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PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 401k Plan overview

Plan NamePDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL
Plan identification number 504

PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

PDG, PA has sponsored the creation of one or more 401k plans.

Company Name:PDG, PA
Employer identification number (EIN):411854946
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-01-01HOLLY MEYERS2020-05-05
5042019-01-01HOLLY MEYERS2021-07-16
5042018-01-01HOLLY MEYERS2019-09-17
5042017-01-01HOLLY MEYERS HOLLY MEYERS2018-06-13
5042016-01-01HOLLY MEYERS HOLLY MEYERS2017-07-21
5042015-01-01MARY SELLNER MARY SELLNER2016-06-24

Plan Statistics for PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL

401k plan membership statisitcs for PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL

Measure Date Value
2019: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2019 401k membership
Total participants, beginning-of-year2019-01-01283
Total number of active participants reported on line 7a of the Form 55002019-01-01304
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 participants2019-01-01304
Number of employers contributing to the scheme2019-01-010
2018: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2018 401k membership
Total participants, beginning-of-year2018-01-01309
Total number of active participants reported on line 7a of the Form 55002018-01-01283
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 participants2018-01-01283
Number of employers contributing to the scheme2018-01-010
2017: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2017 401k membership
Total participants, beginning-of-year2017-01-01287
Total number of active participants reported on line 7a of the Form 55002017-01-01309
Number of retired or separated participants receiving benefits2017-01-010
Total of all active and inactive participants2017-01-01309
2016: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2016 401k membership
Total participants, beginning-of-year2016-01-01257
Total number of active participants reported on line 7a of the Form 55002016-01-01291
Number of retired or separated participants receiving benefits2016-01-012
Total of all active and inactive participants2016-01-01293
2015: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2015 401k membership
Total participants, beginning-of-year2015-01-01171
Total number of active participants reported on line 7a of the Form 55002015-01-01208
Total of all active and inactive participants2015-01-01208

Form 5500 Responses for PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL

2019: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: PDG, PA/DENTAL SPECIALST OF MINNESOTA PA VISION PL 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number99197211001
Policy instance 1
Insurance contract or identification number99197211001
Number of Individuals Covered714
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,441
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,441
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number99197211001
Policy instance 1
Insurance contract or identification number99197211001
Number of Individuals Covered665
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,766
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,766
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number99197211001
Policy instance 1
Insurance contract or identification number99197211001
Number of Individuals Covered485
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,347
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,347
Insurance broker organization code?3
Insurance broker nameRJF A MARSH AND MCLENNAN AGENCY LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9919721
Policy instance 1
Insurance contract or identification number9919721
Number of Individuals Covered400
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,532
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,532
Insurance broker organization code?3
Insurance broker nameRJF A MARSH AND MCLENNAN AGENCY LLC

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