401k Plan data: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN plan

YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 401k Plan overview

Plan Name	YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN
Plan identification number	502

YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

YAMAMOTO FB ENGINEERING has sponsored the creation of one or more 401k plans.

Company Name: YAMAMOTO FB ENGINEERING

Employer identification number (EIN): 611387130

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2018-01-01
502 2017-01-01
502 2016-01-01
502 2015-01-01
502 2014-01-01
502 2013-01-01

Plan Statistics for YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN

401k plan membership statisitcs for YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN

Measure Date Value
2018: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 203
Total of all active and inactive participants 2018-01-01 203
2017: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 243
Total of all active and inactive participants 2017-01-01 243
Total participants 2017-01-01 243
2016: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 247
Total of all active and inactive participants 2016-01-01 247
Total participants 2016-01-01 247
2015: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 157
Total of all active and inactive participants 2015-01-01 157
Total participants 2015-01-01 157
2014: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 343
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 201
Total of all active and inactive participants 2014-01-01 201
Total participants 2014-01-01 201
2013: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 343
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 343

Measure	Date	Value
2018: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	203
Total of all active and inactive participants	2018-01-01	203
2017: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	243
Total of all active and inactive participants	2017-01-01	243
Total participants	2017-01-01	243
2016: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	247
Total of all active and inactive participants	2016-01-01	247
Total participants	2016-01-01	247
2015: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	157
Total of all active and inactive participants	2015-01-01	157
Total participants	2015-01-01	157
2014: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	343
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	201
Total of all active and inactive participants	2014-01-01	201
Total participants	2014-01-01	201
2013: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	343
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	343

Form 5500 Responses for YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN

2018: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: YAMAMOTO FB ENGINEERING GROUP DENTAL 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: YAMAMOTO FB ENGINEERING GROUP DENTAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

683632

Policy instance

Insurance contract or identification number	683632
Number of Individuals Covered	203
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $9,538
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $95,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,538
Insurance broker organization code?	3

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

683632

Policy instance

Insurance contract or identification number	683632
Number of Individuals Covered	243
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $11,203
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $112,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,203
Insurance broker organization code?	3
Insurance broker name	EPIC INSURANCE SOLUTIONS, LLC

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

683632

Policy instance

Insurance contract or identification number	683632
Number of Individuals Covered	157
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $7,199
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,199
Insurance broker organization code?	3
Insurance broker name	EPIC INSURANCE SOLUTIONS, LLC

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

683632

Policy instance

Insurance contract or identification number	683632
Number of Individuals Covered	201
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,117
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $81,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,117
Insurance broker organization code?	3
Insurance broker name	EPIC INSURANCE SOLUTIONS, LLC

DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )

Policy contract number

069570

Policy instance

Insurance contract or identification number	069570
Number of Individuals Covered	343
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,819
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,819
Insurance broker organization code?	3
Insurance broker name	BB&T INSURANCE SERVICES, INC.

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Company Name:	YAMAMOTO FB ENGINEERING
Employer identification number (EIN):	611387130
NAIC Classification:	332900