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CV INDUSTRIES, INC. DENTAL PLAN 401k Plan overview

Plan NameCV INDUSTRIES, INC. DENTAL PLAN
Plan identification number 504

CV INDUSTRIES, INC. DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

CV INDUSTRIES INC has sponsored the creation of one or more 401k plans.

Company Name:CV INDUSTRIES INC
Employer identification number (EIN):561043374
NAIC Classification:313000
NAIC Description: Textile Mills

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CV INDUSTRIES, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01KELLY ANDERSEN2023-07-28
5042021-01-01KELLY ANDERSEN2022-07-29
5042020-01-01CATHERINE PRITCHARD2021-07-28
5042019-01-01JANET KUCK2020-07-30
5042018-01-01JANET KUCK2019-07-28
5042017-01-01
5042016-01-01
5042015-01-01SYNDER GARRISON SNYDER GARRISON2016-07-25
5042014-01-01SNYDER GARRISON SNYDER GARRISON2015-10-13
5042013-01-01RICHARD REESE RICHARD REESE2014-09-29
5042012-01-01RICHARD REESE RICHARD REESE2013-10-11
5042011-01-01RICHARD REESE RICHARD REESE2012-10-10
5042009-01-01RICHARD REESE RICHARD REESE2010-09-08

Plan Statistics for CV INDUSTRIES, INC. DENTAL PLAN

401k plan membership statisitcs for CV INDUSTRIES, INC. DENTAL PLAN

Measure Date Value
2022: CV INDUSTRIES, INC. DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01447
Total number of active participants reported on line 7a of the Form 55002022-01-01439
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01441
2021: CV INDUSTRIES, INC. DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01478
Total number of active participants reported on line 7a of the Form 55002021-01-01447
Number of retired or separated participants receiving benefits2021-01-015
Total of all active and inactive participants2021-01-01452
2020: CV INDUSTRIES, INC. DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01561
Total number of active participants reported on line 7a of the Form 55002020-01-01478
Total of all active and inactive participants2020-01-01478
2019: CV INDUSTRIES, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01500
Total number of active participants reported on line 7a of the Form 55002019-01-01561
Total of all active and inactive participants2019-01-01561
2018: CV INDUSTRIES, INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01539
Total number of active participants reported on line 7a of the Form 55002018-01-01500
Total of all active and inactive participants2018-01-01500
2017: CV INDUSTRIES, INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01523
Total number of active participants reported on line 7a of the Form 55002017-01-01539
Total of all active and inactive participants2017-01-01539
2016: CV INDUSTRIES, INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01525
Total number of active participants reported on line 7a of the Form 55002016-01-01523
Total of all active and inactive participants2016-01-01523
2015: CV INDUSTRIES, INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01486
Total number of active participants reported on line 7a of the Form 55002015-01-01525
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01525
2014: CV INDUSTRIES, INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01484
Total number of active participants reported on line 7a of the Form 55002014-01-01486
Total of all active and inactive participants2014-01-01486
2013: CV INDUSTRIES, INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01893
Total number of active participants reported on line 7a of the Form 55002013-01-01484
Total of all active and inactive participants2013-01-01484
2012: CV INDUSTRIES, INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01874
Total number of active participants reported on line 7a of the Form 55002012-01-01887
Number of retired or separated participants receiving benefits2012-01-016
Total of all active and inactive participants2012-01-01893
2011: CV INDUSTRIES, INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01860
Total number of active participants reported on line 7a of the Form 55002011-01-01859
Number of retired or separated participants receiving benefits2011-01-0115
Total of all active and inactive participants2011-01-01874
2009: CV INDUSTRIES, INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,292
Total number of active participants reported on line 7a of the Form 55002009-01-01801
Number of retired or separated participants receiving benefits2009-01-0137
Number of other retired or separated participants entitled to future benefits2009-01-0137
Total of all active and inactive participants2009-01-01875

Form 5500 Responses for CV INDUSTRIES, INC. DENTAL PLAN

2022: CV INDUSTRIES, INC. DENTAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CV INDUSTRIES, INC. DENTAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CV INDUSTRIES, INC. DENTAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CV INDUSTRIES, INC. DENTAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CV INDUSTRIES, INC. DENTAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: CV INDUSTRIES, INC. DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CV INDUSTRIES, INC. DENTAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CV INDUSTRIES, INC. DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CV INDUSTRIES, INC. DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CV INDUSTRIES, INC. DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CV INDUSTRIES, INC. DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CV INDUSTRIES, INC. DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: CV INDUSTRIES, INC. DENTAL PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number0000848
Policy instance 1
Insurance contract or identification number0000848
Number of Individuals Covered636
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,855
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,855
Insurance broker organization code?3
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number0000848
Policy instance 1
Insurance contract or identification number0000848
Number of Individuals Covered684
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,227
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,227
Insurance broker organization code?3
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number0000848
Policy instance 1
Insurance contract or identification number0000848
Number of Individuals Covered742
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,970
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,970
Insurance broker organization code?3
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number0000848
Policy instance 1
Insurance contract or identification number0000848
Number of Individuals Covered822
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $16,827
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,827
Insurance broker organization code?3
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number0000848
Policy instance 1
Insurance contract or identification number0000848
Number of Individuals Covered810
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $17,135
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,441
Insurance broker organization code?3
Insurance broker nameJAMES A. SCOTT & SON, INC.
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number848
Policy instance 1
Insurance contract or identification number848
Number of Individuals Covered816
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,249
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,249
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameJUSTICE-CREWS INS AGENCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00040D011928 00
Policy instance 1
Insurance contract or identification number00040D011928 00
Number of Individuals Covered486
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,848
Total amount of fees paid to insurance companyUSD $8,167
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $216,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,848
Amount paid for insurance broker fees2743
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameBYNUM R TUTTLE JR
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00040D011928 00
Policy instance 1
Insurance contract or identification number00040D011928 00
Number of Individuals Covered484
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $17,358
Total amount of fees paid to insurance companyUSD $11,492
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $347,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,358
Amount paid for insurance broker fees2813
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameBYNUM R TUTTLE JR
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00040D011928 00
Policy instance 1
Insurance contract or identification number00040D011928 00
Number of Individuals Covered893
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $20,919
Total amount of fees paid to insurance companyUSD $12,502
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $418,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,919
Amount paid for insurance broker fees2042
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameBYNUM R TUTTLE JR
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00040D011928 00
Policy instance 1
Insurance contract or identification number00040D011928 00
Number of Individuals Covered874
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,521
Total amount of fees paid to insurance companyUSD $16,011
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $390,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number00040D011928 00
Policy instance 1
Insurance contract or identification number00040D011928 00
Number of Individuals Covered860
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $19,771
Total amount of fees paid to insurance companyUSD $20,651
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $395,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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