401k Plan data: COMMUNITY OPTIONS INC. DENTAL PLAN plan

COMMUNITY OPTIONS INC. DENTAL PLAN 401k Plan overview

Plan Name	COMMUNITY OPTIONS INC. DENTAL PLAN
Plan identification number	502

COMMUNITY OPTIONS INC. DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

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

Company Name: COMMUNITY OPTIONS, INC.

Employer identification number (EIN): 911832569

NAIC Classification: 624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY OPTIONS INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2022-09-01 BRYAN WETCH 2023-06-05 BRYAN WETCH 2023-06-05
502 2021-09-01 BRYAN WETCH 2023-06-05 BRYAN WETCH 2023-06-05
502 2020-09-01 BRYAN WETCH 2022-01-27 BRYAN WETCH 2022-01-27
502 2019-09-01 BRYAN WETCH 2021-02-03 BRYAN WETCH 2021-02-03
502 2018-09-01 BRYAN WETCH 2019-12-16 BRYAN WETCH 2019-12-16
502 2017-09-01
502 2016-09-01
502 2015-09-01
502 2014-09-01
502 2013-09-01
502 2012-09-01 BRYAN WETCH
502 2011-09-01 BRYAN WETCH
502 2009-11-01 APRIL WILSON APRIL WILSON 2013-07-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2022-09-01	BRYAN WETCH	2023-06-05	BRYAN WETCH	2023-06-05
502	2021-09-01	BRYAN WETCH	2023-06-05	BRYAN WETCH	2023-06-05
502	2020-09-01	BRYAN WETCH	2022-01-27	BRYAN WETCH	2022-01-27
502	2019-09-01	BRYAN WETCH	2021-02-03	BRYAN WETCH	2021-02-03
502	2018-09-01	BRYAN WETCH	2019-12-16	BRYAN WETCH	2019-12-16
502	2017-09-01
502	2016-09-01
502	2015-09-01
502	2014-09-01
502	2013-09-01
502	2012-09-01	BRYAN WETCH
502	2011-09-01	BRYAN WETCH
502	2009-11-01	APRIL WILSON		APRIL WILSON	2013-07-01

Plan Statistics for COMMUNITY OPTIONS INC. DENTAL PLAN

401k plan membership statisitcs for COMMUNITY OPTIONS INC. DENTAL PLAN

Measure Date Value
2022: COMMUNITY OPTIONS INC. DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-09-01 168
Total number of active participants reported on line 7a of the Form 5500 2022-09-01 165
Total of all active and inactive participants 2022-09-01 165
2021: COMMUNITY OPTIONS INC. DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-09-01 145
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 168
Total of all active and inactive participants 2021-09-01 168
2020: COMMUNITY OPTIONS INC. DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-09-01 168
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 145
Total of all active and inactive participants 2020-09-01 145
2019: COMMUNITY OPTIONS INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 177
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 168
Total of all active and inactive participants 2019-09-01 168
2018: COMMUNITY OPTIONS INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 193
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 177
Total of all active and inactive participants 2018-09-01 177
2017: COMMUNITY OPTIONS INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 198
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 193
Total of all active and inactive participants 2017-09-01 193
2016: COMMUNITY OPTIONS INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 187
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 198
Total of all active and inactive participants 2016-09-01 198
2015: COMMUNITY OPTIONS INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 179
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 187
Total of all active and inactive participants 2015-09-01 187
2014: COMMUNITY OPTIONS INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 181
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 179
Total of all active and inactive participants 2014-09-01 179
2013: COMMUNITY OPTIONS INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 165
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 181
Total of all active and inactive participants 2013-09-01 181
2012: COMMUNITY OPTIONS INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 161
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 165
Total of all active and inactive participants 2012-09-01 165
2011: COMMUNITY OPTIONS INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 135
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 161
Total of all active and inactive participants 2011-09-01 161
2009: COMMUNITY OPTIONS INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-11-01 119
Total number of active participants reported on line 7a of the Form 5500 2009-11-01 111
Total of all active and inactive participants 2009-11-01 111

Measure	Date	Value
2022: COMMUNITY OPTIONS INC. DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-09-01	168
Total number of active participants reported on line 7a of the Form 5500	2022-09-01	165
Total of all active and inactive participants	2022-09-01	165
2021: COMMUNITY OPTIONS INC. DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	145
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	168
Total of all active and inactive participants	2021-09-01	168
2020: COMMUNITY OPTIONS INC. DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	168
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	145
Total of all active and inactive participants	2020-09-01	145
2019: COMMUNITY OPTIONS INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	177
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	168
Total of all active and inactive participants	2019-09-01	168
2018: COMMUNITY OPTIONS INC. DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	193
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	177
Total of all active and inactive participants	2018-09-01	177
2017: COMMUNITY OPTIONS INC. DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	198
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	193
Total of all active and inactive participants	2017-09-01	193
2016: COMMUNITY OPTIONS INC. DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	187
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	198
Total of all active and inactive participants	2016-09-01	198
2015: COMMUNITY OPTIONS INC. DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	179
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	187
Total of all active and inactive participants	2015-09-01	187
2014: COMMUNITY OPTIONS INC. DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	181
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	179
Total of all active and inactive participants	2014-09-01	179
2013: COMMUNITY OPTIONS INC. DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	165
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	181
Total of all active and inactive participants	2013-09-01	181
2012: COMMUNITY OPTIONS INC. DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	161
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	165
Total of all active and inactive participants	2012-09-01	165
2011: COMMUNITY OPTIONS INC. DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	135
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	161
Total of all active and inactive participants	2011-09-01	161
2009: COMMUNITY OPTIONS INC. DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	119
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	111
Total of all active and inactive participants	2009-11-01	111

Form 5500 Responses for COMMUNITY OPTIONS INC. DENTAL PLAN

2022: COMMUNITY OPTIONS INC. DENTAL PLAN 2022 form 5500 responses
2022-09-01	Type of plan entity	Single employer plan
2022-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-09-01	Plan funding arrangement – Insurance	Yes
2022-09-01	Plan benefit arrangement – Insurance	Yes
2021: COMMUNITY OPTIONS INC. DENTAL PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2020: COMMUNITY OPTIONS INC. DENTAL PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2019: COMMUNITY OPTIONS INC. DENTAL PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2018: COMMUNITY OPTIONS INC. DENTAL PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2017: COMMUNITY OPTIONS INC. DENTAL PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2016: COMMUNITY OPTIONS INC. DENTAL PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2015: COMMUNITY OPTIONS INC. DENTAL PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: COMMUNITY OPTIONS INC. DENTAL PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: COMMUNITY OPTIONS INC. DENTAL PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: COMMUNITY OPTIONS INC. DENTAL PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: COMMUNITY OPTIONS INC. DENTAL PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2009: COMMUNITY OPTIONS INC. DENTAL PLAN 2009 form 5500 responses
2009-11-01	Type of plan entity	Single employer plan
2009-11-01	First time form 5500 has been submitted	Yes
2009-11-01	This submission is the final filing	No
2009-11-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-11-01	Plan funding arrangement – Insurance	Yes
2009-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

275832

Policy instance

Insurance contract or identification number	275832
Number of Individuals Covered	336
Insurance policy start date	2022-09-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $46,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )

Policy contract number

275832

Policy instance

Insurance contract or identification number	275832
Number of Individuals Covered	325
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $133,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

754460

Policy instance

Insurance contract or identification number	754460
Number of Individuals Covered	145
Insurance policy start date	2020-09-01
Insurance policy end date	2021-08-31
Total amount of commissions paid to insurance broker	USD $4,312
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,312
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

754460

Policy instance

Insurance contract or identification number	754460
Number of Individuals Covered	168
Insurance policy start date	2019-09-01
Insurance policy end date	2020-08-31
Total amount of commissions paid to insurance broker	USD $4,772
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,772
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

754460

Policy instance

Insurance contract or identification number	754460
Number of Individuals Covered	177
Insurance policy start date	2018-09-01
Insurance policy end date	2019-08-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,722
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4722
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

754460

Policy instance

Insurance contract or identification number	754460
Number of Individuals Covered	193
Insurance policy start date	2017-09-01
Insurance policy end date	2018-08-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,608
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	COMMUNITY OPTIONS, INC.
Employer identification number (EIN):	911832569
NAIC Classification:	624200