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EMPLOYEE HEALTH PLAN OF K & JK 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF K & JK
Plan identification number 502

EMPLOYEE HEALTH PLAN OF K & JK Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

K & JK ENTERPRISES, INC has sponsored the creation of one or more 401k plans.

Company Name:K & JK ENTERPRISES, INC
Employer identification number (EIN):351798457
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF K & JK

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01KEVIN HAAS
5022016-05-01KEVIN HAAS
5022015-05-01KEVIN HAAS
5022014-05-01KEVIN HAAS
5022013-05-01KEVIN HAAS
5022012-05-01KEVIN HAAS
5022011-05-01KEVIN HAAS
5022010-05-01KEVIN HAAS

Plan Statistics for EMPLOYEE HEALTH PLAN OF K & JK

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF K & JK

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF K & JK 2022 401k membership
Total participants, beginning-of-year2022-05-0112
Total number of active participants reported on line 7a of the Form 55002022-05-0110
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-0110
2021: EMPLOYEE HEALTH PLAN OF K & JK 2021 401k membership
Total participants, beginning-of-year2021-05-0114
Total number of active participants reported on line 7a of the Form 55002021-05-0112
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-0112
2020: EMPLOYEE HEALTH PLAN OF K & JK 2020 401k membership
Total participants, beginning-of-year2020-05-0113
Total number of active participants reported on line 7a of the Form 55002020-05-0113
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-0113
2019: EMPLOYEE HEALTH PLAN OF K & JK 2019 401k membership
Total participants, beginning-of-year2019-05-0118
Total number of active participants reported on line 7a of the Form 55002019-05-0111
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0111
2018: EMPLOYEE HEALTH PLAN OF K & JK 2018 401k membership
Total participants, beginning-of-year2018-05-0114
Total number of active participants reported on line 7a of the Form 55002018-05-0115
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0115
2017: EMPLOYEE HEALTH PLAN OF K & JK 2017 401k membership
Total participants, beginning-of-year2017-05-0112
Total number of active participants reported on line 7a of the Form 55002017-05-0111
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0111
2016: EMPLOYEE HEALTH PLAN OF K & JK 2016 401k membership
Total participants, beginning-of-year2016-05-0111
Total number of active participants reported on line 7a of the Form 55002016-05-0114
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0114
2015: EMPLOYEE HEALTH PLAN OF K & JK 2015 401k membership
Total participants, beginning-of-year2015-05-0112
Total number of active participants reported on line 7a of the Form 55002015-05-019
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-019
2014: EMPLOYEE HEALTH PLAN OF K & JK 2014 401k membership
Total participants, beginning-of-year2014-05-0116
Total number of active participants reported on line 7a of the Form 55002014-05-0110
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0110
2013: EMPLOYEE HEALTH PLAN OF K & JK 2013 401k membership
Total participants, beginning-of-year2013-05-018
Total number of active participants reported on line 7a of the Form 55002013-05-0111
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0111
2012: EMPLOYEE HEALTH PLAN OF K & JK 2012 401k membership
Total participants, beginning-of-year2012-05-0110
Total number of active participants reported on line 7a of the Form 55002012-05-018
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-018
2011: EMPLOYEE HEALTH PLAN OF K & JK 2011 401k membership
Total participants, beginning-of-year2011-05-0110
Total number of active participants reported on line 7a of the Form 55002011-05-0110
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-0110
2010: EMPLOYEE HEALTH PLAN OF K & JK 2010 401k membership
Total participants, beginning-of-year2010-05-0113
Total number of active participants reported on line 7a of the Form 55002010-05-0110
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-0110

Financial Data on EMPLOYEE HEALTH PLAN OF K & JK

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF K & JK 2023 401k financial data
Total income from all sources2023-04-30$116,612
Expenses. Total of all expenses incurred2023-04-30$117,474
Benefits paid (including direct rollovers)2023-04-30$58,498
Total plan assets at end of year2023-04-30$82,481
Total plan assets at beginning of year2023-04-30$83,343
Value of fidelity bond covering the plan2023-04-30$10,000
Expenses. Other expenses not covered elsewhere2023-04-30$58,976
Net income (gross income less expenses)2023-04-30$-862
Net plan assets at end of year (total assets less liabilities)2023-04-30$82,481
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$83,343
Total contributions received or receivable from employer(s)2023-04-30$116,612
2022 : EMPLOYEE HEALTH PLAN OF K & JK 2022 401k financial data
Total income from all sources2022-04-30$96,657
Expenses. Total of all expenses incurred2022-04-30$70,051
Benefits paid (including direct rollovers)2022-04-30$20,417
Total plan assets at end of year2022-04-30$83,343
Total plan assets at beginning of year2022-04-30$56,737
Value of fidelity bond covering the plan2022-04-30$6,000
Expenses. Other expenses not covered elsewhere2022-04-30$49,634
Net income (gross income less expenses)2022-04-30$26,606
Net plan assets at end of year (total assets less liabilities)2022-04-30$83,343
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$56,737
Total contributions received or receivable from employer(s)2022-04-30$96,657
2021 : EMPLOYEE HEALTH PLAN OF K & JK 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$81,961
Expenses. Total of all expenses incurred2021-04-30$46,686
Benefits paid (including direct rollovers)2021-04-30$4,469
Total plan assets at end of year2021-04-30$56,737
Total plan assets at beginning of year2021-04-30$21,462
Value of fidelity bond covering the plan2021-04-30$40,000
Expenses. Other expenses not covered elsewhere2021-04-30$42,217
Net income (gross income less expenses)2021-04-30$35,275
Net plan assets at end of year (total assets less liabilities)2021-04-30$56,737
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$21,462
Total contributions received or receivable from employer(s)2021-04-30$81,961
2020 : EMPLOYEE HEALTH PLAN OF K & JK 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$72,397
Expenses. Total of all expenses incurred2020-04-30$63,000
Benefits paid (including direct rollovers)2020-04-30$25,021
Total plan assets at end of year2020-04-30$21,462
Total plan assets at beginning of year2020-04-30$12,065
Value of fidelity bond covering the plan2020-04-30$40,000
Expenses. Other expenses not covered elsewhere2020-04-30$37,979
Net income (gross income less expenses)2020-04-30$9,397
Net plan assets at end of year (total assets less liabilities)2020-04-30$21,462
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$12,065
Total contributions received or receivable from employer(s)2020-04-30$72,397
2019 : EMPLOYEE HEALTH PLAN OF K & JK 2019 401k financial data
Total plan liabilities at end of year2019-04-30$0
Total plan liabilities at beginning of year2019-04-30$0
Total income from all sources2019-04-30$77,150
Expenses. Total of all expenses incurred2019-04-30$101,930
Benefits paid (including direct rollovers)2019-04-30$59,703
Total plan assets at end of year2019-04-30$12,065
Total plan assets at beginning of year2019-04-30$36,845
Value of fidelity bond covering the plan2019-04-30$40,000
Expenses. Other expenses not covered elsewhere2019-04-30$42,227
Net income (gross income less expenses)2019-04-30$-24,780
Net plan assets at end of year (total assets less liabilities)2019-04-30$12,065
Net plan assets at beginning of year (total assets less liabilities)2019-04-30$36,845
Total contributions received or receivable from employer(s)2019-04-30$77,150
2018 : EMPLOYEE HEALTH PLAN OF K & JK 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$63,336
Expenses. Total of all expenses incurred2018-04-30$47,285
Benefits paid (including direct rollovers)2018-04-30$12,735
Total plan assets at end of year2018-04-30$36,845
Total plan assets at beginning of year2018-04-30$20,794
Value of fidelity bond covering the plan2018-04-30$25,000
Expenses. Other expenses not covered elsewhere2018-04-30$34,550
Net income (gross income less expenses)2018-04-30$16,051
Net plan assets at end of year (total assets less liabilities)2018-04-30$36,845
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$20,794
Total contributions received or receivable from employer(s)2018-04-30$63,336
2017 : EMPLOYEE HEALTH PLAN OF K & JK 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$67,238
Expenses. Total of all expenses incurred2017-04-30$61,793
Benefits paid (including direct rollovers)2017-04-30$24,396
Total plan assets at end of year2017-04-30$20,794
Total plan assets at beginning of year2017-04-30$15,349
Value of fidelity bond covering the plan2017-04-30$25,000
Expenses. Other expenses not covered elsewhere2017-04-30$37,397
Net income (gross income less expenses)2017-04-30$5,445
Net plan assets at end of year (total assets less liabilities)2017-04-30$20,794
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$15,349
Total contributions received or receivable from employer(s)2017-04-30$67,238
2016 : EMPLOYEE HEALTH PLAN OF K & JK 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$531
Total income from all sources2016-04-30$63,183
Expenses. Total of all expenses incurred2016-04-30$71,956
Benefits paid (including direct rollovers)2016-04-30$36,647
Total plan assets at end of year2016-04-30$15,349
Total plan assets at beginning of year2016-04-30$24,653
Value of fidelity bond covering the plan2016-04-30$15,000
Expenses. Other expenses not covered elsewhere2016-04-30$35,309
Net income (gross income less expenses)2016-04-30$-8,773
Net plan assets at end of year (total assets less liabilities)2016-04-30$15,349
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$24,122
Total contributions received or receivable from employer(s)2016-04-30$63,183
2015 : EMPLOYEE HEALTH PLAN OF K & JK 2015 401k financial data
Total plan liabilities at end of year2015-04-30$531
Total plan liabilities at beginning of year2015-04-30$1,362
Total income from all sources2015-04-30$76,706
Expenses. Total of all expenses incurred2015-04-30$66,364
Benefits paid (including direct rollovers)2015-04-30$24,411
Total plan assets at end of year2015-04-30$24,653
Total plan assets at beginning of year2015-04-30$15,142
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$41,953
Net income (gross income less expenses)2015-04-30$10,342
Net plan assets at end of year (total assets less liabilities)2015-04-30$24,122
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$13,780
Total contributions received or receivable from employer(s)2015-04-30$76,706
2014 : EMPLOYEE HEALTH PLAN OF K & JK 2014 401k financial data
Total plan liabilities at end of year2014-04-30$1,362
Total plan liabilities at beginning of year2014-04-30$815
Total income from all sources2014-04-30$72,676
Expenses. Total of all expenses incurred2014-04-30$61,435
Benefits paid (including direct rollovers)2014-04-30$19,375
Total plan assets at end of year2014-04-30$15,142
Total plan assets at beginning of year2014-04-30$3,354
Value of fidelity bond covering the plan2014-04-30$10,000
Expenses. Other expenses not covered elsewhere2014-04-30$42,060
Net income (gross income less expenses)2014-04-30$11,241
Net plan assets at end of year (total assets less liabilities)2014-04-30$13,780
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$2,539
Total contributions received or receivable from employer(s)2014-04-30$72,676
2013 : EMPLOYEE HEALTH PLAN OF K & JK 2013 401k financial data
Total plan liabilities at end of year2013-04-30$815
Total plan liabilities at beginning of year2013-04-30$1,550
Total income from all sources2013-04-30$57,604
Expenses. Total of all expenses incurred2013-04-30$57,404
Benefits paid (including direct rollovers)2013-04-30$28,154
Total plan assets at end of year2013-04-30$3,354
Total plan assets at beginning of year2013-04-30$3,889
Expenses. Other expenses not covered elsewhere2013-04-30$29,250
Net income (gross income less expenses)2013-04-30$200
Net plan assets at end of year (total assets less liabilities)2013-04-30$2,539
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$2,339
Total contributions received or receivable from employer(s)2013-04-30$57,604
2012 : EMPLOYEE HEALTH PLAN OF K & JK 2012 401k financial data
Total plan liabilities at end of year2012-04-30$1,550
Total plan liabilities at beginning of year2012-04-30$1,016
Total income from all sources2012-04-30$65,738
Expenses. Total of all expenses incurred2012-04-30$63,399
Benefits paid (including direct rollovers)2012-04-30$29,636
Total plan assets at end of year2012-04-30$3,889
Total plan assets at beginning of year2012-04-30$1,016
Expenses. Other expenses not covered elsewhere2012-04-30$33,763
Net income (gross income less expenses)2012-04-30$2,339
Net plan assets at end of year (total assets less liabilities)2012-04-30$2,339
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$0
Total contributions received or receivable from employer(s)2012-04-30$65,738
2011 : EMPLOYEE HEALTH PLAN OF K & JK 2011 401k financial data
Total plan liabilities at end of year2011-04-30$1,016
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$46,277
Expenses. Total of all expenses incurred2011-04-30$46,277
Benefits paid (including direct rollovers)2011-04-30$24,201
Total plan assets at end of year2011-04-30$1,016
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$22,076
Net income (gross income less expenses)2011-04-30$0
Net plan assets at end of year (total assets less liabilities)2011-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$46,277

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF K & JK

2022: EMPLOYEE HEALTH PLAN OF K & JK 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE HEALTH PLAN OF K & JK 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE HEALTH PLAN OF K & JK 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF K & JK 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF K & JK 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF K & JK 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF K & JK 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF K & JK 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF K & JK 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF K & JK 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF K & JK 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE HEALTH PLAN OF K & JK 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: EMPLOYEE HEALTH PLAN OF K & JK 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12320 NFA 0078
Policy instance 1
Insurance contract or identification number12320 NFA 0078
Number of Individuals Covered12
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $50,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12320 NFA 0078
Policy instance 1
Insurance contract or identification number12320 NFA 0078
Number of Individuals Covered16
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $42,502
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12320 NFA 0078
Policy instance 1
Insurance contract or identification number12320 NFA 0078
Number of Individuals Covered17
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $35,578
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12320 NFA 0078
Policy instance 1
Insurance contract or identification number12320 NFA 0078
Number of Individuals Covered16
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $31,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12320 NFA 0078
Policy instance 1
Insurance contract or identification number12320 NFA 0078
Number of Individuals Covered7
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $33,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12320 NFA 0078
Policy instance 1
Insurance contract or identification number12320 NFA 0078
Number of Individuals Covered15
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $27,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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