401k Plan data: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN plan

HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 401k Plan overview

Plan Name	HPS INVESTMENT PARTNERS, LLC DENTAL PLAN
Plan identification number	504

HPS INVESTMENT PARTNERS, LLC DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HPS INVESTMENT PARTNERS, LLC has sponsored the creation of one or more 401k plans.

Company Name: HPS INVESTMENT PARTNERS, LLC

Employer identification number (EIN): 208774276

NAIC Classification: 551112
NAIC Description: Offices of Other Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HPS INVESTMENT PARTNERS, LLC DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2017-03-01
504 2017-03-01 PEGGY NUGENT 2019-11-25
504 2016-03-01 RICHARD STERN RICHARD STERN 2017-06-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2017-03-01
504	2017-03-01	PEGGY NUGENT	2019-11-25
504	2016-03-01	RICHARD STERN		RICHARD STERN	2017-06-22

Plan Statistics for HPS INVESTMENT PARTNERS, LLC DENTAL PLAN

401k plan membership statisitcs for HPS INVESTMENT PARTNERS, LLC DENTAL PLAN

Measure Date Value
2017: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 203
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 220
Number of retired or separated participants receiving benefits 2017-03-01 2
Number of other retired or separated participants entitled to future benefits 2017-03-01 3
Total of all active and inactive participants 2017-03-01 225
2016: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-03-01 0
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 203
Total of all active and inactive participants 2016-03-01 203

Measure	Date	Value
2017: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	203
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	220
Number of retired or separated participants receiving benefits	2017-03-01	2
Number of other retired or separated participants entitled to future benefits	2017-03-01	3
Total of all active and inactive participants	2017-03-01	225
2016: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-03-01	0
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	203
Total of all active and inactive participants	2016-03-01	203

Form 5500 Responses for HPS INVESTMENT PARTNERS, LLC DENTAL PLAN

2017: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	Submission has been amended	No
2017-03-01	This submission is the final filing	No
2017-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-03-01	Plan is a collectively bargained plan	No
2017-03-01	Plan funding arrangement – Insurance	Yes
2017-03-01	Plan benefit arrangement – Insurance	Yes
2016: HPS INVESTMENT PARTNERS, LLC DENTAL PLAN 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00525252

Policy instance

Insurance contract or identification number	00525252
Number of Individuals Covered	231
Insurance policy start date	2017-03-01
Insurance policy end date	2018-02-28
Total amount of commissions paid to insurance broker	USD $14,968
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $333,985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,968
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	RUSSELL J CARPENTIERI

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Company Name:	HPS INVESTMENT PARTNERS, LLC
Employer identification number (EIN):	208774276
NAIC Classification:	551112
NAIC Description:	Offices of Other Holding Companies