401k Plan data: DOTERRA EMPLOYEE DENTAL PLAN plan

DOTERRA EMPLOYEE DENTAL PLAN 401k Plan overview

Plan Name	DOTERRA EMPLOYEE DENTAL PLAN
Plan identification number	502

DOTERRA EMPLOYEE DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

DOTERRA INTERNATIONAL LLC has sponsored the creation of one or more 401k plans.

Company Name: DOTERRA INTERNATIONAL LLC

Employer identification number (EIN): 261898940

NAIC Classification: 454390
NAIC Description: Other Direct Selling Establishments

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOTERRA EMPLOYEE DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-01-01 KARI RAWLINGS
502 2015-01-01 CHERILYN CHRISTENSEN
502 2014-01-01 CHERILYN CHRISTENSEN
502 2014-01-01 CHERILYN CHRISTENSEN

Plan id#	Filing Submission Date	Name of Administrator
502	2016-01-01	KARI RAWLINGS
502	2015-01-01	CHERILYN CHRISTENSEN
502	2014-01-01	CHERILYN CHRISTENSEN
502	2014-01-01	CHERILYN CHRISTENSEN

Plan Statistics for DOTERRA EMPLOYEE DENTAL PLAN

401k plan membership statisitcs for DOTERRA EMPLOYEE DENTAL PLAN

Measure Date Value
2016: DOTERRA EMPLOYEE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 468
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: DOTERRA EMPLOYEE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 324
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 468
Total of all active and inactive participants 2015-01-01 468
2014: DOTERRA EMPLOYEE DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 209
Total of all active and inactive participants 2014-01-01 209

Measure	Date	Value
2016: DOTERRA EMPLOYEE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	468
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: DOTERRA EMPLOYEE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	324
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	468
Total of all active and inactive participants	2015-01-01	468
2014: DOTERRA EMPLOYEE DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	209
Total of all active and inactive participants	2014-01-01	209

Form 5500 Responses for DOTERRA EMPLOYEE DENTAL PLAN

2016: DOTERRA EMPLOYEE DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: DOTERRA EMPLOYEE DENTAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: DOTERRA EMPLOYEE DENTAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

04809

Policy instance

Insurance contract or identification number	04809
Number of Individuals Covered	629
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $14,654
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $146,542
Commission paid to Insurance Broker	USD $14,654
Insurance broker organization code?	3
Insurance broker name	THE HAYS GROUP, INC.

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Company Name:	DOTERRA INTERNATIONAL LLC
Employer identification number (EIN):	261898940
NAIC Classification:	454390
NAIC Description:	Other Direct Selling Establishments