AUGUSTA HEALTH CARE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN
401k plan membership statisitcs for AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN
| Measure | Date | Value |
|---|
| 2015: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 1,498 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| 2014: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 1,394 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,498 |
| Total of all active and inactive participants | 2014-01-01 | 1,498 |
| Total participants | 2014-01-01 | 1,498 |
| 2013: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 1,418 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,394 |
| Total of all active and inactive participants | 2013-01-01 | 1,394 |
| 2012: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 1,585 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,418 |
| Total of all active and inactive participants | 2012-01-01 | 1,418 |
| 2011: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 1,513 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,484 |
| Total of all active and inactive participants | 2011-01-01 | 1,484 |
| 2010: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 1,469 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 1,513 |
| Total of all active and inactive participants | 2010-01-01 | 1,513 |
| 2008: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-01-01 | 1,369 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-01-01 | 1,423 |
| Total of all active and inactive participants | 2008-01-01 | 1,423 |
| 2007: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-01-01 | 1,294 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-01-01 | 1,369 |
| Total of all active and inactive participants | 2007-01-01 | 1,369 |
| 2006: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-01-01 | 1,366 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-01-01 | 1,294 |
| Total of all active and inactive participants | 2006-01-01 | 1,294 |
| 2005: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-01-01 | 1,316 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-01-01 | 1,366 |
| Total of all active and inactive participants | 2005-01-01 | 1,366 |
| 2004: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-01-01 | 1,236 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-01-01 | 1,316 |
| Total of all active and inactive participants | 2004-01-01 | 1,316 |
| 2003: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-01-01 | 1,186 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-01-01 | 1,236 |
| Total of all active and inactive participants | 2003-01-01 | 1,236 |
| 2002: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-01-01 | 1,109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-01-01 | 1,186 |
| Total of all active and inactive participants | 2002-01-01 | 1,186 |
| 2001: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-01-01 | 1,033 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-01-01 | 1,109 |
| Total of all active and inactive participants | 2001-01-01 | 1,109 |
| 2000: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2000 401k membership |
|---|
| Total participants, beginning-of-year | 2000-01-01 | 967 |
| Total number of active participants reported on line 7a of the Form 5500 | 2000-01-01 | 1,033 |
| Total of all active and inactive participants | 2000-01-01 | 1,033 |
| 1999: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-01-01 | 921 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-01-01 | 967 |
| Total of all active and inactive participants | 1999-01-01 | 967 |
| 1998: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 1998 401k membership |
|---|
| Total number of active participants reported on line 7a of the Form 5500 | 1998-01-01 | 921 |
| Total of all active and inactive participants | 1998-01-01 | 921 |
| 2015: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | Yes |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2008 form 5500 responses |
|---|
| 2008-01-01 | Type of plan entity | Single employer plan |
| 2008-01-01 | Plan funding arrangement – Insurance | Yes |
| 2008-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2007 form 5500 responses |
|---|
| 2007-01-01 | Type of plan entity | Single employer plan |
| 2007-01-01 | Plan funding arrangement – Insurance | Yes |
| 2007-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2006 form 5500 responses |
|---|
| 2006-01-01 | Type of plan entity | Single employer plan |
| 2006-01-01 | Plan funding arrangement – Insurance | Yes |
| 2006-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2005 form 5500 responses |
|---|
| 2005-01-01 | Type of plan entity | Single employer plan |
| 2005-01-01 | Plan funding arrangement – Insurance | Yes |
| 2005-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2004 form 5500 responses |
|---|
| 2004-01-01 | Type of plan entity | Single employer plan |
| 2004-01-01 | Plan funding arrangement – Insurance | Yes |
| 2004-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2003 form 5500 responses |
|---|
| 2003-01-01 | Type of plan entity | Single employer plan |
| 2003-01-01 | Plan funding arrangement – Insurance | Yes |
| 2003-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2002 form 5500 responses |
|---|
| 2002-01-01 | Type of plan entity | Single employer plan |
| 2002-01-01 | Plan funding arrangement – Insurance | Yes |
| 2002-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2001 form 5500 responses |
|---|
| 2001-01-01 | Type of plan entity | Single employer plan |
| 2001-01-01 | Plan funding arrangement – Insurance | Yes |
| 2001-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 2000 form 5500 responses |
|---|
| 2000-01-01 | Type of plan entity | Single employer plan |
| 2000-01-01 | Plan funding arrangement – Insurance | Yes |
| 2000-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 1999 form 5500 responses |
|---|
| 1999-01-01 | Type of plan entity | Single employer plan |
| 1999-01-01 | Plan funding arrangement – Insurance | Yes |
| 1999-01-01 | Plan benefit arrangement – Insurance | Yes |
| 1998: AUGUSTA HEALTH CARE INC. PREPAID DENTAL CARE PLAN 1998 form 5500 responses |
|---|
| 1998-01-01 | Type of plan entity | Single employer plan |
| 1998-01-01 | First time form 5500 has been submitted | Yes |
| 1998-01-01 | Plan funding arrangement – Insurance | Yes |
| 1998-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $75,161 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $918,041 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $75,161 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1394 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $72,407 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $874,560 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $72,407 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1418 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $76,504 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $898,571 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $76,504 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1484 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $73,779 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $865,262 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1513 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $71,814 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $835,119 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1423 | | Insurance policy start date | 2008-01-01 | | Insurance policy end date | 2008-12-31 | | Total amount of commissions paid to insurance broker | USD $64,319 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $746,681 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $64,319 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1369 | | Insurance policy start date | 2007-01-01 | | Insurance policy end date | 2007-12-31 | | Total amount of commissions paid to insurance broker | USD $61,265 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $693,899 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,265 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 00006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 00006017 | | Number of Individuals Covered | 1294 | | Insurance policy start date | 2006-01-01 | | Insurance policy end date | 2006-12-31 | | Total amount of commissions paid to insurance broker | USD $58,944 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $650,199 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $58,944 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1366 | | Insurance policy start date | 2005-01-01 | | Insurance policy end date | 2005-12-31 | | Total amount of commissions paid to insurance broker | USD $56,080 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $623,950 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $56,080 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1316 | | Insurance policy start date | 2004-01-01 | | Insurance policy end date | 2004-12-31 | | Total amount of commissions paid to insurance broker | USD $51,183 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $594,649 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,183 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1236 | | Insurance policy start date | 2003-01-01 | | Insurance policy end date | 2003-12-31 | | Total amount of commissions paid to insurance broker | USD $47,581 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $528,933 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $47,581 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1186 | | Insurance policy start date | 2002-01-01 | | Insurance policy end date | 2002-12-31 | | Total amount of commissions paid to insurance broker | USD $41,697 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $472,916 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $41,697 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1109 | | Insurance policy start date | 2001-01-01 | | Insurance policy end date | 2001-12-31 | | Total amount of commissions paid to insurance broker | USD $36,938 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $404,286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36,938 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 1033 | | Insurance policy start date | 2000-01-01 | | Insurance policy end date | 2000-12-31 | | Total amount of commissions paid to insurance broker | USD $32,076 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $354,187 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,076 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 967 | | Insurance policy start date | 1999-01-01 | | Insurance policy end date | 1999-12-31 | | Total amount of commissions paid to insurance broker | USD $28,515 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $321,792 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,515 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
|
| DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 ) |
| Policy contract number | 000006017 |
| Policy instance | 1 |
| Insurance contract or identification number | 000006017 | | Number of Individuals Covered | 921 | | Insurance policy start date | 1998-01-01 | | Insurance policy end date | 1998-12-31 | | Total amount of commissions paid to insurance broker | USD $25,622 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $274,812 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,622 | | Insurance broker organization code? | 5 | | Insurance broker name | DELTA DENTAL OF VIRGINIA |
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