2023 Form 5500 filing — Delta Dental Plan Of New Hampshire, Inc. Discretionary Plan And Trust
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 20240924131904NAL0013025729001) for Delta Dental Plan Of New Hampshire, Inc. Discretionary Plan And Trust, reported by Delta Dental Plan Of New Hampshire, Inc. under EIN 02-0273013 and plan number 001. It reports 292 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240924131904NAL0013025729001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Delta Dental Plan Of New Hampshire, Inc.
- EIN
- 02-0273013
- Plan number
- 001
- Location
- Concord, NH
- Participants
- 292
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $54,737,627
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $54,737,627
- Employer contributions
- $1,513,862
- Participant contributions
- $1,785,339
- Total income / additions
- $12,059,482
- Benefits paid
- $3,019,261
- Administrative expenses
- -$63,244
- Total expenses
- $2,956,075
- Net increase / (decrease)
- $9,103,407
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Fidelity Investments Institutional | RECORDKEEPER | -$63,244 | $0 |