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DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 401k Plan overview

Plan NameDATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC
Plan identification number 501

DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name:DATA PAPERS, INC.
Employer identification number (EIN):231735594
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-10-01
5012013-10-01
5012012-10-01JERRY WERTZ
5012011-10-01JERRY WERTZ
5012010-10-01JERRY WERTZ
5012009-10-01JERRY WERTZ
5012008-10-01

Plan Statistics for DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC

401k plan membership statisitcs for DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC

Measure Date Value
2014: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2014 401k membership
Total participants, beginning-of-year2014-10-0168
Total number of active participants reported on line 7a of the Form 55002014-10-0168
Total of all active and inactive participants2014-10-0168
2013: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2013 401k membership
Total participants, beginning-of-year2013-10-0170
Total number of active participants reported on line 7a of the Form 55002013-10-0168
Total of all active and inactive participants2013-10-0168
2012: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2012 401k membership
Total participants, beginning-of-year2012-10-0170
Total number of active participants reported on line 7a of the Form 55002012-10-0170
Total of all active and inactive participants2012-10-0170
2011: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2011 401k membership
Total participants, beginning-of-year2011-10-0169
Total number of active participants reported on line 7a of the Form 55002011-10-0167
Total of all active and inactive participants2011-10-0167
2010: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2010 401k membership
Total participants, beginning-of-year2010-10-0171
Total number of active participants reported on line 7a of the Form 55002010-10-0169
Total of all active and inactive participants2010-10-0169
2009: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2009 401k membership
Total participants, beginning-of-year2009-10-01143
Total number of active participants reported on line 7a of the Form 55002009-10-0171
Total of all active and inactive participants2009-10-0171

Form 5500 Responses for DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC

2014: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: DATA PAPERS, INC. HEALTH, LIFE AND DENTAL INSURANC 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number113336
Policy instance 3
Insurance contract or identification number113336
Number of Individuals Covered112
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $18,575
Total amount of fees paid to insurance companyUSD $25
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,575
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerBROKER FEE
Insurance broker organization code?3
Insurance broker nameHARTMAN EMPLOYEE BENEFITS, INC.
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009122352
Policy instance 2
Insurance contract or identification numberGTP0009122352
Number of Individuals Covered5
Insurance policy start date2014-07-13
Insurance policy end date2015-07-13
Total amount of commissions paid to insurance brokerUSD $135
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
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH AND DISME
Welfare Benefit Premiums Paid to CarrierUSD $900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135
Insurance broker nameWILKINSON DUNN COMPANY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number381899
Policy instance 1
Insurance contract or identification number381899
Number of Individuals Covered70
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $4,840
Total amount of fees paid to insurance companyUSD $3,423
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,803
Amount paid for insurance broker fees3423
Insurance broker organization code?3
Insurance broker nameFINANCIAL BALANCE GROUP
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number381899
Policy instance 1
Insurance contract or identification number381899
Number of Individuals Covered71
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $4,950
Total amount of fees paid to insurance companyUSD $3,526
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,912
Amount paid for insurance broker fees3526
Additional information about fees paid to insurance brokerBROKER FEE
Insurance broker organization code?3
Insurance broker nameFINANCIAL BALANCE GROUP
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009122352
Policy instance 2
Insurance contract or identification numberGTP0009122352
Number of Individuals Covered5
Insurance policy start date2013-07-13
Insurance policy end date2014-07-13
Total amount of commissions paid to insurance brokerUSD $135
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
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH AND DISME
Welfare Benefit Premiums Paid to CarrierUSD $900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135
Insurance broker nameWILKINSON DUNN COMPANY
GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number113336
Policy instance 3
Insurance contract or identification number113336
Number of Individuals Covered116
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $18,750
Total amount of fees paid to insurance companyUSD $25
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $439,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,750
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerBROKER FEE
Insurance broker organization code?3
Insurance broker nameHARTMAN EMPLOYEE BENEFITS, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number381899
Policy instance 1
Insurance contract or identification number381899
Number of Individuals Covered71
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $4,907
Total amount of fees paid to insurance companyUSD $3,586
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,869
Amount paid for insurance broker fees3586
Insurance broker organization code?3
Insurance broker nameFINANCIAL BALANCE GROUP
GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number113336
Policy instance 3
Insurance contract or identification number113336
Number of Individuals Covered124
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $19,900
Total amount of fees paid to insurance companyUSD $25
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $469,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,900
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerBROKER FEES
Insurance broker organization code?3
Insurance broker nameHARTMAN EMPLOYEE BENEFITS, INC.
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009122352
Policy instance 2
Insurance contract or identification numberGTP0009122352
Number of Individuals Covered5
Insurance policy start date2012-07-13
Insurance policy end date2013-07-13
Total amount of commissions paid to insurance brokerUSD $135
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
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH AND DISME
Welfare Benefit Premiums Paid to CarrierUSD $900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135
Insurance broker organization code?3
Insurance broker nameWILKINSON DUNN COMPANY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number381899
Policy instance 1
Insurance contract or identification number381899
Number of Individuals Covered78
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $4,903
Total amount of fees paid to insurance companyUSD $3,621
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009122352
Policy instance 2
Insurance contract or identification numberGTP0009122352
Number of Individuals Covered5
Insurance policy start date2011-07-13
Insurance policy end date2012-07-13
Total amount of commissions paid to insurance brokerUSD $135
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
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH AND DISME
Welfare Benefit Premiums Paid to CarrierUSD $900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GEISINGER QUALITY OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 12743 )
Policy contract number113336
Policy instance 3
Insurance contract or identification number113336
Number of Individuals Covered127
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $20,650
Total amount of fees paid to insurance companyUSD $25
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $500,780
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 number381899
Policy instance 1
Insurance contract or identification number381899
Number of Individuals Covered78
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $5,010
Total amount of fees paid to insurance companyUSD $3,718
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHAMERICA OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number1096240000
Policy instance 2
Insurance contract or identification number1096240000
Number of Individuals Covered125
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $27,631
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $497,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP0009122352
Policy instance 3
Insurance contract or identification numberGTP0009122352
Number of Individuals Covered5
Insurance policy start date2010-07-13
Insurance policy end date2011-07-13
Total amount of commissions paid to insurance brokerUSD $135
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
Other welfare benefits providedEXTENDED ACCIDENTAL DEATH AND DISME
Welfare Benefit Premiums Paid to CarrierUSD $900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )
Policy contract number1096240000
Policy instance 4
Insurance contract or identification number1096240000
Number of Individuals Covered6
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $555
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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