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GOULD MEDICAL GROUP DENTAL CARE PLAN 401k Plan overview

Plan NameGOULD MEDICAL GROUP DENTAL CARE PLAN
Plan identification number 502

GOULD MEDICAL GROUP DENTAL CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

SUTTER GOULD MEDICAL FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name:SUTTER GOULD MEDICAL FOUNDATION
Employer identification number (EIN):941682256
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SUTTER GOULD MEDICAL FOUNDATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1282751

More information about SUTTER GOULD MEDICAL FOUNDATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOULD MEDICAL GROUP DENTAL CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-02-01MARTIN F. PRICCO, M.D.
5022014-02-01MARTIN F. PRICCO, M.D.
5022013-02-01MARTIN F. PRICCO, M.D.
5022012-02-01MARTIN F. PRICCO, M.D.
5022011-02-01MARTIN PRICCO
5022010-02-01MARTIN PRICCO
5022009-02-01 MARTIN PRICCO2010-07-27
5022009-02-01MARTIN PRICCO

Plan Statistics for GOULD MEDICAL GROUP DENTAL CARE PLAN

401k plan membership statisitcs for GOULD MEDICAL GROUP DENTAL CARE PLAN

Measure Date Value
2015: GOULD MEDICAL GROUP DENTAL CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01213
Total number of active participants reported on line 7a of the Form 55002015-02-01234
Total of all active and inactive participants2015-02-01234
Total participants2015-02-01234
2014: GOULD MEDICAL GROUP DENTAL CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01216
Total number of active participants reported on line 7a of the Form 55002014-02-01213
Total of all active and inactive participants2014-02-01213
Total participants2014-02-01213
2013: GOULD MEDICAL GROUP DENTAL CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01198
Total number of active participants reported on line 7a of the Form 55002013-02-01216
Total of all active and inactive participants2013-02-01216
Total participants2013-02-01216
2012: GOULD MEDICAL GROUP DENTAL CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01200
Total number of active participants reported on line 7a of the Form 55002012-02-01198
Total of all active and inactive participants2012-02-01198
Total participants2012-02-01198
2011: GOULD MEDICAL GROUP DENTAL CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01207
Total number of active participants reported on line 7a of the Form 55002011-02-01200
Total of all active and inactive participants2011-02-01200
2010: GOULD MEDICAL GROUP DENTAL CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-02-01208
Total number of active participants reported on line 7a of the Form 55002010-02-01207
Total of all active and inactive participants2010-02-01207
2009: GOULD MEDICAL GROUP DENTAL CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01183
Total number of active participants reported on line 7a of the Form 55002009-02-01208
Total of all active and inactive participants2009-02-01208

Form 5500 Responses for GOULD MEDICAL GROUP DENTAL CARE PLAN

2015: GOULD MEDICAL GROUP DENTAL CARE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: GOULD MEDICAL GROUP DENTAL CARE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: GOULD MEDICAL GROUP DENTAL CARE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: GOULD MEDICAL GROUP DENTAL CARE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: GOULD MEDICAL GROUP DENTAL CARE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2010: GOULD MEDICAL GROUP DENTAL CARE PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – InsuranceYes
2009: GOULD MEDICAL GROUP DENTAL CARE PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedYes
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – General assets of the sponsorYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00442871
Policy instance 1
Insurance contract or identification number00442871
Number of Individuals Covered234
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,869
Total amount of fees paid to insurance companyUSD $739
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,869
Amount paid for insurance broker fees739
Additional information about fees paid to insurance brokerPLAN ADMINISTRATION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00442871
Policy instance 1
Insurance contract or identification number00442871
Number of Individuals Covered213
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,337
Total amount of fees paid to insurance companyUSD $616
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,337
Amount paid for insurance broker fees616
Additional information about fees paid to insurance brokerPLAN ADMINISTRATION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00442871
Policy instance 1
Insurance contract or identification number00442871
Number of Individuals Covered216
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,531
Total amount of fees paid to insurance companyUSD $970
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,531
Amount paid for insurance broker fees970
Additional information about fees paid to insurance brokerPLAN ADMINISTRATION
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00442871
Policy instance 1
Insurance contract or identification number00442871
Number of Individuals Covered198
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,512
Total amount of fees paid to insurance companyUSD $817
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $622
Amount paid for insurance broker fees817
Additional information about fees paid to insurance brokerPLAN ADMINISTRATION
Insurance broker organization code?3
Insurance broker nameWILLNER-CARDINET-KIDWELL
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00442871
Policy instance 1
Insurance contract or identification number00442871
Number of Individuals Covered200
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,437
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00442871
Policy instance 1
Insurance contract or identification number00442871
Number of Individuals Covered207
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,595
Total amount of fees paid to insurance companyUSD $374
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,595
Amount paid for insurance broker fees374
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameLIBERTY BENEFITS INS SERVICES, INC.

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