form5500lookup

Form 5500 · Employee benefit plan · APPLETON, WI

APPVION, LLC

The filing calls this plan APPVION, INC. GROUP DENTAL PLAN.

APPVION, LLC of APPLETON, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MULTIPLE BROKERS. Coverage is written through CARE-PLUS DENTAL PLANS, INC.. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-3735970 · plan 550 · plan year 2023, filed Aug 23, 2024

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How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
211
Active at start of year
207
Active at end of year
0
Disclosed commissions
$244
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared under plan 590
Dentalinsured — CARE-PLUS DENTAL PLANS, INC.186 of 211 participants (88%)
Visiondeclared under plan 590
Lifedeclared under plan 590
Disabilitydeclared under plan 590

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

The filing discloses a single insured line, dental, through CARE-PLUS DENTAL PLANS, INC., covering 186 people.

Reported premium across the insured contracts is $52,493, with $244 in disclosed broker commissions — about 0.5% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CARE-PLUS DENTAL PLANS, INC.Dental186Jan 1, 2024$52,493$244

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
APPVION, LLC
EIN 87-3735970

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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