DENTAL PLAN
Plan identification number 505

INTERMED, P.A. DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

INTERMED, P.A. has sponsored the creation of one or more 401k plans.

Company Name:INTERMED, P.A.
Employer identification number (EIN):010484903
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERMED, P.A. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-01-01WILLIAM FERENTZ2022-08-12 WILLIAM FERENTZ2022-08-12
5052021-01-01WILLIAM FERENTZ2023-07-27
5052020-05-01WILLIAM FERENTZ2021-07-27 WILLIAM FERENTZ2021-07-27
5052019-05-01JOY SYMON FALL2021-02-26 JOY SYMON FALL2021-02-26
5052018-05-01BRANDY KENDALL2019-11-22
5052017-05-01BRANDY KENDALL BRANDY KENDALL2018-11-12
5052016-05-01BRANDY KENDALL BRANDY KENDALL2017-11-06
5052015-05-01BRANDY KENDALL BRANDY KENDALL2017-01-23
5052014-05-01BRANDY KENDALL BRANDY KENDALL2015-11-13
5052013-05-01BRANDY KENDALL BRANDY KENDALL2014-11-19
5052012-05-01BRANDY KENDALL BRANDY KENDALL2013-11-25
5052011-05-01BRANDY KENDALL BRANDY KENDALL2012-11-14
5052010-05-01BRANDY KENDALL BRANDY KENDALL2011-10-06
5052009-05-01BRANDY KENDALL BRANDY KENDALL2010-11-05

Plan Statistics for INTERMED, P.A. DENTAL PLAN

401k plan membership statisitcs for INTERMED, P.A. DENTAL PLAN

Measure Date Value
2021: INTERMED, P.A. DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01465
Total number of active participants reported on line 7a of the Form 55002021-01-01479
Total of all active and inactive participants2021-01-01479
2020: INTERMED, P.A. DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01433
Total number of active participants reported on line 7a of the Form 55002020-05-01422
Total of all active and inactive participants2020-05-01422
2019: INTERMED, P.A. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01423
Total number of active participants reported on line 7a of the Form 55002019-05-01433
Total of all active and inactive participants2019-05-01433
2018: INTERMED, P.A. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01367
Total number of active participants reported on line 7a of the Form 55002018-05-01423
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01423
Number of employers contributing to the scheme2018-05-010
2017: INTERMED, P.A. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01372
Total number of active participants reported on line 7a of the Form 55002017-05-01367
Total of all active and inactive participants2017-05-01367
2016: INTERMED, P.A. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01335
Total number of active participants reported on line 7a of the Form 55002016-05-01372
Total of all active and inactive participants2016-05-01372
2015: INTERMED, P.A. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01277
Total number of active participants reported on line 7a of the Form 55002015-05-01335
Total of all active and inactive participants2015-05-01335
2014: INTERMED, P.A. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01271
Total number of active participants reported on line 7a of the Form 55002014-05-01277
Total of all active and inactive participants2014-05-01277
2013: INTERMED, P.A. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01209
Total number of active participants reported on line 7a of the Form 55002013-05-01271
Total of all active and inactive participants2013-05-01271
2012: INTERMED, P.A. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01200
Total number of active participants reported on line 7a of the Form 55002012-05-01209
Total of all active and inactive participants2012-05-01209
2011: INTERMED, P.A. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01212
Total number of active participants reported on line 7a of the Form 55002011-05-01200
Total of all active and inactive participants2011-05-01200
2010: INTERMED, P.A. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01196
Total number of active participants reported on line 7a of the Form 55002010-05-01212
Total of all active and inactive participants2010-05-01212
2009: INTERMED, P.A. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01192
Total number of active participants reported on line 7a of the Form 55002009-05-01196
Total of all active and inactive participants2009-05-01196

Form 5500 Responses for INTERMED, P.A. DENTAL PLAN

2021: INTERMED, P.A. DENTAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: INTERMED, P.A. DENTAL PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: INTERMED, P.A. DENTAL PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: INTERMED, P.A. DENTAL PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: INTERMED, P.A. DENTAL PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: INTERMED, P.A. DENTAL PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: INTERMED, P.A. DENTAL PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: INTERMED, P.A. DENTAL PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: INTERMED, P.A. DENTAL PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: INTERMED, P.A. DENTAL PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: INTERMED, P.A. DENTAL PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2010: INTERMED, P.A. DENTAL PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – InsuranceYes
2009: INTERMED, P.A. DENTAL PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01This submission is the final filingNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number61840
Policy instance 1
Insurance contract or identification number61840
Number of Individuals Covered755
Insurance policy start date2020-05-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,487
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $194,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,487
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number61840
Policy instance 1
Insurance contract or identification number61840
Number of Individuals Covered805
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $2,993
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $364,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,157
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number61840
Policy instance 1
Insurance contract or identification number61840
Number of Individuals Covered822
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $12,040
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $351,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,943
Amount paid for insurance broker fees0
Insurance broker organization code?3
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000061840
Policy instance 1
Insurance contract or identification number000061840
Number of Individuals Covered721
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $11,457
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $341,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,729
Insurance broker organization code?3
Insurance broker nameCOMBINED SERVICES LLC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05927333
Policy instance 1
Insurance contract or identification numberTM05927333
Number of Individuals Covered638
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $6,082
Total amount of fees paid to insurance companyUSD $1,941
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $277,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,082
Amount paid for insurance broker fees1941
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameTHE HOLDEN AGENCY
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number951122
Policy instance 1
Insurance contract or identification number951122
Number of Individuals Covered531
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $5,881
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,881
Insurance broker organization code?3
Insurance broker nameTHE HOLDEN AGENCY
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number951122
Policy instance 1
Insurance contract or identification number951122
Number of Individuals Covered512
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $7,516
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $238,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,783
Insurance broker organization code?3
Insurance broker nameBGA FINANCIAL
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract numberMS3955
Policy instance 1
Insurance contract or identification numberMS3955
Number of Individuals Covered512
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $3,164
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $229,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,164
Insurance broker organization code?3
Insurance broker nameBGA FINANCIAL
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060031
Policy instance 1
Insurance contract or identification number000060031
Number of Individuals Covered394
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $9,986
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $176,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060031
Policy instance 1
Insurance contract or identification number000060031
Number of Individuals Covered404
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $9,499
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,470
Insurance broker organization code?3
Insurance broker nameTHE BUCKLEY GROUP

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