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LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 401k Plan overview

Plan NameLEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL
Plan identification number 502

LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

LEWIS DRUGS INC has sponsored the creation of one or more 401k plans.

Company Name:LEWIS DRUGS INC
Employer identification number (EIN):460212323
NAIC Classification:446110
NAIC Description:Pharmacies and Drug Stores

Additional information about LEWIS DRUGS INC

Jurisdiction of Incorporation: South Dakota Secretary of State
Incorporation Date:
Company Identification Number: DB005416

More information about LEWIS DRUGS INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01SCOTT CROSS2023-07-27 SCOTT CROSS2023-07-27
5022021-01-01SCOTT CROSS2022-07-12 SCOTT CROSS2022-07-12
5022020-01-01SCOTT CROSS2021-07-28 SCOTT CROSS2021-07-28
5022019-01-01SCOTT CROSS2020-07-22 SCOTT CROSS2020-07-22
5022018-01-01
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01
5022013-01-01
5022012-01-01SCOTT CROSS
5022011-01-01SCOTT CROSS
5022009-01-01SCOTT CROSS

Plan Statistics for LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL

401k plan membership statisitcs for LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL

Measure Date Value
2022: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2022 401k membership
Total participants, beginning-of-year2022-01-01304
Total number of active participants reported on line 7a of the Form 55002022-01-01307
Number of retired or separated participants receiving benefits2022-01-014
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01311
2021: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2021 401k membership
Total participants, beginning-of-year2021-01-01322
Total number of active participants reported on line 7a of the Form 55002021-01-01320
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-013
Total of all active and inactive participants2021-01-01326
2020: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2020 401k membership
Total participants, beginning-of-year2020-01-01301
Total number of active participants reported on line 7a of the Form 55002020-01-01327
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 participants2020-01-01327
2019: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2019 401k membership
Total participants, beginning-of-year2019-01-01324
Total number of active participants reported on line 7a of the Form 55002019-01-01323
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 participants2019-01-01323
2018: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2018 401k membership
Total participants, beginning-of-year2018-01-01308
Total number of active participants reported on line 7a of the Form 55002018-01-01316
Total of all active and inactive participants2018-01-01316
2017: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2017 401k membership
Total participants, beginning-of-year2017-01-01302
Total number of active participants reported on line 7a of the Form 55002017-01-01292
Number of retired or separated participants receiving benefits2017-01-016
Total of all active and inactive participants2017-01-01298
2016: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2016 401k membership
Total participants, beginning-of-year2016-01-01262
Total number of active participants reported on line 7a of the Form 55002016-01-01293
Total of all active and inactive participants2016-01-01293
2015: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2015 401k membership
Total participants, beginning-of-year2015-01-01257
Total number of active participants reported on line 7a of the Form 55002015-01-01263
Total of all active and inactive participants2015-01-01263
2014: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2014 401k membership
Total participants, beginning-of-year2014-01-01237
Total number of active participants reported on line 7a of the Form 55002014-01-01266
Total of all active and inactive participants2014-01-01266
2013: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2013 401k membership
Total participants, beginning-of-year2013-01-01214
Total number of active participants reported on line 7a of the Form 55002013-01-01237
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01239
2012: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2012 401k membership
Total participants, beginning-of-year2012-01-01213
Total number of active participants reported on line 7a of the Form 55002012-01-01204
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-01210
2011: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2011 401k membership
Total participants, beginning-of-year2011-01-01200
Total number of active participants reported on line 7a of the Form 55002011-01-01205
Total of all active and inactive participants2011-01-01205
2009: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2009 401k membership
Total participants, beginning-of-year2009-01-01204
Total number of active participants reported on line 7a of the Form 55002009-01-01199
Number of retired or separated participants receiving benefits2009-01-011
Total of all active and inactive participants2009-01-01200

Form 5500 Responses for LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL

2022: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 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: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 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: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 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: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: LEWIS DRUGS, INC. GROUP DENTAL PLAN - DELTA DENTAL 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2100
Policy instance 1
Insurance contract or identification number2100
Number of Individuals Covered651
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,697
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $314,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,697
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2100
Policy instance 1
Insurance contract or identification number2100
Number of Individuals Covered669
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,827
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $305,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,827
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2100
Policy instance 1
Insurance contract or identification number2100
Number of Individuals Covered676
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,766
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $298,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,766
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2100
Policy instance 1
Insurance contract or identification number2100
Number of Individuals Covered649
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,682
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $289,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,682
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2100
Policy instance 1
Insurance contract or identification number2100
Number of Individuals Covered626
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,214
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $245,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,214
Insurance broker organization code?3
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2100
Policy instance 1
Insurance contract or identification number2100
Number of Individuals Covered589
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,157
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $239,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,157
Insurance broker organization code?3
Insurance broker nameHOWALT MCDOWELL INSURANCE

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