Form 5500 · Employee benefit plan · BAKERSFIELD, CA
CAPITAL DENTAL GROUP DBA CAPITAL DENTAL GROUP
The filing calls this plan CAPITAL DENTAL GROUP DBA CAPITAL DENTAL GROUP WELFARE BENEFIT PLAN.
CAPITAL DENTAL GROUP DBA CAPITAL DENTAL GROUP of BAKERSFIELD, CA is a 121-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is FALLGATTER RHODES INSURANCE SERVICE. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-5137326 · plan 501 · plan year 2026, filed Jul 2, 2026
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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.
Benefits declared on this filing
5 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: other welfare.
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
Schedule A lists 7 insured contracts covering dental and life.
The filing declares dental, life and disability. Disability appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 5 contracts here that do not say what they cover.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
FALLGATTER RHODES INSURANCE SERVICE is the broker of record on 6 of the 7 contracts; the rest name a different broker or none.
Two carriers split the book: RELIANCE STANDARD LIFE INSURANCE COMPANY and UNITED CONCORDIA INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | — | Dec 1, 2025 | — | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | — | Dec 1, 2025 | — | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | — | Dec 1, 2025 | — | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | — | Dec 1, 2025 | — | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | — | Dec 1, 2025 | — | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | — | Dec 1, 2025 | — | $0 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | — | Dec 1, 2025 | — | $0 |
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.
Administrator and service providers
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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