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FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 401k Plan overview

Plan NameFRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN
Plan identification number 505

FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

FRANKLIN COMMUNITY HEALTH NETWORK has sponsored the creation of one or more 401k plans.

Company Name:FRANKLIN COMMUNITY HEALTH NETWORK
Employer identification number (EIN):223209406
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052015-01-01
5052015-01-01WAYNE BENNETT2016-08-25
5052014-01-01WAYNE BENNETT WAYNE BENNETT2015-09-30
5052013-01-01JOLINE HART JOLINE HART2014-10-13
5052012-01-01JOLINE HART JOLINE HART2013-10-09
5052011-01-01JOLINE HART JOLINE HART2012-09-19
5052010-01-01MELANIE MEADER MELANIE MEADER2011-10-17
5052009-01-01JOLINE HART JOLINE HART2010-07-29

Plan Statistics for FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN

401k plan membership statisitcs for FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN

Measure Date Value
2015: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01310
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Total of all active and inactive participants2015-01-010
2014: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01300
Total number of active participants reported on line 7a of the Form 55002014-01-01306
Number of retired or separated participants receiving benefits2014-01-016
Total of all active and inactive participants2014-01-01312
2013: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01302
Total number of active participants reported on line 7a of the Form 55002013-01-01292
Number of retired or separated participants receiving benefits2013-01-014
Total of all active and inactive participants2013-01-01296
2012: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01287
Total number of active participants reported on line 7a of the Form 55002012-01-01309
Number of retired or separated participants receiving benefits2012-01-014
Total of all active and inactive participants2012-01-01313
2011: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01314
Total number of active participants reported on line 7a of the Form 55002011-01-01296
Number of retired or separated participants receiving benefits2011-01-015
Total of all active and inactive participants2011-01-01301
2010: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01303
Total number of active participants reported on line 7a of the Form 55002010-01-01299
Number of retired or separated participants receiving benefits2010-01-015
Total of all active and inactive participants2010-01-01304
2009: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01353
Total number of active participants reported on line 7a of the Form 55002009-01-01354
Number of retired or separated participants receiving benefits2009-01-0114
Total of all active and inactive participants2009-01-01368

Form 5500 Responses for FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN

2015: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: FRANKLIN COMMUNITY HEALTH NETWORK DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060017
Policy instance 1
Insurance contract or identification number000060017
Number of Individuals Covered627
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $11,030
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $298,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060017
Policy instance 1
Insurance contract or identification number000060017
Number of Individuals Covered722
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,718
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 $328,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,975
Insurance broker organization code?3
Insurance broker nameCOMBINED SERVICES LLC
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060017
Policy instance 1
Insurance contract or identification number000060017
Number of Individuals Covered714
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13,076
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 $319,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,659
Insurance broker organization code?3
Insurance broker nameCOMBINED SERVICES LLC
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060017
Policy instance 1
Insurance contract or identification number000060017
Number of Individuals Covered679
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,599
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 $276,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,418
Insurance broker organization code?3
Insurance broker nameCOMBINED SERVICES LLC
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060017
Policy instance 1
Insurance contract or identification number000060017
Number of Individuals Covered673
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,944
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 $281,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 )
Policy contract number000060017
Policy instance 1
Insurance contract or identification number000060017
Number of Individuals Covered655
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,220
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 $263,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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