DELTA DENTAL OF WISCONSIN 401k Plan overview

DELTA DENTAL OF WISCONSIN Benefits

401k Sponsoring company profile

Company Name:	DELTA DENTAL OF WISCONSIN, INC.
Employer identification number (EIN):	396094742
NAIC Classification:	524290

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
508	2015-01-01	STACY MARTIN
508	2014-01-01	STACY MARTIN
508	2014-01-01	STACY MARTIN

Plan Statistics for DELTA DENTAL OF WISCONSIN

Measure	Date	Value
2015: DELTA DENTAL OF WISCONSIN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	96
Total of all active and inactive participants	2015-01-01	96
Total participants	2015-01-01	96
2014: DELTA DENTAL OF WISCONSIN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	79
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	102
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	102
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Form 5500 Responses for DELTA DENTAL OF WISCONSIN

Insurance Providers Used on plan

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