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PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 401k Plan overview

Plan NamePRISM SPECTRUM HOLDING, LLC - DENTAL PLANS
Plan identification number 502

PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

PRISM SPECTRUM HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name:PRISM SPECTRUM HOLDINGS, LLC
Employer identification number (EIN):811000401
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-10-01ROSS WACHOWSKI2022-04-20
5022019-10-01ROSS WACHOWSKI2021-03-19
5022018-10-01DAVID ROSS WACHOWSKI2020-06-10

Plan Statistics for PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS

401k plan membership statisitcs for PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS

Measure Date Value
2020: PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 2020 401k membership
Total participants, beginning-of-year2020-10-01262
Total number of active participants reported on line 7a of the Form 55002020-10-010
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-010
Number of employers contributing to the scheme2020-10-010
2019: PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 2019 401k membership
Total participants, beginning-of-year2019-10-01303
Total number of active participants reported on line 7a of the Form 55002019-10-01260
Number of retired or separated participants receiving benefits2019-10-011
Number of other retired or separated participants entitled to future benefits2019-10-011
Total of all active and inactive participants2019-10-01262
Number of employers contributing to the scheme2019-10-010
2018: PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 2018 401k membership
Total participants, beginning-of-year2018-10-01100
Total number of active participants reported on line 7a of the Form 55002018-10-01129
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01129
Number of employers contributing to the scheme2018-10-010

Form 5500 Responses for PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS

2020: PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01This submission is the final filingYes
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: PRISM SPECTRUM HOLDING, LLC - DENTAL PLANS 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01First time form 5500 has been submittedYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5965385
Policy instance 1
Insurance contract or identification number5965385
Number of Individuals Covered597
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $11,222
Total amount of fees paid to insurance companyUSD $4,093
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,222
Amount paid for insurance broker fees3972
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION ADDITIONAL COMPENSATION NON-MONETARY COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05965385
Policy instance 1
Insurance contract or identification numberTM05965385
Number of Individuals Covered646
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $11,574
Total amount of fees paid to insurance companyUSD $1,488
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,574
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number106664
Policy instance 1
Insurance contract or identification number106664
Number of Individuals Covered272
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $6,506
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,506
Amount paid for insurance broker fees0
Insurance broker organization code?3

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