401k Plan data: INTERMED, P.A. DENTAL PLAN plan

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

Plan Name	INTERMED, P.A. DENTAL PLAN
Plan identification number	505

INTERMED, P.A. DENTAL PLAN Benefits

401k Plan Type	Welfare 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 Signed Name of Company Sponsor Date Sponsor Signed
505 2021-01-01 WILLIAM FERENTZ 2022-08-12 WILLIAM FERENTZ 2022-08-12
505 2021-01-01 WILLIAM FERENTZ 2023-07-27
505 2020-05-01 WILLIAM FERENTZ 2021-07-27 WILLIAM FERENTZ 2021-07-27
505 2019-05-01 JOY SYMON FALL 2021-02-26 JOY SYMON FALL 2021-02-26
505 2017-05-01 BRANDY KENDALL BRANDY KENDALL 2018-11-12
505 2016-05-01 BRANDY KENDALL BRANDY KENDALL 2017-11-06
505 2015-05-01 BRANDY KENDALL BRANDY KENDALL 2017-01-23
505 2014-05-01 BRANDY KENDALL BRANDY KENDALL 2015-11-13
505 2013-05-01 BRANDY KENDALL BRANDY KENDALL 2014-11-19
505 2012-05-01 BRANDY KENDALL BRANDY KENDALL 2013-11-25
505 2011-05-01 BRANDY KENDALL BRANDY KENDALL 2012-11-14
505 2010-05-01 BRANDY KENDALL BRANDY KENDALL 2011-10-06
505 2009-05-01 BRANDY KENDALL BRANDY KENDALL 2010-11-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2021-01-01	WILLIAM FERENTZ	2022-08-12	WILLIAM FERENTZ	2022-08-12
505	2021-01-01	WILLIAM FERENTZ	2023-07-27
505	2020-05-01	WILLIAM FERENTZ	2021-07-27	WILLIAM FERENTZ	2021-07-27
505	2019-05-01	JOY SYMON FALL	2021-02-26	JOY SYMON FALL	2021-02-26
505	2017-05-01	BRANDY KENDALL		BRANDY KENDALL	2018-11-12
505	2016-05-01	BRANDY KENDALL		BRANDY KENDALL	2017-11-06
505	2015-05-01	BRANDY KENDALL		BRANDY KENDALL	2017-01-23
505	2014-05-01	BRANDY KENDALL		BRANDY KENDALL	2015-11-13
505	2013-05-01	BRANDY KENDALL		BRANDY KENDALL	2014-11-19
505	2012-05-01	BRANDY KENDALL		BRANDY KENDALL	2013-11-25
505	2011-05-01	BRANDY KENDALL		BRANDY KENDALL	2012-11-14
505	2010-05-01	BRANDY KENDALL		BRANDY KENDALL	2011-10-06
505	2009-05-01	BRANDY KENDALL		BRANDY KENDALL	2010-11-05

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-year 2021-01-01 465
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 479
Total of all active and inactive participants 2021-01-01 479
2020: INTERMED, P.A. DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-05-01 433
Total number of active participants reported on line 7a of the Form 5500 2020-05-01 422
Total of all active and inactive participants 2020-05-01 422
2019: INTERMED, P.A. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-05-01 423
Total number of active participants reported on line 7a of the Form 5500 2019-05-01 433
Total of all active and inactive participants 2019-05-01 433
2017: INTERMED, P.A. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-05-01 372
Total number of active participants reported on line 7a of the Form 5500 2017-05-01 367
Total of all active and inactive participants 2017-05-01 367
2016: INTERMED, P.A. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 335
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 372
Total of all active and inactive participants 2016-05-01 372
2015: INTERMED, P.A. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 277
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 335
Total of all active and inactive participants 2015-05-01 335
2014: INTERMED, P.A. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-05-01 271
Total number of active participants reported on line 7a of the Form 5500 2014-05-01 277
Total of all active and inactive participants 2014-05-01 277
2013: INTERMED, P.A. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-05-01 209
Total number of active participants reported on line 7a of the Form 5500 2013-05-01 271
Total of all active and inactive participants 2013-05-01 271
2012: INTERMED, P.A. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-05-01 200
Total number of active participants reported on line 7a of the Form 5500 2012-05-01 209
Total of all active and inactive participants 2012-05-01 209
2011: INTERMED, P.A. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-05-01 212
Total number of active participants reported on line 7a of the Form 5500 2011-05-01 200
Total of all active and inactive participants 2011-05-01 200
2010: INTERMED, P.A. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-05-01 196
Total number of active participants reported on line 7a of the Form 5500 2010-05-01 212
Total of all active and inactive participants 2010-05-01 212
2009: INTERMED, P.A. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-05-01 192
Total number of active participants reported on line 7a of the Form 5500 2009-05-01 196
Total of all active and inactive participants 2009-05-01 196

Measure	Date	Value
2021: INTERMED, P.A. DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	465
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	479
Total of all active and inactive participants	2021-01-01	479
2020: INTERMED, P.A. DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-05-01	433
Total number of active participants reported on line 7a of the Form 5500	2020-05-01	422
Total of all active and inactive participants	2020-05-01	422
2019: INTERMED, P.A. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-05-01	423
Total number of active participants reported on line 7a of the Form 5500	2019-05-01	433
Total of all active and inactive participants	2019-05-01	433
2017: INTERMED, P.A. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-05-01	372
Total number of active participants reported on line 7a of the Form 5500	2017-05-01	367
Total of all active and inactive participants	2017-05-01	367
2016: INTERMED, P.A. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	335
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	372
Total of all active and inactive participants	2016-05-01	372
2015: INTERMED, P.A. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	277
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	335
Total of all active and inactive participants	2015-05-01	335
2014: INTERMED, P.A. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	271
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	277
Total of all active and inactive participants	2014-05-01	277
2013: INTERMED, P.A. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	209
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	271
Total of all active and inactive participants	2013-05-01	271
2012: INTERMED, P.A. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	200
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	209
Total of all active and inactive participants	2012-05-01	209
2011: INTERMED, P.A. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	212
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	200
Total of all active and inactive participants	2011-05-01	200
2010: INTERMED, P.A. DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-05-01	196
Total number of active participants reported on line 7a of the Form 5500	2010-05-01	212
Total of all active and inactive participants	2010-05-01	212
2009: INTERMED, P.A. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-05-01	192
Total number of active participants reported on line 7a of the Form 5500	2009-05-01	196
Total of all active and inactive participants	2009-05-01	196

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

2021: INTERMED, P.A. DENTAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: INTERMED, P.A. DENTAL PLAN 2020 form 5500 responses
2020-05-01	Type of plan entity	Single employer plan
2020-05-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-05-01	Plan funding arrangement – Insurance	Yes
2020-05-01	Plan benefit arrangement – Insurance	Yes
2019: INTERMED, P.A. DENTAL PLAN 2019 form 5500 responses
2019-05-01	Type of plan entity	Single employer plan
2019-05-01	Plan funding arrangement – Insurance	Yes
2019-05-01	Plan benefit arrangement – Insurance	Yes
2017: INTERMED, P.A. DENTAL PLAN 2017 form 5500 responses
2017-05-01	Type of plan entity	Single employer plan
2017-05-01	Plan funding arrangement – Insurance	Yes
2017-05-01	Plan benefit arrangement – Insurance	Yes
2016: INTERMED, P.A. DENTAL PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2015: INTERMED, P.A. DENTAL PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes
2014: INTERMED, P.A. DENTAL PLAN 2014 form 5500 responses
2014-05-01	Type of plan entity	Single employer plan
2014-05-01	Plan funding arrangement – Insurance	Yes
2014-05-01	Plan benefit arrangement – Insurance	Yes
2013: INTERMED, P.A. DENTAL PLAN 2013 form 5500 responses
2013-05-01	Type of plan entity	Single employer plan
2013-05-01	Plan funding arrangement – Insurance	Yes
2013-05-01	Plan benefit arrangement – Insurance	Yes
2012: INTERMED, P.A. DENTAL PLAN 2012 form 5500 responses
2012-05-01	Type of plan entity	Single employer plan
2012-05-01	Plan funding arrangement – Insurance	Yes
2012-05-01	Plan benefit arrangement – Insurance	Yes
2011: INTERMED, P.A. DENTAL PLAN 2011 form 5500 responses
2011-05-01	Type of plan entity	Single employer plan
2011-05-01	Plan funding arrangement – Insurance	Yes
2011-05-01	Plan benefit arrangement – Insurance	Yes
2010: INTERMED, P.A. DENTAL PLAN 2010 form 5500 responses
2010-05-01	Type of plan entity	Single employer plan
2010-05-01	Plan funding arrangement – Insurance	Yes
2010-05-01	Plan benefit arrangement – Insurance	Yes
2009: INTERMED, P.A. DENTAL PLAN 2009 form 5500 responses
2009-05-01	Type of plan entity	Single employer plan
2009-05-01	This submission is the final filing	No
2009-05-01	Plan funding arrangement – Insurance	Yes
2009-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number	61840
Policy instance	1
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number	61840
Policy instance	1
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number	000061840
Policy instance	1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number	TM05927333
Policy instance	1
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number	951122
Policy instance	1
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number	951122
Policy instance	1
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	MS3955
Policy instance	1
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number	000060031
Policy instance	1
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number	000060031
Policy instance	1

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