RETRO STUDIOS, INC. DENTAL PLAN 401k Plan overview
| Plan Name | RETRO STUDIOS, INC. DENTAL PLAN |
| Plan identification number | 503 |
RETRO STUDIOS, INC. DENTAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | |
401k Sponsoring company profile
RETRO STUDIOS, INC. has sponsored the creation of one or more 401k plans.
| Company Name: | RETRO STUDIOS, INC. |
| Employer identification number (EIN): | 742893197 |
| NAIC Classification: | 511210 |
| NAIC Description: | Software Publishers |
Additional information about RETRO STUDIOS, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1998-10-01 |
| Company Identification Number: | 0150720500 |
| Legal Registered Office Address: |
12345 N LAMAR BLVD STE 300
AUSTIN
United States of America (USA)
78753
|
More information about RETRO STUDIOS, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan RETRO STUDIOS, INC. DENTAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2021-04-01 | MICHAEL KELBAUGH | 2022-10-19 | | |
| 503 | 2020-04-01 | MICHAEL KELBAUGH | 2021-09-03 | | |
Plan Statistics for RETRO STUDIOS, INC. DENTAL PLAN
401k plan membership statisitcs for RETRO STUDIOS, INC. DENTAL PLAN
| Measure | Date | Value |
|---|
| 2021: RETRO STUDIOS, INC. DENTAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-04-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-04-01 | 120 |
| Number of retired or separated participants receiving benefits | 2021-04-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2021-04-01 | 1 |
| Total of all active and inactive participants | 2021-04-01 | 123 |
| Number of employers contributing to the scheme | 2021-04-01 | 0 |
| 2020: RETRO STUDIOS, INC. DENTAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-04-01 | 112 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 120 |
| Number of retired or separated participants receiving benefits | 2020-04-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2020-04-01 | 0 |
| Total of all active and inactive participants | 2020-04-01 | 122 |
| Number of employers contributing to the scheme | 2020-04-01 | 0 |
Form 5500 Responses for RETRO STUDIOS, INC. DENTAL PLAN
| 2021: RETRO STUDIOS, INC. DENTAL PLAN 2021 form 5500 responses |
|---|
| 2021-04-01 | Type of plan entity | Single employer plan |
| 2021-04-01 | Plan funding arrangement – Insurance | Yes |
| 2021-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: RETRO STUDIOS, INC. DENTAL PLAN 2020 form 5500 responses |
|---|
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | First time form 5500 has been submitted | Yes |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 291172 |
| Policy instance | 1 |
| Insurance contract or identification number | 291172 | | Number of Individuals Covered | 259 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $55,617 | | Total amount of fees paid to insurance company | USD $1,800 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,141,812 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $55,617 | | Amount paid for insurance broker fees | 1800 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 625569 |
| Policy instance | 1 |
| Insurance contract or identification number | 625569 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $12,939 | | Total amount of fees paid to insurance company | USD $6,117 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $138,193 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,939 | | Amount paid for insurance broker fees | 6117 | | Additional information about fees paid to insurance broker | BENEFIT ADVISOR FEES INCENTIVE COMPENSATION | | Insurance broker organization code? | 3 |
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