2023 Form 5500 filing — Delta Dental Plan Of Michigan Employees' 401k Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240927141908NAL0001111971001) for Delta Dental Plan Of Michigan Employees' 401k Plan, reported by Delta Dental Plan Of Michigan, Inc. under EIN 38-1791480 and plan number 003. It reports 1,293 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240927141908NAL0001111971001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Delta Dental Plan Of Michigan, Inc.
- EIN
- 38-1791480
- Plan number
- 003
- Location
- Okemos, MI
- Participants
- 1,293
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $91,765,523
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $91,765,523
- Employer contributions
- $804,704
- Participant contributions
- $6,952,069
- Total income / additions
- $21,492,671
- Benefits paid
- $8,989,871
- Administrative expenses
- $27,932
- Total expenses
- $9,017,803
- Net increase / (decrease)
- $12,474,868
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Usi Consulting Group | NONE | $27,932 | not reported in the loaded dataset |