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ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 401k Plan overview

Plan NameROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN
Plan identification number 505

ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

ROBERTS COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROBERTS COMPANY, INC.
Employer identification number (EIN):720719149
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-11-01
5052020-11-01
5052019-11-01
5052018-11-01
5052017-11-01
5052016-11-01FORREST ROBERTS
5052015-11-01FORREST ROBERTS
5052014-11-01FORREST ROBERTS
5052013-11-01FORREST ROBERTS
5052012-11-01FORREST ROBERTS
5052011-11-01FORREST ROBERTS
5052010-11-01FORREST ROBERTS
5052009-11-01FORREST ROBERTS

Plan Statistics for ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN

401k plan membership statisitcs for ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN

Measure Date Value
2021: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01307
Total number of active participants reported on line 7a of the Form 55002021-11-01311
Total of all active and inactive participants2021-11-01311
2020: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01265
Total number of active participants reported on line 7a of the Form 55002020-11-01307
Total of all active and inactive participants2020-11-01307
2019: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01244
Total number of active participants reported on line 7a of the Form 55002019-11-01265
Total of all active and inactive participants2019-11-01265
2018: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01232
Total number of active participants reported on line 7a of the Form 55002018-11-01244
Total of all active and inactive participants2018-11-01244
2017: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01231
Total number of active participants reported on line 7a of the Form 55002017-11-01232
Total of all active and inactive participants2017-11-01232
2016: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01192
Total number of active participants reported on line 7a of the Form 55002016-11-01231
Total of all active and inactive participants2016-11-01231
2015: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01179
Total number of active participants reported on line 7a of the Form 55002015-11-01192
Total of all active and inactive participants2015-11-01192
2014: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01174
Total number of active participants reported on line 7a of the Form 55002014-11-01179
Total of all active and inactive participants2014-11-01179
2013: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01174
Total number of active participants reported on line 7a of the Form 55002013-11-01202
Total of all active and inactive participants2013-11-01202
2012: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01162
Total number of active participants reported on line 7a of the Form 55002012-11-01174
Total of all active and inactive participants2012-11-01174
Total participants2012-11-010
2011: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01143
Total number of active participants reported on line 7a of the Form 55002011-11-01162
Total of all active and inactive participants2011-11-01162
Total participants2011-11-01162
2010: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-01132
Total number of active participants reported on line 7a of the Form 55002010-11-01143
Total of all active and inactive participants2010-11-01143
Total participants2010-11-01143
2009: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01128
Total number of active participants reported on line 7a of the Form 55002009-11-01132
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-01132
Total participants2009-11-01132

Form 5500 Responses for ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN

2021: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – General assets of the sponsorYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Plan funding arrangement – General assets of the sponsorYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2010: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – General assets of the sponsorYes
2010-11-01Plan benefit arrangement – InsuranceYes
2009: ROBERTS COMPANY, INC. VOLUNTARY GROUP DENTAL PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – General assets of the sponsorYes
2009-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136420808
Policy instance 1
Insurance contract or identification number136420808
Number of Individuals Covered311
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $10,875
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,751
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,875
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136420808
Policy instance 1
Insurance contract or identification number136420808
Number of Individuals Covered307
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $10,188
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,188
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136420808
Policy instance 1
Insurance contract or identification number136420808
Number of Individuals Covered265
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $8,901
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,901
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136420808
Policy instance 1
Insurance contract or identification number136420808
Number of Individuals Covered244
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $8,706
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,706
Insurance broker organization code?3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5486461
Policy instance 1
Insurance contract or identification number5486461
Number of Individuals Covered232
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $4,129
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,553
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number230032
Policy instance 1
Insurance contract or identification number230032
Number of Individuals Covered179
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $3,042
Total amount of fees paid to insurance companyUSD $0
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 $66,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,042
Insurance broker organization code?3
Insurance broker nameBANCORPSOUTH INSURANCE SERVICES INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number230032
Policy instance 1
Insurance contract or identification number230032
Number of Individuals Covered202
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $3,647
Total amount of fees paid to insurance companyUSD $0
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 $76,577
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,647
Insurance broker organization code?3
Insurance broker nameBANCORPSOUTH INS SERV
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number230032
Policy instance 1
Insurance contract or identification number230032
Number of Individuals Covered174
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $991
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $991
Insurance broker organization code?3
Insurance broker nameBANCORPSOUTH INSURANCE SERVICES INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number454-2282-00
Policy instance 2
Insurance contract or identification number454-2282-00
Number of Individuals Covered168
Insurance policy start date2012-11-01
Insurance policy end date2013-11-01
Total amount of commissions paid to insurance brokerUSD $2,933
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,933
Insurance broker organization code?3
Insurance broker nameBANCORPSOUTH INS SERV
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number454-2282-00
Policy instance 1
Insurance contract or identification number454-2282-00
Number of Individuals Covered162
Insurance policy start date2011-11-01
Insurance policy end date2012-11-01
Total amount of commissions paid to insurance brokerUSD $4,396
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number454-2282-00
Policy instance 1
Insurance contract or identification number454-2282-00
Number of Individuals Covered143
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $3,216
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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