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ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 401k Plan overview

Plan NameODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN
Plan identification number 506

ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

ODYSSEY HOUSE, INC. has sponsored the creation of one or more 401k plans.

Company Name:ODYSSEY HOUSE, INC.
Employer identification number (EIN):136217765
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about ODYSSEY HOUSE, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1967-03-27
Company Identification Number: 208353

More information about ODYSSEY HOUSE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-07-01COLLEEN BEAGEN2023-07-26
5062021-07-01COLLEEN BEAGEN2022-07-21
5062020-07-01COLLEEN BEAGEN2021-10-15
5062019-07-01COLLEEN BEAGEN2020-09-29
5062018-07-01COLLEEN BEAGEN2019-10-07
5062017-07-01
5062016-07-01
5062015-07-01
5062014-07-01
5062013-07-01
5062012-07-01COLLEEN BEAGEN
5062011-07-01RADHIKA ZOPE
5062009-07-01COLLEEN BEAGEN

Plan Statistics for ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN

401k plan membership statisitcs for ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN

Measure Date Value
2022: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01158
Total number of active participants reported on line 7a of the Form 55002022-07-01168
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01168
2021: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01190
Total number of active participants reported on line 7a of the Form 55002021-07-01219
Number of retired or separated participants receiving benefits2021-07-012
Number of other retired or separated participants entitled to future benefits2021-07-0160
Total of all active and inactive participants2021-07-01281
2020: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01201
Total number of active participants reported on line 7a of the Form 55002020-07-01334
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01334
2019: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01219
Total number of active participants reported on line 7a of the Form 55002019-07-01201
Total of all active and inactive participants2019-07-01201
2018: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01211
Total number of active participants reported on line 7a of the Form 55002018-07-01202
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01202
2017: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01213
Total number of active participants reported on line 7a of the Form 55002017-07-01211
Total of all active and inactive participants2017-07-01211
2016: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01237
Total number of active participants reported on line 7a of the Form 55002016-07-01213
Total of all active and inactive participants2016-07-01213
2015: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01237
Total number of active participants reported on line 7a of the Form 55002015-07-01214
Total of all active and inactive participants2015-07-01214
2014: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01237
Total number of active participants reported on line 7a of the Form 55002014-07-01237
Total of all active and inactive participants2014-07-01237
2013: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01221
Total number of active participants reported on line 7a of the Form 55002013-07-01249
Number of retired or separated participants receiving benefits2013-07-013
Total of all active and inactive participants2013-07-01252
2012: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01239
Total number of active participants reported on line 7a of the Form 55002012-07-01243
Total of all active and inactive participants2012-07-01243
2011: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01251
Total number of active participants reported on line 7a of the Form 55002011-07-01239
Total of all active and inactive participants2011-07-01239
2009: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01221
Total number of active participants reported on line 7a of the Form 55002009-07-01243
Total of all active and inactive participants2009-07-01243
Total participants2009-07-01243

Form 5500 Responses for ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN

2022: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: ODYSSEY HOUSE, INC. DENTAL INSURANCE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0772764
Policy instance 1
Insurance contract or identification number0772764
Number of Individuals Covered273
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,363
Total amount of fees paid to insurance companyUSD $193
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,363
Amount paid for insurance broker fees193
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION RECEIVED
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0772764
Policy instance 1
Insurance contract or identification number0772764
Number of Individuals Covered297
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11,079
Total amount of fees paid to insurance companyUSD $5,345
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,079
Amount paid for insurance broker fees5345
Additional information about fees paid to insurance broker2020 PINNACLE SPECIALTY NEW BUSINESS INCENTIVE RISK, AND INDIRECT COM
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0772764
Policy instance 1
Insurance contract or identification number0772764
Number of Individuals Covered334
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $132,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number19279
Policy instance 1
Insurance contract or identification number19279
Number of Individuals Covered337
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13,725
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,725
Insurance broker organization code?3
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number19279
Policy instance 1
Insurance contract or identification number19279
Number of Individuals Covered318
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $12,299
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,299
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00346437
Policy instance 1
Insurance contract or identification number00346437
Number of Individuals Covered211
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $10,653
Total amount of fees paid to insurance companyUSD $1,825
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,653
Amount paid for insurance broker fees1825
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker nameBOLLINGER, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00346437
Policy instance 1
Insurance contract or identification number00346437
Number of Individuals Covered225
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $10,949
Total amount of fees paid to insurance companyUSD $2,298
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,949
Amount paid for insurance broker fees2298
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameBOLLINGER, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00346437
Policy instance 1
Insurance contract or identification number00346437
Number of Individuals Covered237
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $11,371
Total amount of fees paid to insurance companyUSD $2,293
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 $144,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,371
Amount paid for insurance broker fees2293
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameBOLLINGER, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00346437
Policy instance 1
Insurance contract or identification number00346437
Number of Individuals Covered252
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $12,010
Total amount of fees paid to insurance companyUSD $3,231
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 $153,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,010
Amount paid for insurance broker fees3231
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameBOLLINGER, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number81418
Policy instance 1
Insurance contract or identification number81418
Number of Individuals Covered243
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $12,623
Total amount of fees paid to insurance companyUSD $4,467
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 $163,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,623
Amount paid for insurance broker fees4467
Additional information about fees paid to insurance brokerSALES AND SERVICE
Insurance broker organization code?3
Insurance broker nameBOLLINGER, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number81418
Policy instance 1
Insurance contract or identification number81418
Number of Individuals Covered239
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $9,354
Total amount of fees paid to insurance companyUSD $4,664
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 $139,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number81418
Policy instance 1
Insurance contract or identification number81418
Number of Individuals Covered251
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $4,456
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 $151,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,456
Insurance broker organization code?3
Insurance broker nameSPALDING ASSOCIATES, INC.

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