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DENTAL ACQUISITION GROUP CAFETERIA PLAN 401k Plan overview

Plan NameDENTAL ACQUISITION GROUP CAFETERIA PLAN
Plan identification number 501

DENTAL ACQUISITION GROUP CAFETERIA PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

DENTAL ACQUISITION GROUP has sponsored the creation of one or more 401k plans.

Company Name:DENTAL ACQUISITION GROUP
Employer identification number (EIN):812932094
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENTAL ACQUISITION GROUP CAFETERIA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01OPAL ANDERSON2023-12-14
5012021-02-01DR. ROHIT REDDY2022-11-02
5012020-02-01DR. ROHIT REDDY2021-11-08
5012019-02-01DR. ROHIT REDDY2020-08-27

Plan Statistics for DENTAL ACQUISITION GROUP CAFETERIA PLAN

401k plan membership statisitcs for DENTAL ACQUISITION GROUP CAFETERIA PLAN

Measure Date Value
2022: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-01217
Total number of active participants reported on line 7a of the Form 55002022-02-010
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-010
Number of employers contributing to the scheme2022-02-010
2021: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01431
Total number of active participants reported on line 7a of the Form 55002021-02-01212
Number of retired or separated participants receiving benefits2021-02-015
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01217
2020: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01471
Total number of active participants reported on line 7a of the Form 55002020-02-01194
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01194
2019: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01136
Total number of active participants reported on line 7a of the Form 55002019-02-01256
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01256

Form 5500 Responses for DENTAL ACQUISITION GROUP CAFETERIA PLAN

2022: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Submission has been amendedYes
2022-02-01This submission is the final filingYes
2022-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – InsuranceYes
2021: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: DENTAL ACQUISITION GROUP CAFETERIA PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01First time form 5500 has been submittedYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number284277
Policy instance 1
Insurance contract or identification number284277
Number of Individuals Covered308
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $54,599
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,248
Amount paid for insurance broker fees0
Insurance broker organization code?3
QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS02436-20
Policy instance 1
Insurance contract or identification numberLGS02436-20
Number of Individuals Covered208
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $363,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number284277
Policy instance 1
Insurance contract or identification number284277
Number of Individuals Covered289
Insurance policy start date2020-02-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $31,414
Total amount of fees paid to insurance companyUSD $2,216
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,414
Insurance broker organization code?3
Amount paid for insurance broker fees2216
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS02436-20
Policy instance 2
Insurance contract or identification numberLGS02436-20
Number of Individuals Covered406
Insurance policy start date2020-11-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number284277
Policy instance 1
Insurance contract or identification number284277
Number of Individuals Covered256
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $32,514
Total amount of fees paid to insurance companyUSD $1,365
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,463
Insurance broker organization code?3
Amount paid for insurance broker fees1365

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