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DOSS ENTERPRISES LIFE/AD&D 401k Plan overview

Plan NameDOSS ENTERPRISES LIFE/AD&D
Plan identification number 502

DOSS ENTERPRISES LIFE/AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DOSS ENTERPRISES, LLC has sponsored the creation of one or more 401k plans.

Company Name:DOSS ENTERPRISES, LLC
Employer identification number (EIN):010763371
NAIC Classification:211120
NAIC Description:Crude Petroleum Extraction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOSS ENTERPRISES LIFE/AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-06-01CLINT HOLBERT2023-11-10
5022021-06-01AMANDA WOODY2022-10-11
5022020-06-01BLAKE HARDISON2021-09-07
5022019-06-01MARY BAKER2020-08-21
5022018-06-01AMBER GORE2019-11-12

Plan Statistics for DOSS ENTERPRISES LIFE/AD&D

401k plan membership statisitcs for DOSS ENTERPRISES LIFE/AD&D

Measure Date Value
2022: DOSS ENTERPRISES LIFE/AD&D 2022 401k membership
Total participants, beginning-of-year2022-06-01144
Total number of active participants reported on line 7a of the Form 55002022-06-010
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-010
Number of employers contributing to the scheme2022-06-010
2021: DOSS ENTERPRISES LIFE/AD&D 2021 401k membership
Total participants, beginning-of-year2021-06-01163
Total number of active participants reported on line 7a of the Form 55002021-06-01144
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01144
Number of employers contributing to the scheme2021-06-010
2020: DOSS ENTERPRISES LIFE/AD&D 2020 401k membership
Total participants, beginning-of-year2020-06-01143
Total number of active participants reported on line 7a of the Form 55002020-06-01158
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01158
Number of employers contributing to the scheme2020-06-010
2019: DOSS ENTERPRISES LIFE/AD&D 2019 401k membership
Total participants, beginning-of-year2019-06-01174
Total number of active participants reported on line 7a of the Form 55002019-06-01143
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01143
Number of employers contributing to the scheme2019-06-010
2018: DOSS ENTERPRISES LIFE/AD&D 2018 401k membership
Total participants, beginning-of-year2018-06-01181
Total number of active participants reported on line 7a of the Form 55002018-06-01174
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01174
Number of employers contributing to the scheme2018-06-010

Form 5500 Responses for DOSS ENTERPRISES LIFE/AD&D

2022: DOSS ENTERPRISES LIFE/AD&D 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01This submission is the final filingYes
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: DOSS ENTERPRISES LIFE/AD&D 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: DOSS ENTERPRISES LIFE/AD&D 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: DOSS ENTERPRISES LIFE/AD&D 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes
2018: DOSS ENTERPRISES LIFE/AD&D 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01First time form 5500 has been submittedYes
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPC
Policy instance 1
Insurance contract or identification numberGLUG0BCPC
Number of Individuals Covered151
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $2,009
Total amount of fees paid to insurance companyUSD $1,352
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $20,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,849
Amount paid for insurance broker fees1352
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPC
Policy instance 1
Insurance contract or identification numberGLUG0BCPC
Number of Individuals Covered141
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $2,191
Total amount of fees paid to insurance companyUSD $1,900
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $21,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,191
Amount paid for insurance broker fees1900
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPC
Policy instance 1
Insurance contract or identification numberGLUG0BCPC
Number of Individuals Covered158
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $2,361
Total amount of fees paid to insurance companyUSD $1,624
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,361
Amount paid for insurance broker fees1624
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPC
Policy instance 1
Insurance contract or identification numberGLUG0BCPC
Number of Individuals Covered143
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $1,892
Total amount of fees paid to insurance companyUSD $1,600
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $18,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,892
Amount paid for insurance broker fees1600
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BCPC
Policy instance 1
Insurance contract or identification numberGLUG0BCPC
Number of Individuals Covered174
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $2,324
Total amount of fees paid to insurance companyUSD $546
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,324
Amount paid for insurance broker fees546
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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