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ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN 401k Plan overview

Plan NameADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN
Plan identification number 502

ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

ADAPTIVE GROUP HOLDINGS LLC has sponsored the creation of one or more 401k plans.

Company Name:ADAPTIVE GROUP HOLDINGS LLC
Employer identification number (EIN):472890102
NAIC Classification:551112
NAIC Description:Offices of Other Holding Companies

Additional information about ADAPTIVE GROUP HOLDINGS LLC

Jurisdiction of Incorporation: Indiana Secretary of State
Incorporation Date:
Company Identification Number: 014123000583

More information about ADAPTIVE GROUP HOLDINGS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-08-01
5022016-08-01BETH TOURNEY-SHELTON

Plan Statistics for ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN

401k plan membership statisitcs for ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN

Measure Date Value
2017: ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01127
Total number of active participants reported on line 7a of the Form 55002017-08-010
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-010
2016: ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01109
Total number of active participants reported on line 7a of the Form 55002016-08-01107
Total of all active and inactive participants2016-08-01107

Form 5500 Responses for ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN

2017: ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingYes
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: ADAPTIVE GROUP HOLDINGS LLC EMPLOYEE DENTAL PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number665026
Policy instance 1
Insurance contract or identification number665026
Number of Individuals Covered140
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $5,412
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $50,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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