401k Plan data: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN plan

ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 401k Plan overview

Plan Name	ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN
Plan identification number	502

ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

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

Company Name: ORAMETRIX, INC.

Employer identification number (EIN): 752792132

NAIC Classification: 339110

Additional information about ORAMETRIX, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1998-12-29

Company Identification Number: 0012440606

Legal Registered Office Address: 2350 CAMPBELL CREEK BLVD STE 400

RICHARDSON
United States of America (USA)
75082

More information about ORAMETRIX, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2014-01-01 JAY WIDDIG
502 2013-01-01 JAY WIDDIG
502 2012-01-01 JAY WIDDIG
502 2011-01-01 JAY WIDDIG
502 2010-01-01 JAY WIDDIG
502 2009-01-01 JAY WIDDIG
502 2008-01-01

Plan Statistics for ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN

401k plan membership statisitcs for ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN

Measure Date Value
2014: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 93
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
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 0
2013: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 93
Total of all active and inactive participants 2013-01-01 93
Total participants 2013-01-01 0
2012: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 112
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 102
Total of all active and inactive participants 2012-01-01 102
Total participants 2012-01-01 0
2011: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 112
Total of all active and inactive participants 2011-01-01 112
Total participants 2011-01-01 112
2010: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 106
Total of all active and inactive participants 2010-01-01 106
Total participants 2010-01-01 106
2009: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 102
Total of all active and inactive participants 2009-01-01 102
Total participants 2009-01-01 102

Measure	Date	Value
2014: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	93
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
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	0
2013: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	93
Total of all active and inactive participants	2013-01-01	93
Total participants	2013-01-01	0
2012: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	112
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	102
Total of all active and inactive participants	2012-01-01	102
Total participants	2012-01-01	0
2011: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	112
Total of all active and inactive participants	2011-01-01	112
Total participants	2011-01-01	112
2010: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	106
Total of all active and inactive participants	2010-01-01	106
Total participants	2010-01-01	106
2009: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	102
Total of all active and inactive participants	2009-01-01	102
Total participants	2009-01-01	102

Form 5500 Responses for ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN

2014: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: ORAMETRIX, INC. GROUP DENTAL INSURANCE PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	First time form 5500 has been submitted	Yes
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

225566

Policy instance

Insurance contract or identification number	225566
Number of Individuals Covered	86
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,588
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
Welfare Benefit Premiums Paid to Carrier	USD $75,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,588
Insurance broker organization code?	3
Insurance broker name	MC & H LIFE AGENCY INC

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

225566

Policy instance

Insurance contract or identification number	225566
Number of Individuals Covered	93
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $8,032
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $80,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,032
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	MC & H LIFE AGENCY INC

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

Policy contract number

KM05756221

Policy instance

Insurance contract or identification number	KM05756221
Number of Individuals Covered	401
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $13,594
Total amount of fees paid to insurance company	USD $198
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $136,376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,594
Amount paid for insurance broker fees	198
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	MC & H LIFE AGENCY INC

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

Policy contract number

KM05756221

Policy instance

Insurance contract or identification number	KM05756221
Number of Individuals Covered	482
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $11,593
Total amount of fees paid to insurance company	USD $2,319
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $117,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

KM05756221

Policy instance

Insurance contract or identification number	KM05756221
Number of Individuals Covered	106
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $9,295
Total amount of fees paid to insurance company	USD $1,859
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $93,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,295
Amount paid for insurance broker fees	1859
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	MC & H LIFE AGENCY INC

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Company Name:	ORAMETRIX, INC.
Employer identification number (EIN):	752792132
NAIC Classification:	339110

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1998-12-29
Company Identification Number:	0012440606
Legal Registered Office Address:	2350 CAMPBELL CREEK BLVD STE 400 RICHARDSON United States of America (USA) 75082

Plan id#	Filing Submission Date	Name of Administrator
502	2014-01-01	JAY WIDDIG
502	2013-01-01	JAY WIDDIG
502	2012-01-01	JAY WIDDIG
502	2011-01-01	JAY WIDDIG
502	2010-01-01	JAY WIDDIG
502	2009-01-01	JAY WIDDIG
502	2008-01-01