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| Plan Name | INDEPENDENT INSURANCE AGENTS OF KENTUCKY |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | INDEPENDENT INSURANCE AGENTS OF KENTUCKY, INC. |
| Employer identification number (EIN): | 610244696 |
| NAIC Classification: | 524290 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-07-01 | KRISTIE WEYER | 2024-01-30 | TARA T. PURVIS | 2024-01-30 |
| 501 | 2012-07-01 | PEGGY PORTER |
| Measure | Date | Value |
|---|---|---|
| 2022: INDEPENDENT INSURANCE AGENTS OF KENTUCKY 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-07-01 | 234 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 200 |
| Total of all active and inactive participants | 2022-07-01 | 200 |
| 2012: INDEPENDENT INSURANCE AGENTS OF KENTUCKY 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 320 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 320 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
| Total of all active and inactive participants | 2012-07-01 | 320 |
| 2022: INDEPENDENT INSURANCE AGENTS OF KENTUCKY 2022 form 5500 responses | ||
|---|---|---|
| 2022-07-01 | Type of plan entity | Mulitple employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: INDEPENDENT INSURANCE AGENTS OF KENTUCKY 2012 form 5500 responses | ||
| 2012-07-01 | Type of plan entity | Mulitple employer plan |
| 2012-07-01 | Submission has been amended | No |
| 2012-07-01 | This submission is the final filing | No |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-07-01 | Plan is a collectively bargained plan | No |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 ) | |||||||||||||||||||||||||||
| Policy contract number | KYIIAK | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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