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Form 5500 · Employee benefit plan · FLORHAM PARK, NJ

SELECT DENTAL MANAGEMENT LLC

The filing calls this plan SELECT DENTAL MANAGEMENT HEALTH AND WELFARE PLAN.

SELECT DENTAL MANAGEMENT LLC of FLORHAM PARK, NJ is a 221-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is EMERSON ROGERS, LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-4299428 · plan 501 · plan year 2025, filed Jul 29, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
221
Active at start of year
221
Active at end of year
218
Disclosed commissions
$47,330
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — AETNA LIFE INSURANCE COMPANY326 of 221 participants
Dentalnot declared on this filing
Visioninsured — SUN LIFE ASSURANCE COMPANY OF CANADA218 of 221 participants (99%)
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA218 of 221 participants (99%)
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA218 of 221 participants (99%)

Also declared: death benefits.

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 2 insured contracts covering health, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 326 people.

Reported premium across the insured contracts is $3,265,548, with $47,330 in disclosed broker commissions — about 1.4% 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.

EMERSON ROGERS, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: AETNA LIFE INSURANCE COMPANY and SUN LIFE ASSURANCE COMPANY OF CANADA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA LIFE INSURANCE COMPANYHealth326Jan 1, 2026$3,035,710$25,158
SUN LIFE ASSURANCE COMPANY OF CANADAVision, Life, Disability218Jan 1, 2026$229,838$22,172

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
SELECT DENTAL MANAGEMENT LLC
EIN 82-4299428

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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