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DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 401k Plan overview

Plan NameDENTISTRY FOR CHILDREN LIFE AND ADD PLAN
Plan identification number 504

DENTISTRY FOR CHILDREN LIFE AND ADD PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    D4C DENTAL BRANDS, INC. has sponsored the creation of one or more 401k plans.

    Company Name:D4C DENTAL BRANDS, INC.
    Employer identification number (EIN):273864352
    NAIC Classification:621111
    NAIC Description:Offices of Physicians (except Mental Health Specialists)

    Additional information about D4C DENTAL BRANDS, INC.

    Jurisdiction of Incorporation: State of Delaware Division of Corporations
    Incorporation Date:
    Company Identification Number: 4892700

    More information about D4C DENTAL BRANDS, INC.

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan DENTISTRY FOR CHILDREN LIFE AND ADD PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5042016-01-01ALISTAIR MADLE
    5042015-01-01ALISTAIR MADLE
    5042014-06-01ALISTAIR MADLE
    5042013-06-01JEFFREY BATZEL
    5042012-06-01STEVEN E. RUSSELL
    5042011-06-01STEVEN E. RUSSEU

    Plan Statistics for DENTISTRY FOR CHILDREN LIFE AND ADD PLAN

    401k plan membership statisitcs for DENTISTRY FOR CHILDREN LIFE AND ADD PLAN

    Measure Date Value
    2016: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2016 401k membership
    Total participants, beginning-of-year2016-01-01639
    Total number of active participants reported on line 7a of the Form 55002016-01-010
    Total of all active and inactive participants2016-01-010
    2015: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2015 401k membership
    Total participants, beginning-of-year2015-01-01589
    Total number of active participants reported on line 7a of the Form 55002015-01-01639
    Total of all active and inactive participants2015-01-01639
    2014: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2014 401k membership
    Total participants, beginning-of-year2014-06-01545
    Total number of active participants reported on line 7a of the Form 55002014-06-01589
    Total of all active and inactive participants2014-06-01589
    2013: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2013 401k membership
    Total participants, beginning-of-year2013-06-01266
    Total number of active participants reported on line 7a of the Form 55002013-06-01545
    Total of all active and inactive participants2013-06-01545
    2012: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2012 401k membership
    Total participants, beginning-of-year2012-06-01261
    Total number of active participants reported on line 7a of the Form 55002012-06-01266
    Number of retired or separated participants receiving benefits2012-06-010
    Number of other retired or separated participants entitled to future benefits2012-06-010
    Total of all active and inactive participants2012-06-01266
    2011: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2011 401k membership
    Total participants, beginning-of-year2011-06-01100
    Total number of active participants reported on line 7a of the Form 55002011-06-01261
    Number of retired or separated participants receiving benefits2011-06-010
    Number of other retired or separated participants entitled to future benefits2011-06-010
    Total of all active and inactive participants2011-06-01261

    Form 5500 Responses for DENTISTRY FOR CHILDREN LIFE AND ADD PLAN

    2016: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2016 form 5500 responses
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedNo
    2016-01-01This submission is the final filingYes
    2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
    2016-01-01Plan is a collectively bargained planNo
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2015: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2015 form 5500 responses
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planNo
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2014: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2014 form 5500 responses
    2014-06-01Type of plan entitySingle employer plan
    2014-06-01Submission has been amendedNo
    2014-06-01This submission is the final filingNo
    2014-06-01This return/report is a short plan year return/report (less than 12 months)Yes
    2014-06-01Plan is a collectively bargained planNo
    2014-06-01Plan funding arrangement – InsuranceYes
    2014-06-01Plan benefit arrangement – InsuranceYes
    2013: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2013 form 5500 responses
    2013-06-01Type of plan entitySingle employer plan
    2013-06-01Submission has been amendedNo
    2013-06-01This submission is the final filingNo
    2013-06-01This return/report is a short plan year return/report (less than 12 months)No
    2013-06-01Plan is a collectively bargained planNo
    2013-06-01Plan funding arrangement – InsuranceYes
    2013-06-01Plan benefit arrangement – InsuranceYes
    2012: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2012 form 5500 responses
    2012-06-01Type of plan entityMulitple employer plan
    2012-06-01Submission has been amendedNo
    2012-06-01This submission is the final filingNo
    2012-06-01This return/report is a short plan year return/report (less than 12 months)No
    2012-06-01Plan is a collectively bargained planNo
    2012-06-01Plan funding arrangement – InsuranceYes
    2012-06-01Plan benefit arrangement – InsuranceYes
    2011: DENTISTRY FOR CHILDREN LIFE AND ADD PLAN 2011 form 5500 responses
    2011-06-01Type of plan entityMulitple employer plan
    2011-06-01First time form 5500 has been submittedYes
    2011-06-01Submission has been amendedNo
    2011-06-01This submission is the final filingNo
    2011-06-01This return/report is a short plan year return/report (less than 12 months)No
    2011-06-01Plan is a collectively bargained planNo
    2011-06-01Plan funding arrangement – InsuranceYes
    2011-06-01Plan benefit arrangement – InsuranceYes

    Insurance Providers Used on plan

    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSGM601879
    Policy instance 1
    Insurance contract or identification numberSGM601879
    Number of Individuals Covered654
    Insurance policy start date2016-01-01
    Insurance policy end date2016-03-31
    Total amount of commissions paid to insurance brokerUSD $2,208
    Total amount of fees paid to insurance companyUSD $0
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedAD&D
    Welfare Benefit Premiums Paid to CarrierUSD $14,719
    Commission paid to Insurance BrokerUSD $2,208
    Insurance broker organization code?3
    Insurance broker nameNORTHWESTERN BENEFIT CORP OF GA
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSGM601879
    Policy instance 1
    Insurance contract or identification numberSGM601879
    Number of Individuals Covered639
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $8,072
    Total amount of fees paid to insurance companyUSD $0
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedSUPP. LIFE, DEPENDENT LIFE, AD&D
    Welfare Benefit Premiums Paid to CarrierUSD $53,813
    Commission paid to Insurance BrokerUSD $7,476
    Insurance broker organization code?3
    Insurance broker nameWILLS FARGO INSURANCE SERVICES
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSOK601119
    Policy instance 2
    Insurance contract or identification numberSOK601119
    Insurance policy start date2015-06-01
    Insurance policy end date2016-05-31
    Total amount of commissions paid to insurance brokerUSD $795
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedVOLUNTARY AD&D
    Welfare Benefit Premiums Paid to CarrierUSD $5,294
    Commission paid to Insurance BrokerUSD $129
    Insurance broker organization code?3
    Insurance broker nameNORTHWESTERN BENEFIT CORP OF GA
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSGM601879
    Policy instance 1
    Insurance contract or identification numberSGM601879
    Number of Individuals Covered589
    Insurance policy start date2014-06-01
    Insurance policy end date2015-05-31
    Total amount of commissions paid to insurance brokerUSD $4,086
    Total amount of fees paid to insurance companyUSD $0
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedSUPP. LIFE, DEPENDENT LIFE, AD&D
    Welfare Benefit Premiums Paid to CarrierUSD $27,241
    Commission paid to Insurance BrokerUSD $4,086
    Insurance broker organization code?3
    Insurance broker nameWELLS FARGO INSURANCE SER
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSOK601119
    Policy instance 2
    Insurance contract or identification numberSOK601119
    Number of Individuals Covered118
    Insurance policy start date2014-06-01
    Insurance policy end date2015-05-31
    Total amount of commissions paid to insurance brokerUSD $456
    Total amount of fees paid to insurance companyUSD $0
    Other welfare benefits providedVOLUNTARY AD&D
    Welfare Benefit Premiums Paid to CarrierUSD $3,039
    Commission paid to Insurance BrokerUSD $456
    Insurance broker organization code?3
    Insurance broker nameWELLS FARGO INSURANCE SER
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSGM601879
    Policy instance 1
    Insurance contract or identification numberSGM601879
    Number of Individuals Covered545
    Insurance policy start date2013-06-01
    Insurance policy end date2014-05-31
    Total amount of commissions paid to insurance brokerUSD $5,151
    Total amount of fees paid to insurance companyUSD $695
    Life Insurance Welfare BenefitYes
    Other welfare benefits providedSUPP. LIFE, DEPENDENT LIFE, AD&D
    Welfare Benefit Premiums Paid to CarrierUSD $34,341
    Commission paid to Insurance BrokerUSD $5,151
    Amount paid for insurance broker fees695
    Additional information about fees paid to insurance brokerSALES & SERVICE
    Insurance broker organization code?3
    Insurance broker nameWELLS FARGO INSURANCE SER
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSOK601119
    Policy instance 2
    Insurance contract or identification numberSOK601119
    Number of Individuals Covered89
    Insurance policy start date2013-06-01
    Insurance policy end date2014-05-31
    Total amount of commissions paid to insurance brokerUSD $537
    Total amount of fees paid to insurance companyUSD $91
    Other welfare benefits providedVOLUNTARY AD&D
    Welfare Benefit Premiums Paid to CarrierUSD $3,582
    Commission paid to Insurance BrokerUSD $537
    Amount paid for insurance broker fees91
    Additional information about fees paid to insurance brokerSALES & SERVICE
    Insurance broker organization code?3
    Insurance broker nameWELLS FARGO INSURANCE SER
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSGM601879
    Policy instance 1
    Insurance contract or identification numberSGM601879
    Number of Individuals Covered266
    Insurance policy start date2012-06-01
    Insurance policy end date2013-05-31
    Total amount of commissions paid to insurance brokerUSD $5,889
    Total amount of fees paid to insurance companyUSD $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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 CarrierUSD $39,258
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
    Commission paid to Insurance BrokerUSD $5,889
    Insurance broker organization code?3
    Insurance broker nameWELLS FARGO INSURANCE SERVICES
    LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
    Policy contract numberSGM601879
    Policy instance 1
    Insurance contract or identification numberSGM601879
    Number of Individuals Covered261
    Insurance policy start date2011-06-01
    Insurance policy end date2012-05-31
    Total amount of commissions paid to insurance brokerUSD $5,779
    Total amount of fees paid to insurance companyUSD $669
    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 planNo
    Contracts With Unallocated Funds Deposit Administration0
    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 BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 CarrierUSD $38,525
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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