401k Plan data: WPS DENTAL HOURLY EMPLOYEES plan

WPS DENTAL HOURLY EMPLOYEES 401k Plan overview

Plan Name	WPS DENTAL HOURLY EMPLOYEES
Plan identification number	512

WPS DENTAL HOURLY EMPLOYEES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION

Employer identification number (EIN): 391268299

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WPS DENTAL HOURLY EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
512 2013-01-01 CRAIG CAMPBELL
512 2012-01-01 CRAIG R.CAMPBELL
512 2011-01-01 WILLIAM C.BEISENSTEIN
512 2010-01-01 WILLIAM C. BEISENSTEIN
512 2009-01-01 WILLIAM C. BEISENSTEIN

Plan id#	Filing Submission Date	Name of Administrator
512	2013-01-01	CRAIG CAMPBELL
512	2012-01-01	CRAIG R.CAMPBELL
512	2011-01-01	WILLIAM C.BEISENSTEIN
512	2010-01-01	WILLIAM C. BEISENSTEIN
512	2009-01-01	WILLIAM C. BEISENSTEIN

Plan Statistics for WPS DENTAL HOURLY EMPLOYEES

401k plan membership statisitcs for WPS DENTAL HOURLY EMPLOYEES

Measure Date Value
2013: WPS DENTAL HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,154
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: WPS DENTAL HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,205
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,144
Number of retired or separated participants receiving benefits 2012-01-01 10
Total of all active and inactive participants 2012-01-01 1,154
2011: WPS DENTAL HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,222
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,200
Number of retired or separated participants receiving benefits 2011-01-01 5
Total of all active and inactive participants 2011-01-01 1,205
2010: WPS DENTAL HOURLY EMPLOYEES 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,264
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,216
Number of retired or separated participants receiving benefits 2010-01-01 6
Total of all active and inactive participants 2010-01-01 1,222
2009: WPS DENTAL HOURLY EMPLOYEES 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,332
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,256
Number of retired or separated participants receiving benefits 2009-01-01 8
Total of all active and inactive participants 2009-01-01 1,264

Measure	Date	Value
2013: WPS DENTAL HOURLY EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,154
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: WPS DENTAL HOURLY EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,205
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,144
Number of retired or separated participants receiving benefits	2012-01-01	10
Total of all active and inactive participants	2012-01-01	1,154
2011: WPS DENTAL HOURLY EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,222
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,200
Number of retired or separated participants receiving benefits	2011-01-01	5
Total of all active and inactive participants	2011-01-01	1,205
2010: WPS DENTAL HOURLY EMPLOYEES 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,264
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,216
Number of retired or separated participants receiving benefits	2010-01-01	6
Total of all active and inactive participants	2010-01-01	1,222
2009: WPS DENTAL HOURLY EMPLOYEES 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,332
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,256
Number of retired or separated participants receiving benefits	2009-01-01	8
Total of all active and inactive participants	2009-01-01	1,264

Form 5500 Responses for WPS DENTAL HOURLY EMPLOYEES

2013: WPS DENTAL HOURLY EMPLOYEES 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: WPS DENTAL HOURLY EMPLOYEES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WPS DENTAL HOURLY EMPLOYEES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: WPS DENTAL HOURLY EMPLOYEES 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WPS DENTAL HOURLY EMPLOYEES 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION
Employer identification number (EIN):	391268299
NAIC Classification:	524140