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CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 401k Plan overview

Plan NameCLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN
Plan identification number 503

CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

CLM CENTER FOR LIFE MANAGEMENT has sponsored the creation of one or more 401k plans.

Company Name:CLM CENTER FOR LIFE MANAGEMENT
Employer identification number (EIN):020301530
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-04-01MICHAEL BERGERON
5032014-04-01MICHAEL BERGERON
5032013-04-01MICHAEL BERGERON
5032012-04-01MICHAEL BERGERON

Plan Statistics for CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN

401k plan membership statisitcs for CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN

Measure Date Value
2015: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01134
Total number of active participants reported on line 7a of the Form 55002015-04-010
Total of all active and inactive participants2015-04-010
2014: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01134
Total number of active participants reported on line 7a of the Form 55002014-04-01134
Total of all active and inactive participants2014-04-01134
2013: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01283
Total number of active participants reported on line 7a of the Form 55002013-04-01134
Total of all active and inactive participants2013-04-01134
2012: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-010
Total number of active participants reported on line 7a of the Form 55002012-04-01283
Total of all active and inactive participants2012-04-01283

Form 5500 Responses for CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN

2015: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01This submission is the final filingYes
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2013: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: CLM CENTER FOR LIFE MANAGEMENT GROUP DENTAL PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number750751
Policy instance 1
Insurance contract or identification number750751
Number of Individuals Covered134
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $2,732
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,732
Insurance broker organization code?3
Insurance broker nameLANDMARK BENEFITS INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number750751
Policy instance 1
Insurance contract or identification number750751
Number of Individuals Covered134
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $2,585
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,585
Insurance broker organization code?3
Insurance broker nameLANDMARK BENEFITS INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1026197
Policy instance 1
Insurance contract or identification number1026197
Number of Individuals Covered283
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,809
Total amount of fees paid to insurance companyUSD $2,237
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 $116,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,809
Amount paid for insurance broker fees2237
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameLANDMARK BENEFITS INC

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