401k Plan data: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN plan

HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 401k Plan overview

Plan Name	HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN
Plan identification number	508

HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

HARTFORD COUNTY MEDICAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: HARTFORD COUNTY MEDICAL ASSOCIATION

Employer identification number (EIN): 066082895

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2023-07-01 JOHN BRANNELLY 2024-10-15
508 2022-07-01 MARK THOMPSON 2023-10-16
508 2021-07-01 MARK THOMPSON 2023-01-24
508 2020-07-01 MARK THOMPSON 2022-03-29
508 2019-07-01 MARK THOMPSON 2021-04-12
508 2018-07-01 CHERIE NIATOPSKY 2019-10-01
508 2017-07-01
508 2016-07-01
508 2015-07-01
508 2014-07-01
508 2013-07-01
508 2012-07-01 RICHARD FIORENTINO
508 2011-07-01 RICHARD FIORENTINO
508 2010-07-01 RICHARD FIORENTINO
508 2009-07-01 RICHARD FIORENTINO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
508	2023-07-01	JOHN BRANNELLY	2024-10-15
508	2022-07-01	MARK THOMPSON	2023-10-16
508	2021-07-01	MARK THOMPSON	2023-01-24
508	2020-07-01	MARK THOMPSON	2022-03-29
508	2019-07-01	MARK THOMPSON	2021-04-12
508	2018-07-01	CHERIE NIATOPSKY	2019-10-01
508	2017-07-01
508	2016-07-01
508	2015-07-01
508	2014-07-01
508	2013-07-01
508	2012-07-01	RICHARD FIORENTINO
508	2011-07-01	RICHARD FIORENTINO
508	2010-07-01	RICHARD FIORENTINO
508	2009-07-01	RICHARD FIORENTINO

Form 5500 Responses for HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN

2023: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2023 form 5500 responses
2023-07-01	Type of plan entity	Single employer plan
2023-07-01	Plan funding arrangement – Insurance	Yes
2023-07-01	Plan benefit arrangement – Insurance	Yes
2022: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2021: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2021 form 5500 responses
2021-07-01	Type of plan entity	Single employer plan
2021-07-01	Plan funding arrangement – Insurance	Yes
2021-07-01	Plan benefit arrangement – Insurance	Yes
2020: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes
2019: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Single employer plan
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2018: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: HARTFORD COUNTY MEDICAL ASSOCIATION DENTAL PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	This submission is the final filing	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

Insurance contract or identification number	0096300
Number of Individuals Covered	19
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $1,223
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $22,776
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

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0096300

Policy instance

Potentially related plans

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Company Name:	HARTFORD COUNTY MEDICAL ASSOCIATION
Employer identification number (EIN):	066082895
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)