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EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC
Plan identification number 501

EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC Benefits

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

401k Sponsoring company profile

RKB ENTERPRISES, INC has sponsored the creation of one or more 401k plans.

Company Name:RKB ENTERPRISES, INC
Employer identification number (EIN):382792178
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012019-01-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2022 401k membership
Total participants, beginning-of-year2022-05-0127
Total number of active participants reported on line 7a of the Form 55002022-05-0127
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 participants2022-05-0127
2021: EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2021 401k membership
Total participants, beginning-of-year2021-05-0137
Total number of active participants reported on line 7a of the Form 55002021-05-0125
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 participants2021-05-0125
2020: EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2020 401k membership
Total participants, beginning-of-year2020-05-0140
Total number of active participants reported on line 7a of the Form 55002020-05-0131
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 participants2020-05-0131
2019: EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2019 401k membership
Total participants, beginning-of-year2019-05-0130
Total number of active participants reported on line 7a of the Form 55002019-05-0128
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 participants2019-05-0128
Total participants, beginning-of-year2019-01-0131
Total number of active participants reported on line 7a of the Form 55002019-01-0131
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0131

Financial Data on EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2023 401k financial data
Total income from all sources2023-04-30$190,734
Expenses. Total of all expenses incurred2023-04-30$190,734
Benefits paid (including direct rollovers)2023-04-30$83,863
Value of fidelity bond covering the plan2023-04-30$14,000
Expenses. Other expenses not covered elsewhere2023-04-30$106,871
Net income (gross income less expenses)2023-04-30$0
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
Total contributions received or receivable from employer(s)2023-04-30$190,734
2022 : EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2022 401k financial data
Total income from all sources2022-04-30$137,058
Expenses. Total of all expenses incurred2022-04-30$174,932
Benefits paid (including direct rollovers)2022-04-30$97,945
Total plan assets at beginning of year2022-04-30$37,874
Value of fidelity bond covering the plan2022-04-30$7,000
Expenses. Other expenses not covered elsewhere2022-04-30$76,987
Net income (gross income less expenses)2022-04-30$-37,874
Net plan assets at end of year (total assets less liabilities)2022-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$37,874
Total contributions received or receivable from employer(s)2022-04-30$137,058
2021 : EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$168,516
Expenses. Total of all expenses incurred2021-04-30$142,074
Benefits paid (including direct rollovers)2021-04-30$48,920
Total plan assets at end of year2021-04-30$37,874
Total plan assets at beginning of year2021-04-30$11,432
Value of fidelity bond covering the plan2021-04-30$25,000
Expenses. Other expenses not covered elsewhere2021-04-30$93,154
Net income (gross income less expenses)2021-04-30$26,442
Net plan assets at end of year (total assets less liabilities)2021-04-30$37,874
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$11,432
Total contributions received or receivable from employer(s)2021-04-30$168,516
2020 : EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 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$137,584
Expenses. Total of all expenses incurred2020-04-30$126,152
Benefits paid (including direct rollovers)2020-04-30$46,975
Total plan assets at end of year2020-04-30$11,432
Total plan assets at beginning of year2020-04-30$0
Value of fidelity bond covering the plan2020-04-30$25,000
Expenses. Other expenses not covered elsewhere2020-04-30$79,177
Net income (gross income less expenses)2020-04-30$11,432
Net plan assets at end of year (total assets less liabilities)2020-04-30$11,432
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$0
Total contributions received or receivable from employer(s)2020-04-30$137,584
2019 : EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 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$53,490
Expenses. Total of all expenses incurred2019-04-30$53,490
Benefits paid (including direct rollovers)2019-04-30$22,114
Total plan assets at end of year2019-04-30$0
Total plan assets at beginning of year2019-04-30$0
Value of fidelity bond covering the plan2019-04-30$25,000
Expenses. Other expenses not covered elsewhere2019-04-30$31,376
Net income (gross income less expenses)2019-04-30$0
Net plan assets at end of year (total assets less liabilities)2019-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2019-04-30$0
Total contributions received or receivable from employer(s)2019-04-30$53,490

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC

2022: EMPLOYEE HEALTH PLAN OF RKB ENTERPRISES, INC 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 RKB ENTERPRISES, INC 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 RKB ENTERPRISES, INC 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 RKB ENTERPRISES, INC 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
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number50016NFA0725
Policy instance 1
Insurance contract or identification number50016NFA0725
Number of Individuals Covered23
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 BenefitYes
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 $80,313
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 number50016NFA0725
Policy instance 1
Insurance contract or identification number50016NFA0725
Number of Individuals Covered28
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $57,427
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 number50016NFA0725
Policy instance 1
Insurance contract or identification number50016NFA0725
Number of Individuals Covered33
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $68,202
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 number50016NFA0725
Policy instance 1
Insurance contract or identification number50016NFA0725
Number of Individuals Covered30
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $56,734
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 number50016 NFA 0725
Policy instance 1
Insurance contract or identification number50016 NFA 0725
Number of Individuals Covered34
Insurance policy start date2019-01-01
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $22,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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