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STORIS, INC. - DENTAL PLAN 401k Plan overview

Plan NameSTORIS, INC. - DENTAL PLAN
Plan identification number 503

STORIS, INC. - DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:STORIS, INC
Employer identification number (EIN):222943409
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STORIS, INC. - DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-03-01ALFRED CHAMBERS2023-12-14
5032021-03-01ALFRED CHAMBERS2022-12-06
5032020-03-01ALFRED CHAMBERS2021-12-14
5032019-03-01ALFRED CHAMBERS2020-12-14
5032018-03-01ALFRED CHAMBERS2019-12-03
5032017-03-01

Plan Statistics for STORIS, INC. - DENTAL PLAN

401k plan membership statisitcs for STORIS, INC. - DENTAL PLAN

Measure Date Value
2022: STORIS, INC. - DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01115
Total number of active participants reported on line 7a of the Form 55002022-03-01112
Number of retired or separated participants receiving benefits2022-03-013
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01115
2021: STORIS, INC. - DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01107
Total number of active participants reported on line 7a of the Form 55002021-03-01113
Number of retired or separated participants receiving benefits2021-03-011
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01114
2020: STORIS, INC. - DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01112
Total number of active participants reported on line 7a of the Form 55002020-03-01104
Number of retired or separated participants receiving benefits2020-03-010
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01104
2019: STORIS, INC. - DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01107
Total number of active participants reported on line 7a of the Form 55002019-03-01110
Number of retired or separated participants receiving benefits2019-03-011
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01111
2018: STORIS, INC. - DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01102
Total number of active participants reported on line 7a of the Form 55002018-03-01106
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01106
2017: STORIS, INC. - DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01102
Total number of active participants reported on line 7a of the Form 55002017-03-01101
Total of all active and inactive participants2017-03-01101

Form 5500 Responses for STORIS, INC. - DENTAL PLAN

2022: STORIS, INC. - DENTAL PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: STORIS, INC. - DENTAL PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: STORIS, INC. - DENTAL PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: STORIS, INC. - DENTAL PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: STORIS, INC. - DENTAL PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: STORIS, INC. - DENTAL PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01First time form 5500 has been submittedYes
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3344968
Policy instance 1
Insurance contract or identification number3344968
Number of Individuals Covered113
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $5,328
Total amount of fees paid to insurance companyUSD $3,806
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,328
Insurance broker organization code?3
Amount paid for insurance broker fees3806
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )
Policy contract numberGI64
Policy instance 1
Insurance contract or identification numberGI64
Number of Individuals Covered169
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $7,552
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,919
Insurance broker organization code?3
NIPPON LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81264 )
Policy contract numberGI64
Policy instance 1
Insurance contract or identification numberGI64
Number of Individuals Covered103
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $7,520
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,896
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0357952
Policy instance 1
Insurance contract or identification number0357952
Number of Individuals Covered111
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $6,861
Total amount of fees paid to insurance companyUSD $3,921
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $98,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,861
Insurance broker organization code?3
Amount paid for insurance broker fees3921
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0357952
Policy instance 1
Insurance contract or identification number0357952
Number of Individuals Covered106
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $6,338
Total amount of fees paid to insurance companyUSD $3,622
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,338
Insurance broker organization code?3
Amount paid for insurance broker fees3622
Additional information about fees paid to insurance brokerGENERAL AGENT PAYMENTS
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0357952
Policy instance 1
Insurance contract or identification number0357952
Number of Individuals Covered101
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $6,321
Total amount of fees paid to insurance companyUSD $3,612
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,321
Insurance broker organization code?3
Amount paid for insurance broker fees3612
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
Insurance broker nameCENTERSTONE INS & FIN SERV (NY)

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