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WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 401k Plan overview

Plan NameWHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN
Plan identification number 506

WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

WHITE RIVER HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name:WHITE RIVER HEALTH SYSTEM, INC.
Employer identification number (EIN):710411459
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01LINDSEY CASTLEBERRY
5062021-01-01LINDSEY CASTLEBERRY2022-07-12
5062020-01-01LINDSEY CASTLEBERRY2021-09-01
5062019-01-01LINDSEY CASTLEBERRY2020-09-23
5062018-01-01
5062017-01-01
5062016-01-01LINDSEY CASTLEBERRY2019-02-01
5062015-01-01LINDSEY CASTLEBERRY2019-02-01
5062014-01-01
5062013-01-01
5062012-01-01
5062011-01-01
5062010-01-01
5062009-01-01
5062008-01-01
5062007-10-01
5062006-10-01

Plan Statistics for WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN

401k plan membership statisitcs for WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN

Measure Date Value
2022: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,118
Total number of active participants reported on line 7a of the Form 55002022-01-011,153
Total of all active and inactive participants2022-01-011,153
2021: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,128
Total number of active participants reported on line 7a of the Form 55002021-01-011,118
Total of all active and inactive participants2021-01-011,118
2020: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,251
Total number of active participants reported on line 7a of the Form 55002020-01-011,128
Total of all active and inactive participants2020-01-011,128
2019: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,243
Total number of active participants reported on line 7a of the Form 55002019-01-011,251
Total of all active and inactive participants2019-01-011,251
2018: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01805
Total number of active participants reported on line 7a of the Form 55002018-01-011,243
Total of all active and inactive participants2018-01-011,243
2017: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,227
Total number of active participants reported on line 7a of the Form 55002017-01-011,260
Total of all active and inactive participants2017-01-011,260
2016: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,148
Total number of active participants reported on line 7a of the Form 55002016-01-011,227
Total of all active and inactive participants2016-01-011,227
2015: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,067
Total number of active participants reported on line 7a of the Form 55002015-01-011,148
Total of all active and inactive participants2015-01-011,148
2014: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,098
Total number of active participants reported on line 7a of the Form 55002014-01-011,067
Total of all active and inactive participants2014-01-011,067
2013: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,125
Total number of active participants reported on line 7a of the Form 55002013-01-011,098
Total of all active and inactive participants2013-01-011,098
2012: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,138
Total number of active participants reported on line 7a of the Form 55002012-01-011,125
Total of all active and inactive participants2012-01-011,125
2011: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,157
Total number of active participants reported on line 7a of the Form 55002011-01-011,138
Total of all active and inactive participants2011-01-011,138
2010: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,120
Total number of active participants reported on line 7a of the Form 55002010-01-011,157
Total of all active and inactive participants2010-01-011,157
2009: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,079
Total number of active participants reported on line 7a of the Form 55002009-01-011,120
Total of all active and inactive participants2009-01-011,120
2008: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-01904
Total number of active participants reported on line 7a of the Form 55002008-01-011,079
Total of all active and inactive participants2008-01-011,079
2007: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2007 401k membership
Total participants, beginning-of-year2007-10-01904
Total number of active participants reported on line 7a of the Form 55002007-10-01904
Total of all active and inactive participants2007-10-01904
2006: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2006 401k membership
Total participants, beginning-of-year2006-10-01805
Total number of active participants reported on line 7a of the Form 55002006-10-01805
Total of all active and inactive participants2006-10-01805

Form 5500 Responses for WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN

2022: WHITE RIVER HEALTH SYSTEM GROUP 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: WHITE RIVER HEALTH SYSTEM GROUP 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: WHITE RIVER HEALTH SYSTEM GROUP 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: WHITE RIVER HEALTH SYSTEM GROUP 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: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: WHITE RIVER HEALTH SYSTEM GROUP 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 filingNo
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 benefit arrangement – InsuranceYes
2016: WHITE RIVER HEALTH SYSTEM GROUP 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 benefit arrangement – InsuranceYes
2015: WHITE RIVER HEALTH SYSTEM GROUP 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 benefit arrangement – InsuranceYes
2014: WHITE RIVER HEALTH SYSTEM GROUP 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 benefit arrangement – InsuranceYes
2013: WHITE RIVER HEALTH SYSTEM GROUP 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 benefit arrangement – InsuranceYes
2012: WHITE RIVER HEALTH SYSTEM GROUP 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 benefit arrangement – InsuranceYes
2011: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: WHITE RIVER HEALTH SYSTEM GROUP 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 benefit arrangement – InsuranceYes
2008: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2007 form 5500 responses
2007-10-01Type of plan entitySingle employer plan
2007-10-01Submission has been amendedNo
2007-10-01This submission is the final filingNo
2007-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2007-10-01Plan is a collectively bargained planNo
2007-10-01Plan funding arrangement – InsuranceYes
2007-10-01Plan benefit arrangement – InsuranceYes
2006: WHITE RIVER HEALTH SYSTEM GROUP DENTAL PLAN 2006 form 5500 responses
2006-10-01Type of plan entitySingle employer plan
2006-10-01First time form 5500 has been submittedYes
2006-10-01Submission has been amendedNo
2006-10-01This submission is the final filingNo
2006-10-01This return/report is a short plan year return/report (less than 12 months)No
2006-10-01Plan is a collectively bargained planNo
2006-10-01Plan funding arrangement – InsuranceYes
2006-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000000650
Policy instance 1
Insurance contract or identification number000000650
Number of Individuals Covered2803
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,918
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $600,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,918
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000000650
Policy instance 1
Insurance contract or identification number000000650
Number of Individuals Covered2769
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,910
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $615,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,910
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000000650
Policy instance 1
Insurance contract or identification number000000650
Number of Individuals Covered2765
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,048
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $512,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,048
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number000000650
Policy instance 1
Insurance contract or identification number000000650
Number of Individuals Covered3102
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,414
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 $2,414
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered3146
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,146
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 $2,146
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered3223
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,166
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
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered2666
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,664
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 $1,664
Insurance broker organization code?3
Insurance broker nameCHIP RAYFORD
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered2749
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,898
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 $1,898
Insurance broker organization code?3
Insurance broker nameCHIP RAYFORD
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number47155
Policy instance 1
Insurance contract or identification number47155
Number of Individuals Covered2785
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
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered2816
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,429
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 $1,429
Insurance broker organization code?3
Insurance broker nameCHIP RAYFORD
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered2832
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $278
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 $278
Insurance broker organization code?3
Insurance broker nameCHIP RAYFORD
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered2723
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Number of Individuals Covered2600
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Insurance policy start date2007-10-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 47155 )
Policy contract number0650
Policy instance 1
Insurance contract or identification number0650
Insurance policy end date2007-09-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes

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