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MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 401k Plan overview

Plan NameMARRIOTT INTERNATIONAL, INC. DENTAL PLAN
Plan identification number 521

MARRIOTT INTERNATIONAL, INC. DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

MARRIOTT INTERNATIONAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:MARRIOTT INTERNATIONAL, INC.
Employer identification number (EIN):522055918
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARRIOTT INTERNATIONAL, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5212017-01-01JUDY FENNIMORE, VP BENEFITS CAROLYN HANDLON, EXEC VP TREASURER2018-10-09
5212016-01-01TRACEY BALLOW, SR VP COMP BENEFIT CAROLYN HANDLON, EXEC VP TREASURER2017-10-09
5212015-01-01TRACEY BALLOW, SR VP COMP BENEFIT CAROLYN HANDLON, EXEC VP TREASURER2016-10-10
5212014-01-01TRACEY BALLOW, SR VP COMP BENEFIT CAROLYN HANDLON, EXEC VP TREASURER2015-10-07
5212013-01-01TRACEY BALLOW, SR VP COMP BENEFIT CAROLYN HANDLON, EXEC VP TREASURER2014-10-02
5212012-01-01TRACEY BALLOW, SR VP COMP BENEFIT CAROLYN HANDLON, EXEC VP TREASURER2013-10-03
5212009-01-01TRACEY BALLOW, SR VP COMP BENEFIT CAROLYN HANDLON, EXEC VP TREASURER2010-10-01

Plan Statistics for MARRIOTT INTERNATIONAL, INC. DENTAL PLAN

401k plan membership statisitcs for MARRIOTT INTERNATIONAL, INC. DENTAL PLAN

Measure Date Value
2017: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0160,824
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0161,302
Total number of active participants reported on line 7a of the Form 55002016-01-0158,037
Number of retired or separated participants receiving benefits2016-01-01356
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0158,393
2015: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0161,144
Total number of active participants reported on line 7a of the Form 55002015-01-0156,720
Number of retired or separated participants receiving benefits2015-01-01323
Total of all active and inactive participants2015-01-0157,043
2014: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0159,140
Total number of active participants reported on line 7a of the Form 55002014-01-0158,082
Number of retired or separated participants receiving benefits2014-01-01476
Total of all active and inactive participants2014-01-0158,558
2013: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0161,865
Total number of active participants reported on line 7a of the Form 55002013-01-0158,629
Number of retired or separated participants receiving benefits2013-01-01511
Total of all active and inactive participants2013-01-0159,140
2012: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0163,736
Total number of active participants reported on line 7a of the Form 55002012-01-0161,486
Number of retired or separated participants receiving benefits2012-01-01379
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0161,865
2009: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0166,999
Total number of active participants reported on line 7a of the Form 55002009-01-0162,516
Number of retired or separated participants receiving benefits2009-01-011,176
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0163,692

Financial Data on MARRIOTT INTERNATIONAL, INC. DENTAL PLAN

Measure Date Value
2016 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,672,966
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$5,131,916
Total income from all sources (including contributions)2016-12-31$38,500,997
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$38,500,997
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$36,540,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$38,500,974
Value of total assets at end of year2016-12-31$4,672,966
Value of total assets at beginning of year2016-12-31$5,131,916
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,960,239
Total interest from all sources2016-12-31$23
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$72,500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$25,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$16,521,602
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$4,042,469
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$4,373,094
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$105,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$117,100
Administrative expenses (other) incurred2016-12-31$474,134
Liabilities. Value of operating payables at end of year2016-12-31$80,401
Liabilities. Value of operating payables at beginning of year2016-12-31$71,000
Total non interest bearing cash at end of year2016-12-31$630,497
Total non interest bearing cash at beginning of year2016-12-31$756,114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$0
Value of net assets at end of year (total assets less liabilities)2016-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,708
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,708
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$23
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,183,457
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$21,979,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$35,357,301
Contract administrator fees2016-12-31$1,413,605
Liabilities. Value of benefit claims payable at end of year2016-12-31$4,487,065
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$4,943,816
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31SB & COMPANY, LLC
Accountancy firm EIN2016-12-31202153727
2015 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$5,131,916
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,553,100
Total income from all sources (including contributions)2015-12-31$37,481,891
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$37,481,891
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$35,409,919
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$37,481,884
Value of total assets at end of year2015-12-31$5,131,916
Value of total assets at beginning of year2015-12-31$4,553,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,071,972
Total interest from all sources2015-12-31$7
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$64,275
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$25,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$16,731,029
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$4,373,094
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3,831,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$117,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$132,600
Administrative expenses (other) incurred2015-12-31$643,998
Liabilities. Value of operating payables at end of year2015-12-31$71,000
Liabilities. Value of operating payables at beginning of year2015-12-31$71,104
Total non interest bearing cash at end of year2015-12-31$756,114
Total non interest bearing cash at beginning of year2015-12-31$720,497
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$0
Value of net assets at end of year (total assets less liabilities)2015-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,708
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,428
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,428
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$7
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,173,611
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$20,750,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$34,236,308
Contract administrator fees2015-12-31$1,363,699
Liabilities. Value of benefit claims payable at end of year2015-12-31$4,943,816
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$4,349,396
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31SB & COMPANY, LLC
Accountancy firm EIN2015-12-31202153727
2014 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,553,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,559,690
Total income from all sources (including contributions)2014-12-31$37,739,398
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$37,739,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$36,024,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$37,739,388
Value of total assets at end of year2014-12-31$4,553,100
Value of total assets at beginning of year2014-12-31$4,559,690
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,715,110
Total interest from all sources2014-12-31$10
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$79,829
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$25,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$17,042,220
Participant contributions at beginning of year2014-12-31$187,070
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3,831,175
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,748,620
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$132,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,582,822
Administrative expenses (other) incurred2014-12-31$520,073
Liabilities. Value of operating payables at end of year2014-12-31$71,104
Liabilities. Value of operating payables at beginning of year2014-12-31$53,641
Total non interest bearing cash at end of year2014-12-31$720,497
Total non interest bearing cash at beginning of year2014-12-31$432,643
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$0
Value of net assets at end of year (total assets less liabilities)2014-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,428
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$4,287
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$10
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,354,630
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$20,697,168
Employer contributions (assets) at beginning of year2014-12-31$187,070
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$34,669,658
Contract administrator fees2014-12-31$1,115,208
Liabilities. Value of benefit claims payable at end of year2014-12-31$4,349,396
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,923,227
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SB & COMPANY, LLC
Accountancy firm EIN2014-12-31202153727
2013 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,559,690
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,375,869
Total income from all sources (including contributions)2013-12-31$36,613,532
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$36,613,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$34,388,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$36,613,523
Value of total assets at end of year2013-12-31$4,559,690
Value of total assets at beginning of year2013-12-31$4,375,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,224,690
Total interest from all sources2013-12-31$9
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$49,907
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$25,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$17,587,738
Participant contributions at end of year2013-12-31$187,070
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,748,620
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$3,726,636
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,582,822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$2,234,699
Administrative expenses (other) incurred2013-12-31$1,025,545
Liabilities. Value of operating payables at end of year2013-12-31$53,641
Liabilities. Value of operating payables at beginning of year2013-12-31$256,363
Total non interest bearing cash at end of year2013-12-31$432,643
Total non interest bearing cash at beginning of year2013-12-31$646,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$0
Value of net assets at end of year (total assets less liabilities)2013-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,287
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,242
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,242
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$9
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$19,025,785
Employer contributions (assets) at end of year2013-12-31$187,070
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$34,388,842
Contract administrator fees2013-12-31$1,149,238
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,923,227
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,884,807
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SB & COMPANY, LLC
Accountancy firm EIN2013-12-31202153727
2012 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$4,375,869
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,976,370
Total income from all sources (including contributions)2012-12-31$34,607,806
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$34,607,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$32,746,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$34,607,780
Value of total assets at end of year2012-12-31$4,375,869
Value of total assets at beginning of year2012-12-31$3,976,370
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,861,765
Total interest from all sources2012-12-31$26
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$71,219
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$17,077,192
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$3,726,636
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$3,573,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$2,234,699
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$2,221,212
Administrative expenses (other) incurred2012-12-31$661,926
Liabilities. Value of operating payables at end of year2012-12-31$256,363
Liabilities. Value of operating payables at beginning of year2012-12-31$39,405
Total non interest bearing cash at end of year2012-12-31$646,991
Total non interest bearing cash at beginning of year2012-12-31$399,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$0
Value of net assets at end of year (total assets less liabilities)2012-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,242
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,367
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$26
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$17,530,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$32,746,041
Contract administrator fees2012-12-31$1,128,620
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,884,807
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,715,753
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BAZILIO COBB ASSOCIATES
Accountancy firm EIN2012-12-31521563500
2011 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,976,370
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,891,369
Total income from all sources (including contributions)2011-12-31$35,800,904
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$35,800,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$34,080,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$35,800,871
Value of total assets at end of year2011-12-31$3,976,370
Value of total assets at beginning of year2011-12-31$3,891,369
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,720,368
Total interest from all sources2011-12-31$33
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$41,637
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$18,503,288
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$3,573,830
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$3,265,584
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$2,221,212
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,997,941
Administrative expenses (other) incurred2011-12-31$458,056
Liabilities. Value of operating payables at end of year2011-12-31$39,405
Liabilities. Value of operating payables at beginning of year2011-12-31$39,255
Total non interest bearing cash at end of year2011-12-31$399,173
Total non interest bearing cash at beginning of year2011-12-31$624,076
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$0
Value of net assets at end of year (total assets less liabilities)2011-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,367
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,709
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,709
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$33
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$17,297,583
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$34,080,536
Contract administrator fees2011-12-31$1,220,675
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,715,753
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,854,173
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BAZILIO COBB ASSOCIATES
Accountancy firm EIN2011-12-31521563500
2010 : MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,891,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,258,220
Total income from all sources (including contributions)2010-12-31$34,102,092
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$34,102,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$32,320,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$34,102,032
Value of total assets at end of year2010-12-31$3,891,369
Value of total assets at beginning of year2010-12-31$4,258,220
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,782,007
Total interest from all sources2010-12-31$60
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$43,005
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$16,607,513
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$3,265,584
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$3,470,536
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,997,941
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$2,422,795
Administrative expenses (other) incurred2010-12-31$518,796
Liabilities. Value of operating payables at end of year2010-12-31$39,255
Liabilities. Value of operating payables at beginning of year2010-12-31$34,628
Total non interest bearing cash at end of year2010-12-31$624,076
Total non interest bearing cash at beginning of year2010-12-31$653,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$0
Value of net assets at end of year (total assets less liabilities)2010-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,709
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$134,014
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$134,014
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$60
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$17,494,519
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$32,320,085
Contract administrator fees2010-12-31$1,220,206
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,854,173
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,800,797
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31THOMPSON, COBB, BAZILIO & ASSOCIATE
Accountancy firm EIN2010-12-31521563500

Form 5500 Responses for MARRIOTT INTERNATIONAL, INC. DENTAL PLAN

2017: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2009: MARRIOTT INTERNATIONAL, INC. DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number374244
Policy instance 2
Insurance contract or identification number374244
Number of Individuals Covered614
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 $136,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2137
Policy instance 1
Insurance contract or identification number2137
Number of Individuals Covered4014
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 $1,136,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number374244
Policy instance 2
Insurance contract or identification number374244
Number of Individuals Covered660
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $151,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2137
Policy instance 1
Insurance contract or identification number2137
Number of Individuals Covered3691
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,022,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2137
Policy instance 1
Insurance contract or identification number2137
Number of Individuals Covered4606
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,188,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number374244
Policy instance 2
Insurance contract or identification number374244
Number of Individuals Covered713
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $166,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number374244
Policy instance 2
Insurance contract or identification number374244
Number of Individuals Covered846
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $193,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2137
Policy instance 1
Insurance contract or identification number2137
Number of Individuals Covered4766
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,161,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number374244
Policy instance 2
Insurance contract or identification number374244
Number of Individuals Covered410
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $208,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2137
Policy instance 1
Insurance contract or identification number2137
Number of Individuals Covered1874
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,205,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2137
Policy instance 1
Insurance contract or identification number2137
Number of Individuals Covered3298
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,990,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number374244
Policy instance 2
Insurance contract or identification number374244
Number of Individuals Covered440
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $179,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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