401k Plan data: EATELCORP, LLC DENTAL PLAN plan

EATELCORP, LLC DENTAL PLAN 401k Plan overview

Plan Name	EATELCORP, LLC DENTAL PLAN
Plan identification number	598

EATELCORP, LLC DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

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

Company Name: EATELCORP, INC.

Employer identification number (EIN): 720969641

NAIC Classification: 221300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EATELCORP, LLC DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
598 2016-01-01 LEANNA MCGEE
598 2016-01-01 LEANNA MCGEE
598 2015-01-01 PETER LOUVIERE
598 2014-01-01 PETER LOUVIERE
598 2013-01-01 PETER LOUVIERE PETER LOUVIERE 2014-07-31

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
598	2016-01-01	LEANNA MCGEE
598	2016-01-01	LEANNA MCGEE
598	2015-01-01	PETER LOUVIERE
598	2014-01-01	PETER LOUVIERE
598	2013-01-01	PETER LOUVIERE	PETER LOUVIERE	2014-07-31

Plan Statistics for EATELCORP, LLC DENTAL PLAN

401k plan membership statisitcs for EATELCORP, LLC DENTAL PLAN

Measure Date Value
2016: EATELCORP, LLC DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 378
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 301
Number of retired or separated participants receiving benefits 2016-01-01 21
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 322
2015: EATELCORP, LLC DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 399
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 349
Number of retired or separated participants receiving benefits 2015-01-01 23
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 372
2014: EATELCORP, LLC DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 319
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 292
Number of retired or separated participants receiving benefits 2014-01-01 31
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 323
2013: EATELCORP, LLC DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 169
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 159
Number of retired or separated participants receiving benefits 2013-01-01 12
Total of all active and inactive participants 2013-01-01 171
Total participants 2013-01-01 171

Measure	Date	Value
2016: EATELCORP, LLC DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	378
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	301
Number of retired or separated participants receiving benefits	2016-01-01	21
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	322
2015: EATELCORP, LLC DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	399
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	349
Number of retired or separated participants receiving benefits	2015-01-01	23
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	372
2014: EATELCORP, LLC DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	319
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	292
Number of retired or separated participants receiving benefits	2014-01-01	31
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	323
2013: EATELCORP, LLC DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	169
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	159
Number of retired or separated participants receiving benefits	2013-01-01	12
Total of all active and inactive participants	2013-01-01	171
Total participants	2013-01-01	171

Form 5500 Responses for EATELCORP, LLC DENTAL PLAN

2016: EATELCORP, LLC DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: EATELCORP, LLC 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: EATELCORP, LLC 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: EATELCORP, LLC DENTAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
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

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

16841

Policy instance

Insurance contract or identification number	16841
Number of Individuals Covered	914
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $34,479
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $344,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,474
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL MIDWEST LTD

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

16841

Policy instance

Insurance contract or identification number	16841
Number of Individuals Covered	740
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $28,214
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 $282,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,214
Insurance broker organization code?	3
Insurance broker name	HUB INTERNATIONAL GULF SOUTH

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05987319

Policy instance

Insurance contract or identification number	KM05987319
Number of Individuals Covered	171
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $17,809
Total amount of fees paid to insurance company	USD $1,970
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
Welfare Benefit Premiums Paid to Carrier	USD $163,070
Amount paid for insurance broker fees	1970
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $17,809
Insurance broker name	HUB INTERNATIONAL MIDWEST LIMITED

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Company Name:	EATELCORP, INC.
Employer identification number (EIN):	720969641
NAIC Classification:	221300