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FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 401k Plan overview

Plan NameFRATERNAL ORDER OF POLICE DENTAL & VISION PLAN
Plan identification number 501

FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

FRATERNAL ORDER OF POLICE 69 has sponsored the creation of one or more 401k plans.

Company Name:FRATERNAL ORDER OF POLICE 69
Employer identification number (EIN):310738818
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01DANIEL J HILS2020-09-24
5012018-01-01DAN HILS2019-10-15
5012017-01-01DAN HILS
5012016-01-01DAN HILS
5012015-01-01DAN HILS
5012014-01-01KATHLEEN HARRELL
5012013-01-01KATHLEEN HARRELL
5012012-01-01KATHLEEN HARRELL
5012011-01-01KATHLEEN HARRELL
5012009-01-01GEORGE PILLE
5012009-01-01GEORGE PILLE
5012009-01-01KATHLEEN HARRELL

Plan Statistics for FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN

401k plan membership statisitcs for FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN

Measure Date Value
2019: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,030
Total number of active participants reported on line 7a of the Form 55002019-01-011,018
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,018
2018: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,064
Total number of active participants reported on line 7a of the Form 55002018-01-011,030
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,030
2017: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,057
Total number of active participants reported on line 7a of the Form 55002017-01-011,064
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,064
2016: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,017
Total number of active participants reported on line 7a of the Form 55002016-01-011,057
Number of retired or separated participants receiving benefits2016-01-01654
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,711
2015: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,021
Total number of active participants reported on line 7a of the Form 55002015-01-011,017
Number of retired or separated participants receiving benefits2015-01-01658
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,675
2014: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01964
Total number of active participants reported on line 7a of the Form 55002014-01-011,021
Number of retired or separated participants receiving benefits2014-01-01676
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,697
2013: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01994
Total number of active participants reported on line 7a of the Form 55002013-01-01964
Number of retired or separated participants receiving benefits2013-01-01683
Total of all active and inactive participants2013-01-011,647
2012: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,102
Total number of active participants reported on line 7a of the Form 55002012-01-01994
Number of retired or separated participants receiving benefits2012-01-01671
Total of all active and inactive participants2012-01-011,665
2011: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,102
Total number of active participants reported on line 7a of the Form 55002011-01-011,102
Number of retired or separated participants receiving benefits2011-01-01636
Total of all active and inactive participants2011-01-011,738
2009: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,167
Total number of active participants reported on line 7a of the Form 55002009-01-011,117
Number of retired or separated participants receiving benefits2009-01-01742
Total of all active and inactive participants2009-01-011,859

Form 5500 Responses for FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN

2019: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: FRATERNAL ORDER OF POLICE DENTAL & VISION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNT00738-10001
Policy instance 2
Insurance contract or identification numberNT00738-10001
Number of Individuals Covered1030
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,254
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $100,416
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,254
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12022963
Policy instance 1
Insurance contract or identification number12022963
Number of Individuals Covered1069
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNT00738-10001
Policy instance 3
Insurance contract or identification numberNT00738-10001
Number of Individuals Covered1031
Insurance policy start date2018-12-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,074
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $8,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,074
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered1034
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
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 number00542915
Policy instance 1
Insurance contract or identification number00542915
Number of Individuals Covered1032
Insurance policy start date2018-01-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $11,599
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $142,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,599
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered1057
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Insurance policy start date2017-01-01
Insurance policy end date2017-01-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerN/A 3
Insurance broker nameJOHN L CIPOLLA
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered1029
Insurance policy start date2017-01-01
Insurance policy end date2017-10-31
Dental Insurance Welfare BenefitYes
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 number000VP869
Policy instance 4
Insurance contract or identification number000VP869
Number of Individuals Covered1061
Insurance policy start date2017-11-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,392
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,392
Insurance broker nameARTHUR W KUBE
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered1014
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered1017
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Number of Individuals Covered1675
Insurance policy start date2015-09-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $4,308
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,308
Additional information about fees paid to insurance brokerN/A 3
Insurance broker nameJOHN L CIPOLLA
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Number of Individuals Covered1697
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerN/A 3
Insurance broker nameJOHN L CIPOLLA
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered1017
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered1021
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered964
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Number of Individuals Covered1647
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $5,115
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,115
Additional information about fees paid to insurance brokerN/A 3
Insurance broker nameJOHN L CIPOLLA
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered962
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Number of Individuals Covered1665
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $3,636
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,636
Additional information about fees paid to insurance brokerN/A 3
Insurance broker nameJOHN L CIPOLLA
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered991
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered994
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered1091
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Number of Individuals Covered1780
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered1102
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE PLUS, INC. (National Association of Insurance Commissioners NAIC id number: 96265 )
Policy contract number1054201
Policy instance 1
Insurance contract or identification number1054201
Number of Individuals Covered1091
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001008259400000
Policy instance 3
Insurance contract or identification number001008259400000
Number of Individuals Covered1780
Insurance policy start date2009-09-01
Insurance policy end date2010-08-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12022963
Policy instance 2
Insurance contract or identification number12022963
Number of Individuals Covered1102
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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