401k Plan data: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP plan

HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 401k Plan overview

Plan Name	HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP
Plan identification number	501

HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

DENTONS US LLP has sponsored the creation of one or more 401k plans.

Company Name: DENTONS US LLP

Employer identification number (EIN): 361796730

NAIC Classification: 541110
NAIC Description: Offices of Lawyers

Additional information about DENTONS US LLP

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2010-06-28

Company Identification Number: 603025407

Legal Registered Office Address: 5600 34TH AVE SW

SEATTLE
United States of America (USA)
981260000

More information about DENTONS US LLP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 TODD BOLHOUSE KATHARINA BABICH 2016-10-11
501 2013-01-01 TODD BOLHOUSE KATHARINA BABICH 2014-07-28
501 2012-01-01 TODD BOLHOUSE KATHARINA BABICH 2013-10-14
501 2011-01-01 JOYCE MARSALEK FRANK VANDERPLOEG 2012-07-27
501 2009-01-01 JENNIFER CAPEWELL FRANK VANDERPLOEG 2010-10-12
501 2009-01-01 FRANK VANDERPLOEG 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	TODD BOLHOUSE	KATHARINA BABICH	2016-10-11
501	2013-01-01	TODD BOLHOUSE	KATHARINA BABICH	2014-07-28
501	2012-01-01	TODD BOLHOUSE	KATHARINA BABICH	2013-10-14
501	2011-01-01	JOYCE MARSALEK	FRANK VANDERPLOEG	2012-07-27
501	2009-01-01	JENNIFER CAPEWELL	FRANK VANDERPLOEG	2010-10-12
501	2009-01-01		FRANK VANDERPLOEG	2010-10-11

Plan Statistics for HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP

401k plan membership statisitcs for HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP

Measure Date Value
2015: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,029
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
2013: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,144
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2012 401k membership
Total participants, beginning-of-year 2012-01-01 995
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,144
Total of all active and inactive participants 2012-01-01 1,144
Total participants 2012-01-01 1,144
2011: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2011 401k membership
Total participants, beginning-of-year 2011-01-01 994
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 995
Total of all active and inactive participants 2011-01-01 995
Total participants 2011-01-01 995
2009: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,176
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,106
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1,106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,106

Measure	Date	Value
2015: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,029
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2013: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,144
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2012 401k membership
Total participants, beginning-of-year	2012-01-01	995
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,144
Total of all active and inactive participants	2012-01-01	1,144
Total participants	2012-01-01	1,144
2011: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2011 401k membership
Total participants, beginning-of-year	2011-01-01	994
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	995
Total of all active and inactive participants	2011-01-01	995
Total participants	2011-01-01	995
2009: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,176
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,106
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,106

Form 5500 Responses for HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP

2015: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	This submission is the final filing	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	This submission is the final filing	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: HEALTH AND WELFARE PLAN FOR EMPLOYEES OF MCKENNA LONG & ALDRIDGE LLP 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

353807

Policy instance

Insurance contract or identification number	353807
Number of Individuals Covered	47
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $696,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

GL578

Policy instance

Insurance contract or identification number	GL578
Number of Individuals Covered	40
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,963
Other welfare benefits provided	CRITICAL ILLNESS/ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $40,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,271
Insurance broker organization code?	3
Insurance broker name	PATRICIA GAIL LEES

KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )

Policy contract number

5119

Policy instance

Insurance contract or identification number	5119
Number of Individuals Covered	49
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $8,257
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $224,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,257
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS, LLC

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )

Policy contract number

GTU 5466511

Policy instance

Insurance contract or identification number	GTU 5466511
Number of Individuals Covered	585
Insurance policy start date	2015-02-01
Insurance policy end date	2015-12-31
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $33,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

0105907

Policy instance

Insurance contract or identification number	0105907
Number of Individuals Covered	1329
Insurance policy start date	2015-01-01
Insurance policy end date	2015-06-30
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $366,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

602637

Policy instance

Insurance contract or identification number	602637
Number of Individuals Covered	21
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,356
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $151,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,356
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS, LLC

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )

Policy contract number

107825

Policy instance

Insurance contract or identification number	107825
Number of Individuals Covered	81
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $17,479
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $493,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,479
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS, LLC

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

9705401

Policy instance

Insurance contract or identification number	9705401
Number of Individuals Covered	914
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $8,039
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $78,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,039
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH &BENEFITS, LLC

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

718016

Policy instance

Insurance contract or identification number	718016
Number of Individuals Covered	954
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of fees paid to insurance company	USD $34,948
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,519,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	34948
Additional information about fees paid to insurance broker	SERVICE FEE AGREEMENT
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFITS, LLC

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H64513

Policy instance

Insurance contract or identification number	H64513
Number of Individuals Covered	756
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $72,990
Total amount of fees paid to insurance company	USD $7,009
Dental Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,105,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $50,889
Amount paid for insurance broker fees	7009
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	GARRY LYNN JOHNSON

ATLANTIC SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 27154 )

Policy contract number

212-000-051

Policy instance

Insurance contract or identification number	212-000-051
Number of Individuals Covered	843
Insurance policy start date	2015-01-01
Insurance policy end date	2015-01-31
Total amount of commissions paid to insurance broker	USD $386
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $3,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $386
Insurance broker organization code?	3
Insurance broker name	MERCER HEALTH & BENEFIT, LLC

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

209780 0001

Policy instance

Insurance contract or identification number	209780 0001
Number of Individuals Covered	1132
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $2,544
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $544,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,544
Insurance broker organization code?	3
Insurance broker name	AON CONSULTING - CHICAGO

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

209780 0001

Policy instance

Insurance contract or identification number	209780 0001
Number of Individuals Covered	1144
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $747,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

59267

Policy instance

Insurance contract or identification number	59267
Number of Individuals Covered	968
Insurance policy start date	2010-05-01
Insurance policy end date	2011-04-30
Total amount of commissions paid to insurance broker	USD $17,019
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $243,123
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 number

G-308116

Policy instance

Insurance contract or identification number	G-308116
Number of Individuals Covered	406
Insurance policy start date	2010-09-01
Insurance policy end date	2011-08-31
Total amount of commissions paid to insurance broker	USD $52,969
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $353,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

59267

Policy instance

Insurance contract or identification number	59267
Number of Individuals Covered	968
Insurance policy start date	2009-05-01
Insurance policy end date	2010-04-30
Total amount of commissions paid to insurance broker	USD $17,568
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $250,966
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 number

G-308116

Policy instance

Insurance contract or identification number	G-308116
Number of Individuals Covered	433
Insurance policy start date	2009-09-01
Insurance policy end date	2010-08-31
Total amount of commissions paid to insurance broker	USD $50,627
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $337,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	DENTONS US LLP
Employer identification number (EIN):	361796730
NAIC Classification:	541110
NAIC Description:	Offices of Lawyers

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2010-06-28
Company Identification Number:	603025407
Legal Registered Office Address:	5600 34TH AVE SW SEATTLE United States of America (USA) 981260000