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MILL CREEK ORAL MAXILLOFACIAL PLAN 401k Plan overview

Plan NameMILL CREEK ORAL MAXILLOFACIAL PLAN
Plan identification number 001

MILL CREEK ORAL MAXILLOFACIAL PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC. has sponsored the creation of one or more 401k plans.

Company Name:MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC.
Employer identification number (EIN):341109941
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILL CREEK ORAL MAXILLOFACIAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01CRAIG WAGLEY
0012016-01-01CRAIG WAGLEY
0012015-01-01CRAIG WAGLEY
0012014-01-01CRAIG WAGLEY
0012013-01-01MARK BILLY MARK BILLY2014-07-16
0012012-01-01MARK BILLY
0012011-01-01MARK BILLY
0012010-01-01DR. MARK L. BILLY2011-03-09

Plan Statistics for MILL CREEK ORAL MAXILLOFACIAL PLAN

401k plan membership statisitcs for MILL CREEK ORAL MAXILLOFACIAL PLAN

Measure Date Value
2022: MILL CREEK ORAL MAXILLOFACIAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0126
Total number of active participants reported on line 7a of the Form 55002022-01-0139
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0139
Number of participants with account balances2022-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: MILL CREEK ORAL MAXILLOFACIAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0120
Total number of active participants reported on line 7a of the Form 55002021-01-0126
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0126
Number of participants with account balances2021-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: MILL CREEK ORAL MAXILLOFACIAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0122
Total number of active participants reported on line 7a of the Form 55002020-01-0120
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0120
Number of participants with account balances2020-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MILL CREEK ORAL MAXILLOFACIAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0121
Total number of active participants reported on line 7a of the Form 55002019-01-0122
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 participants2019-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0122
Number of participants with account balances2019-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: MILL CREEK ORAL MAXILLOFACIAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0119
Total number of active participants reported on line 7a of the Form 55002018-01-0121
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 participants2018-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0121
Number of participants with account balances2018-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: MILL CREEK ORAL MAXILLOFACIAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117
Total number of active participants reported on line 7a of the Form 55002017-01-0119
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 participants2017-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0119
Number of participants with account balances2017-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MILL CREEK ORAL MAXILLOFACIAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0118
Total number of active participants reported on line 7a of the Form 55002016-01-0117
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0117
Number of participants with account balances2016-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MILL CREEK ORAL MAXILLOFACIAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0118
Total number of active participants reported on line 7a of the Form 55002015-01-0118
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0118
Number of participants with account balances2015-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MILL CREEK ORAL MAXILLOFACIAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0118
Total number of active participants reported on line 7a of the Form 55002014-01-0118
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0118
Number of participants with account balances2014-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MILL CREEK ORAL MAXILLOFACIAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0119
Total number of active participants reported on line 7a of the Form 55002013-01-0118
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0119
Number of participants with account balances2013-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: MILL CREEK ORAL MAXILLOFACIAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0118
Total number of active participants reported on line 7a of the Form 55002012-01-0118
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-0119
Number of participants with account balances2012-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MILL CREEK ORAL MAXILLOFACIAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0116
Total number of active participants reported on line 7a of the Form 55002011-01-0117
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0118
Number of participants with account balances2011-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on MILL CREEK ORAL MAXILLOFACIAL PLAN

Measure Date Value
2022 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2022 401k financial data
Total income from all sources2022-12-31$-522,808
Total plan assets at end of year2022-12-31$4,096,282
Total plan assets at beginning of year2022-12-31$4,619,090
Value of fidelity bond covering the plan2022-12-31$100,000
Total contributions received or receivable from participants2022-12-31$123,019
Other income received2022-12-31$-799,895
Net income (gross income less expenses)2022-12-31$-522,808
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,096,282
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$4,619,090
Total contributions received or receivable from employer(s)2022-12-31$154,068
2021 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2021 401k financial data
Total income from all sources2021-12-31$1,363,385
Expenses. Total of all expenses incurred2021-12-31$3,128,541
Benefits paid (including direct rollovers)2021-12-31$3,128,541
Total plan assets at end of year2021-12-31$4,619,090
Total plan assets at beginning of year2021-12-31$6,384,246
Value of fidelity bond covering the plan2021-12-31$100,000
Total contributions received or receivable from participants2021-12-31$119,580
Other income received2021-12-31$1,129,243
Net income (gross income less expenses)2021-12-31$-1,765,156
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,619,090
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$6,384,246
Total contributions received or receivable from employer(s)2021-12-31$114,562
2020 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2020 401k financial data
Total income from all sources2020-12-31$977,418
Expenses. Total of all expenses incurred2020-12-31$308,089
Benefits paid (including direct rollovers)2020-12-31$308,089
Total plan assets at end of year2020-12-31$6,384,246
Total plan assets at beginning of year2020-12-31$5,714,917
Value of fidelity bond covering the plan2020-12-31$100,000
Total contributions received or receivable from participants2020-12-31$116,266
Other income received2020-12-31$793,832
Net income (gross income less expenses)2020-12-31$669,329
Net plan assets at end of year (total assets less liabilities)2020-12-31$6,384,246
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$5,714,917
Total contributions received or receivable from employer(s)2020-12-31$67,320
2019 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2019 401k financial data
Total income from all sources2019-12-31$1,368,975
Total plan assets at end of year2019-12-31$5,714,917
Total plan assets at beginning of year2019-12-31$4,345,942
Value of fidelity bond covering the plan2019-12-31$100,000
Total contributions received or receivable from participants2019-12-31$118,523
Contributions received from other sources (not participants or employers)2019-12-31$18,414
Other income received2019-12-31$1,164,403
Net income (gross income less expenses)2019-12-31$1,368,975
Net plan assets at end of year (total assets less liabilities)2019-12-31$5,714,917
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,345,942
Total contributions received or receivable from employer(s)2019-12-31$67,635
2018 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2018 401k financial data
Total income from all sources2018-12-31$-228,086
Total plan assets at end of year2018-12-31$4,345,942
Total plan assets at beginning of year2018-12-31$4,574,028
Value of fidelity bond covering the plan2018-12-31$100,000
Total contributions received or receivable from participants2018-12-31$100,809
Other income received2018-12-31$-394,435
Net income (gross income less expenses)2018-12-31$-228,086
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,345,942
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,574,028
Total contributions received or receivable from employer(s)2018-12-31$65,540
2017 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2017 401k financial data
Total income from all sources2017-12-31$849,717
Total plan assets at end of year2017-12-31$4,574,028
Total plan assets at beginning of year2017-12-31$3,724,311
Value of fidelity bond covering the plan2017-12-31$100,000
Total contributions received or receivable from participants2017-12-31$105,249
Other income received2017-12-31$684,773
Net income (gross income less expenses)2017-12-31$849,717
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,574,028
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,724,311
Total contributions received or receivable from employer(s)2017-12-31$59,695
2016 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2016 401k financial data
Total income from all sources2016-12-31$464,143
Expenses. Total of all expenses incurred2016-12-31$64,724
Benefits paid (including direct rollovers)2016-12-31$64,724
Total plan assets at end of year2016-12-31$3,724,311
Total plan assets at beginning of year2016-12-31$3,324,892
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$108,318
Contributions received from other sources (not participants or employers)2016-12-31$1,129
Other income received2016-12-31$290,226
Net income (gross income less expenses)2016-12-31$399,419
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,724,311
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,324,892
Total contributions received or receivable from employer(s)2016-12-31$64,470
2015 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2015 401k financial data
Total income from all sources2015-12-31$257,772
Total plan assets at end of year2015-12-31$3,324,892
Total plan assets at beginning of year2015-12-31$3,067,120
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$96,245
Other income received2015-12-31$30,925
Net income (gross income less expenses)2015-12-31$257,772
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,324,892
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,067,120
Total contributions received or receivable from employer(s)2015-12-31$130,602
2014 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total income from all sources2014-12-31$364,256
Expenses. Total of all expenses incurred2014-12-31$11,169
Benefits paid (including direct rollovers)2014-12-31$11,169
Total plan assets at end of year2014-12-31$3,067,120
Total plan assets at beginning of year2014-12-31$2,714,033
Value of fidelity bond covering the plan2014-12-31$100,000
Total contributions received or receivable from participants2014-12-31$93,008
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$150,989
Net income (gross income less expenses)2014-12-31$353,087
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,067,120
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,714,033
Assets. Value of participant loans2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$120,259
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$705,476
Expenses. Total of all expenses incurred2013-12-31$0
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$2,714,033
Total plan assets at beginning of year2013-12-31$2,008,557
Value of fidelity bond covering the plan2013-12-31$100,000
Total contributions received or receivable from participants2013-12-31$92,004
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$498,235
Net income (gross income less expenses)2013-12-31$705,476
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,714,033
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,008,557
Assets. Value of participant loans2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$115,237
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
2012 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$442,931
Expenses. Total of all expenses incurred2012-12-31$249,025
Benefits paid (including direct rollovers)2012-12-31$249,000
Total plan assets at end of year2012-12-31$2,008,557
Total plan assets at beginning of year2012-12-31$1,814,651
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$93,189
Expenses. Other expenses not covered elsewhere2012-12-31$25
Contributions received from other sources (not participants or employers)2012-12-31$29,928
Other income received2012-12-31$235,755
Net income (gross income less expenses)2012-12-31$193,906
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,008,557
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,814,651
Assets. Value of participant loans2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$84,059
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : MILL CREEK ORAL MAXILLOFACIAL PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$77,314
Expenses. Total of all expenses incurred2011-12-31$61,053
Benefits paid (including direct rollovers)2011-12-31$61,003
Total plan assets at end of year2011-12-31$1,814,651
Total plan assets at beginning of year2011-12-31$1,798,390
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$80,022
Expenses. Other expenses not covered elsewhere2011-12-31$50
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-45,993
Net income (gross income less expenses)2011-12-31$16,261
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,814,651
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,798,390
Assets. Value of participant loans2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$43,285
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0

Form 5500 Responses for MILL CREEK ORAL MAXILLOFACIAL PLAN

2022: MILL CREEK ORAL MAXILLOFACIAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MILL CREEK ORAL MAXILLOFACIAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MILL CREEK ORAL MAXILLOFACIAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: MILL CREEK ORAL MAXILLOFACIAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: MILL CREEK ORAL MAXILLOFACIAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MILL CREEK ORAL MAXILLOFACIAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MILL CREEK ORAL MAXILLOFACIAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MILL CREEK ORAL MAXILLOFACIAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MILL CREEK ORAL MAXILLOFACIAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MILL CREEK ORAL MAXILLOFACIAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MILL CREEK ORAL MAXILLOFACIAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MILL CREEK ORAL MAXILLOFACIAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP-29475
Policy instance 1
Insurance contract or identification numberGP-29475
Number of Individuals Covered39
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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 numberGP-29475
Policy instance 1
Insurance contract or identification numberGP-29475
Number of Individuals Covered26
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,383
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,983
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP-29475
Policy instance 1
Insurance contract or identification numberGP-29475
Number of Individuals Covered20
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,362
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,362
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP-29475
Policy instance 1
Insurance contract or identification numberGP-29475
Number of Individuals Covered22
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $12,513
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,021
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP-29475
Policy instance 1
Insurance contract or identification numberGP-29475
Number of Individuals Covered19
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,173
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,173
Insurance broker organization code?4
Insurance broker namePURSHE KAPLAN STERLING INVESTM
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825946
Policy instance 1
Insurance contract or identification numberGA-825946
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,118
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,118
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY INS SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP-29475
Policy instance 2
Insurance contract or identification numberGP-29475
Number of Individuals Covered18
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $33,252
Total amount of fees paid to insurance companyUSD $7,911
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,252
Insurance broker organization code?4
Amount paid for insurance broker fees7500
Additional information about fees paid to insurance brokerTPA SUBSIDY
Insurance broker nameMORGAN STANLEY SMITH BARNEY LL
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825946
Policy instance 1
Insurance contract or identification numberGA-825946
Number of Individuals Covered18
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,438
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,438
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY INS SERVICES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825946
Policy instance 1
Insurance contract or identification numberGA-825946
Number of Individuals Covered19
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,676
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,676
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY INS SVCS INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825946
Policy instance 1
Insurance contract or identification numberGA-825946
Number of Individuals Covered19
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,753
Total amount of fees paid to insurance companyUSD $124
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,396
Insurance broker organization code?3
Amount paid for insurance broker fees99
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMORGANSTANLEY SMITHBARNEY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-825946
Policy instance 1
Insurance contract or identification numberGA-825946
Number of Individuals Covered18
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,831
Total amount of fees paid to insurance companyUSD $51
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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