401k Plan data: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN plan

AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 401k Plan overview

Plan Name	AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN
Plan identification number	502

AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

AMARILLO HEART GROUP, LLP has sponsored the creation of one or more 401k plans.

Company Name: AMARILLO HEART GROUP, LLP

Employer identification number (EIN): 201138329

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

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2013-01-01
502 2013-01-01
502 2012-01-01 RON WELTY
502 2011-01-01 RON WELTY
502 2010-01-01 RON WELTY
502 2009-01-01 RON WELTY

Plan Statistics for AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN

401k plan membership statisitcs for AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN

Measure Date Value
2013: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 140
Total of all active and inactive participants 2013-01-01 140
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Number of employers contributing to the scheme 2013-01-01 0
2012: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 145
Total of all active and inactive participants 2012-01-01 145
2011: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 153
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 153
2010: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 147
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 147
Total participants 2010-01-01 147
2009: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 142
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 142
Total participants 2009-01-01 142

Measure	Date	Value
2013: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	140
Total of all active and inactive participants	2013-01-01	140
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Number of employers contributing to the scheme	2013-01-01	0
2012: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	145
Total of all active and inactive participants	2012-01-01	145
2011: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	153
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	153
2010: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	147
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	147
Total participants	2010-01-01	147
2009: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	142
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	142
Total participants	2009-01-01	142

Form 5500 Responses for AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN

2013: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: AMARILLO HEART GROUP, LLP DENTAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

648388

Policy instance

Insurance contract or identification number	648388
Number of Individuals Covered	144
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $11,120
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $111,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,120
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

Potentially related plans

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Company Name:	AMARILLO HEART GROUP, LLP
Employer identification number (EIN):	201138329
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)