401k Plan data: FARMERS COOPERATIVE HEALTH PLAN plan

FARMERS COOPERATIVE HEALTH PLAN 401k Plan overview

Plan Name	FARMERS COOPERATIVE HEALTH PLAN
Plan identification number	501

FARMERS COOPERATIVE HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

FARMERS COOPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name: FARMERS COOPERATIVE, INC.

Employer identification number (EIN): 710201583

NAIC Classification: 424910
NAIC Description: Farm Supplies Merchant Wholesalers

Additional information about FARMERS COOPERATIVE, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1947-03-20

Company Identification Number: 790526

Legal Registered Office Address: 1841 W HOWARD ST

LIVE OAK

32060

More information about FARMERS COOPERATIVE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARMERS COOPERATIVE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-01-01
501 2017-01-01 JOHNNY H CARTER
501 2016-01-01 JOHNNY H CARTER
501 2015-01-01 JOHNNY H CARTER
501 2014-01-01 JOHNNY H CARTER
501 2013-01-01 ROBERT CRAIN

Plan Statistics for FARMERS COOPERATIVE HEALTH PLAN

401k plan membership statisitcs for FARMERS COOPERATIVE HEALTH PLAN

Measure Date Value
2018: FARMERS COOPERATIVE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 167
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 116
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 116
Number of employers contributing to the scheme 2018-01-01 0
2017: FARMERS COOPERATIVE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 167
Total of all active and inactive participants 2017-01-01 167
2016: FARMERS COOPERATIVE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 146
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 137
Total of all active and inactive participants 2016-01-01 137
2015: FARMERS COOPERATIVE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 146
Total of all active and inactive participants 2015-01-01 146
2014: FARMERS COOPERATIVE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 132
Total of all active and inactive participants 2014-01-01 132
2013: FARMERS COOPERATIVE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 129
Total of all active and inactive participants 2013-01-01 129
Total participants 2013-01-01 129

Measure	Date	Value
2018: FARMERS COOPERATIVE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	167
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	116
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	116
Number of employers contributing to the scheme	2018-01-01	0
2017: FARMERS COOPERATIVE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	167
Total of all active and inactive participants	2017-01-01	167
2016: FARMERS COOPERATIVE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	146
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	137
Total of all active and inactive participants	2016-01-01	137
2015: FARMERS COOPERATIVE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	146
Total of all active and inactive participants	2015-01-01	146
2014: FARMERS COOPERATIVE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	132
Total of all active and inactive participants	2014-01-01	132
2013: FARMERS COOPERATIVE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	129
Total of all active and inactive participants	2013-01-01	129
Total participants	2013-01-01	129

Form 5500 Responses for FARMERS COOPERATIVE HEALTH PLAN

2018: FARMERS COOPERATIVE HEALTH PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: FARMERS COOPERATIVE HEALTH PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: FARMERS COOPERATIVE HEALTH PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: FARMERS COOPERATIVE HEALTH PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: FARMERS COOPERATIVE HEALTH PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FARMERS COOPERATIVE HEALTH PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )

Policy contract number

028799

Policy instance

Insurance contract or identification number	028799
Number of Individuals Covered	159
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $5,400
Total amount of fees paid to insurance company	USD $24,397
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $12,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $5,400
Amount paid for insurance broker fees	24397
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	3

ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )

Policy contract number

28799

Policy instance

Insurance contract or identification number	28799
Number of Individuals Covered	167
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker name	JENIFER PARKS

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Company Name:	FARMERS COOPERATIVE, INC.
Employer identification number (EIN):	710201583
NAIC Classification:	424910
NAIC Description:	Farm Supplies Merchant Wholesalers

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1947-03-20
Company Identification Number:	790526
Legal Registered Office Address:	1841 W HOWARD ST LIVE OAK 32060

Plan id#	Filing Submission Date	Name of Administrator
501	2018-01-01
501	2017-01-01	JOHNNY H CARTER
501	2016-01-01	JOHNNY H CARTER
501	2015-01-01	JOHNNY H CARTER
501	2014-01-01	JOHNNY H CARTER
501	2013-01-01	ROBERT CRAIN