MILLER-STAUCH CONSTRUCTION CO.,INC. VEBA has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MILLER-STAUCH CONSTRUCTION CO INC
| Measure | Date | Value |
|---|
| 2021: MILLER-STAUCH CONSTRUCTION CO INC 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-04-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-04-01 | 10 |
| Number of retired or separated participants receiving benefits | 2021-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-04-01 | 0 |
| Total of all active and inactive participants | 2021-04-01 | 10 |
| 2020: MILLER-STAUCH CONSTRUCTION CO INC 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-04-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 12 |
| Number of retired or separated participants receiving benefits | 2020-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-04-01 | 0 |
| Total of all active and inactive participants | 2020-04-01 | 12 |
| 2019: MILLER-STAUCH CONSTRUCTION CO INC 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-04-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 13 |
| Number of retired or separated participants receiving benefits | 2019-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-04-01 | 0 |
| Total of all active and inactive participants | 2019-04-01 | 13 |
| 2018: MILLER-STAUCH CONSTRUCTION CO INC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-04-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 15 |
| Number of retired or separated participants receiving benefits | 2018-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-04-01 | 0 |
| Total of all active and inactive participants | 2018-04-01 | 15 |
| 2017: MILLER-STAUCH CONSTRUCTION CO INC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-04-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 13 |
| Number of retired or separated participants receiving benefits | 2017-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-04-01 | 0 |
| Total of all active and inactive participants | 2017-04-01 | 13 |
| 2016: MILLER-STAUCH CONSTRUCTION CO INC 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-04-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 12 |
| Number of retired or separated participants receiving benefits | 2016-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-04-01 | 0 |
| Total of all active and inactive participants | 2016-04-01 | 12 |
| 2015: MILLER-STAUCH CONSTRUCTION CO INC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-04-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 15 |
| Number of retired or separated participants receiving benefits | 2015-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-04-01 | 0 |
| Total of all active and inactive participants | 2015-04-01 | 15 |
| 2014: MILLER-STAUCH CONSTRUCTION CO INC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-04-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 15 |
| Total of all active and inactive participants | 2014-04-01 | 15 |
| 2013: MILLER-STAUCH CONSTRUCTION CO INC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-04-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 12 |
| Total of all active and inactive participants | 2013-04-01 | 12 |
| 2012: MILLER-STAUCH CONSTRUCTION CO INC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-04-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-04-01 | 8 |
| Total of all active and inactive participants | 2012-04-01 | 8 |
| 2011: MILLER-STAUCH CONSTRUCTION CO INC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-04-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-04-01 | 6 |
| Total of all active and inactive participants | 2011-04-01 | 6 |
| 2010: MILLER-STAUCH CONSTRUCTION CO INC 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-04-01 | 32 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-04-01 | 10 |
| Total of all active and inactive participants | 2010-04-01 | 10 |
| 2009: MILLER-STAUCH CONSTRUCTION CO INC 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-04-01 | 91 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-04-01 | 32 |
| Total of all active and inactive participants | 2009-04-01 | 32 |
| Measure | Date | Value |
|---|
| 2022 : MILLER-STAUCH CONSTRUCTION CO INC 2022 401k financial data |
|---|
| Total income from all sources | 2022-03-31 | $147,806 |
| Expenses. Total of all expenses incurred | 2022-03-31 | $118,558 |
| Benefits paid (including direct rollovers) | 2022-03-31 | $118,558 |
| Total plan assets at end of year | 2022-03-31 | $29,248 |
| Total plan assets at beginning of year | 2022-03-31 | $0 |
| Total contributions received or receivable from participants | 2022-03-31 | $147,806 |
| Net income (gross income less expenses) | 2022-03-31 | $29,248 |
| Net plan assets at end of year (total assets less liabilities) | 2022-03-31 | $29,248 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-03-31 | $0 |
| 2021 : MILLER-STAUCH CONSTRUCTION CO INC 2021 401k financial data |
|---|
| Total income from all sources | 2021-03-31 | $193,050 |
| Expenses. Total of all expenses incurred | 2021-03-31 | $209,754 |
| Benefits paid (including direct rollovers) | 2021-03-31 | $209,754 |
| Total plan assets at end of year | 2021-03-31 | $0 |
| Total plan assets at beginning of year | 2021-03-31 | $16,704 |
| Total contributions received or receivable from participants | 2021-03-31 | $193,050 |
| Net income (gross income less expenses) | 2021-03-31 | $-16,704 |
| Net plan assets at end of year (total assets less liabilities) | 2021-03-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-03-31 | $16,704 |
| 2020 : MILLER-STAUCH CONSTRUCTION CO INC 2020 401k financial data |
|---|
| Total income from all sources | 2020-03-31 | $193,785 |
| Expenses. Total of all expenses incurred | 2020-03-31 | $199,257 |
| Benefits paid (including direct rollovers) | 2020-03-31 | $199,257 |
| Total plan assets at end of year | 2020-03-31 | $16,704 |
| Total plan assets at beginning of year | 2020-03-31 | $22,176 |
| Total contributions received or receivable from participants | 2020-03-31 | $193,785 |
| Net income (gross income less expenses) | 2020-03-31 | $-5,472 |
| Net plan assets at end of year (total assets less liabilities) | 2020-03-31 | $16,704 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-03-31 | $22,176 |
| 2019 : MILLER-STAUCH CONSTRUCTION CO INC 2019 401k financial data |
|---|
| Total income from all sources | 2019-03-31 | $227,133 |
| Expenses. Total of all expenses incurred | 2019-03-31 | $219,980 |
| Benefits paid (including direct rollovers) | 2019-03-31 | $219,980 |
| Total plan assets at end of year | 2019-03-31 | $22,176 |
| Total plan assets at beginning of year | 2019-03-31 | $15,023 |
| Total contributions received or receivable from participants | 2019-03-31 | $227,133 |
| Net income (gross income less expenses) | 2019-03-31 | $7,153 |
| Net plan assets at end of year (total assets less liabilities) | 2019-03-31 | $22,176 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-03-31 | $15,023 |
| 2018 : MILLER-STAUCH CONSTRUCTION CO INC 2018 401k financial data |
|---|
| Total income from all sources | 2018-03-31 | $195,850 |
| Expenses. Total of all expenses incurred | 2018-03-31 | $209,913 |
| Benefits paid (including direct rollovers) | 2018-03-31 | $209,913 |
| Total plan assets at end of year | 2018-03-31 | $15,023 |
| Total plan assets at beginning of year | 2018-03-31 | $29,086 |
| Total contributions received or receivable from participants | 2018-03-31 | $195,850 |
| Net income (gross income less expenses) | 2018-03-31 | $-14,063 |
| Net plan assets at end of year (total assets less liabilities) | 2018-03-31 | $15,023 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-03-31 | $29,086 |
| 2017 : MILLER-STAUCH CONSTRUCTION CO INC 2017 401k financial data |
|---|
| Total income from all sources | 2017-03-31 | $195,166 |
| Expenses. Total of all expenses incurred | 2017-03-31 | $186,934 |
| Benefits paid (including direct rollovers) | 2017-03-31 | $186,157 |
| Total plan assets at end of year | 2017-03-31 | $29,086 |
| Total plan assets at beginning of year | 2017-03-31 | $20,854 |
| Total contributions received or receivable from participants | 2017-03-31 | $195,166 |
| Net income (gross income less expenses) | 2017-03-31 | $8,232 |
| Net plan assets at end of year (total assets less liabilities) | 2017-03-31 | $29,086 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-03-31 | $20,854 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-03-31 | $777 |
| 2016 : MILLER-STAUCH CONSTRUCTION CO INC 2016 401k financial data |
|---|
| Total income from all sources | 2016-03-31 | $195,283 |
| Expenses. Total of all expenses incurred | 2016-03-31 | $208,053 |
| Benefits paid (including direct rollovers) | 2016-03-31 | $207,453 |
| Total plan assets at end of year | 2016-03-31 | $20,854 |
| Total plan assets at beginning of year | 2016-03-31 | $33,624 |
| Total contributions received or receivable from participants | 2016-03-31 | $195,283 |
| Net income (gross income less expenses) | 2016-03-31 | $-12,770 |
| Net plan assets at end of year (total assets less liabilities) | 2016-03-31 | $20,854 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-03-31 | $33,624 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-03-31 | $600 |
| 2015 : MILLER-STAUCH CONSTRUCTION CO INC 2015 401k financial data |
|---|
| Total income from all sources | 2015-03-31 | $239,379 |
| Expenses. Total of all expenses incurred | 2015-03-31 | $214,819 |
| Benefits paid (including direct rollovers) | 2015-03-31 | $214,784 |
| Total plan assets at end of year | 2015-03-31 | $33,624 |
| Total plan assets at beginning of year | 2015-03-31 | $9,064 |
| Net income (gross income less expenses) | 2015-03-31 | $24,560 |
| Net plan assets at end of year (total assets less liabilities) | 2015-03-31 | $33,624 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-03-31 | $9,064 |
| Total contributions received or receivable from employer(s) | 2015-03-31 | $239,379 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-03-31 | $35 |
| 2014 : MILLER-STAUCH CONSTRUCTION CO INC 2014 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2014-03-31 | $12,000 |
| Total income from all sources | 2014-03-31 | $115,414 |
| Expenses. Total of all expenses incurred | 2014-03-31 | $119,129 |
| Benefits paid (including direct rollovers) | 2014-03-31 | $118,529 |
| Total plan assets at end of year | 2014-03-31 | $9,064 |
| Total plan assets at beginning of year | 2014-03-31 | $24,779 |
| Value of fidelity bond covering the plan | 2014-03-31 | $10,000 |
| Net income (gross income less expenses) | 2014-03-31 | $-3,715 |
| Net plan assets at end of year (total assets less liabilities) | 2014-03-31 | $9,064 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-03-31 | $12,779 |
| Total contributions received or receivable from employer(s) | 2014-03-31 | $115,414 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-03-31 | $600 |
| 2013 : MILLER-STAUCH CONSTRUCTION CO INC 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-03-31 | $12,000 |
| Total income from all sources | 2013-03-31 | $120,124 |
| Expenses. Total of all expenses incurred | 2013-03-31 | $111,392 |
| Benefits paid (including direct rollovers) | 2013-03-31 | $110,802 |
| Total plan assets at end of year | 2013-03-31 | $24,779 |
| Total plan assets at beginning of year | 2013-03-31 | $4,047 |
| Value of fidelity bond covering the plan | 2013-03-31 | $10,000 |
| Net income (gross income less expenses) | 2013-03-31 | $8,732 |
| Net plan assets at end of year (total assets less liabilities) | 2013-03-31 | $12,779 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-03-31 | $4,047 |
| Total contributions received or receivable from employer(s) | 2013-03-31 | $120,124 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-03-31 | $590 |
| 2012 : MILLER-STAUCH CONSTRUCTION CO INC 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-03-31 | $0 |
| Total plan liabilities at beginning of year | 2012-03-31 | $41,135 |
| Total income from all sources | 2012-03-31 | $38,222 |
| Expenses. Total of all expenses incurred | 2012-03-31 | $54,984 |
| Benefits paid (including direct rollovers) | 2012-03-31 | $54,984 |
| Total plan assets at end of year | 2012-03-31 | $4,047 |
| Total plan assets at beginning of year | 2012-03-31 | $61,944 |
| Value of fidelity bond covering the plan | 2012-03-31 | $10,000 |
| Net income (gross income less expenses) | 2012-03-31 | $-16,762 |
| Net plan assets at end of year (total assets less liabilities) | 2012-03-31 | $4,047 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-03-31 | $20,809 |
| Total contributions received or receivable from employer(s) | 2012-03-31 | $38,222 |
| 2011 : MILLER-STAUCH CONSTRUCTION CO INC 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-03-31 | $41,135 |
| Total plan liabilities at beginning of year | 2011-03-31 | $41,135 |
| Total income from all sources | 2011-03-31 | $83,578 |
| Expenses. Total of all expenses incurred | 2011-03-31 | $114,484 |
| Benefits paid (including direct rollovers) | 2011-03-31 | $113,369 |
| Total plan assets at end of year | 2011-03-31 | $61,944 |
| Total plan assets at beginning of year | 2011-03-31 | $92,850 |
| Value of fidelity bond covering the plan | 2011-03-31 | $10,000 |
| Net income (gross income less expenses) | 2011-03-31 | $-30,906 |
| Net plan assets at end of year (total assets less liabilities) | 2011-03-31 | $20,809 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-03-31 | $51,715 |
| Total contributions received or receivable from employer(s) | 2011-03-31 | $83,578 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-03-31 | $1,115 |
| 2021: MILLER-STAUCH CONSTRUCTION CO INC 2021 form 5500 responses |
|---|
| 2021-04-01 | Type of plan entity | Single employer plan |
| 2021-04-01 | Plan funding arrangement – Insurance | Yes |
| 2021-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: MILLER-STAUCH CONSTRUCTION CO INC 2020 form 5500 responses |
|---|
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: MILLER-STAUCH CONSTRUCTION CO INC 2019 form 5500 responses |
|---|
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | Plan funding arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: MILLER-STAUCH CONSTRUCTION CO INC 2018 form 5500 responses |
|---|
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: MILLER-STAUCH CONSTRUCTION CO INC 2017 form 5500 responses |
|---|
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MILLER-STAUCH CONSTRUCTION CO INC 2016 form 5500 responses |
|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: MILLER-STAUCH CONSTRUCTION CO INC 2015 form 5500 responses |
|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: MILLER-STAUCH CONSTRUCTION CO INC 2014 form 5500 responses |
|---|
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: MILLER-STAUCH CONSTRUCTION CO INC 2013 form 5500 responses |
|---|
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: MILLER-STAUCH CONSTRUCTION CO INC 2012 form 5500 responses |
|---|
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | Plan funding arrangement – Insurance | Yes |
| 2012-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: MILLER-STAUCH CONSTRUCTION CO INC 2011 form 5500 responses |
|---|
| 2011-04-01 | Type of plan entity | Single employer plan |
| 2011-04-01 | Plan funding arrangement – Insurance | Yes |
| 2011-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: MILLER-STAUCH CONSTRUCTION CO INC 2010 form 5500 responses |
|---|
| 2010-04-01 | Type of plan entity | Single employer plan |
| 2010-04-01 | Plan funding arrangement – Insurance | Yes |
| 2010-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: MILLER-STAUCH CONSTRUCTION CO INC 2009 form 5500 responses |
|---|
| 2009-04-01 | Type of plan entity | Single employer plan |
| 2009-04-01 | Submission has been amended | Yes |
| 2009-04-01 | This submission is the final filing | No |
| 2009-04-01 | Plan funding arrangement – Insurance | Yes |
| 2009-04-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $625 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $625 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $1,650 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,650 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $1,815 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,815 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $610 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $610 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $520 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $520 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $1,750 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,750 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $1,520 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,520 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
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| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $250 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $250 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
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| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $825 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $825 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $418 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $418 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $380 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $150 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) |
| Policy contract number | 244020000000200 |
| Policy instance | 2 |
| Insurance contract or identification number | 244020000000200 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $290 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $290 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
|
| BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 ) |
| Policy contract number | 31630000 |
| Policy instance | 1 |
| Insurance contract or identification number | 31630000 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $625 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $625 | | Insurance broker name | SR&A BENEFITS COMPANY LLC |
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