401k Plan data: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN plan

AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 401k Plan overview

Plan Name	AMERICAN FOOD EQUIPMENT CO WELFARE PLAN
Plan identification number	501

AMERICAN FOOD EQUIPMENT CO WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

AMERICAN FOOD EQUIPMENT CO has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN FOOD EQUIPMENT CO

Employer identification number (EIN): 043392689

NAIC Classification: 333310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN FOOD EQUIPMENT CO WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-09-01
501 2021-09-01 DEAN KILEY 2023-02-27
501 2020-09-01 DARRELL GUSTAVESON 2022-04-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-09-01
501	2021-09-01	DEAN KILEY	2023-02-27
501	2020-09-01	DARRELL GUSTAVESON	2022-04-12

Plan Statistics for AMERICAN FOOD EQUIPMENT CO WELFARE PLAN

401k plan membership statisitcs for AMERICAN FOOD EQUIPMENT CO WELFARE PLAN

Measure Date Value
2022: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-09-01 130
Total number of active participants reported on line 7a of the Form 5500 2022-09-01 144
Number of retired or separated participants receiving benefits 2022-09-01 1
Number of other retired or separated participants entitled to future benefits 2022-09-01 0
Total of all active and inactive participants 2022-09-01 145
2021: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-09-01 129
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 130
Number of retired or separated participants receiving benefits 2021-09-01 0
Number of other retired or separated participants entitled to future benefits 2021-09-01 0
Total of all active and inactive participants 2021-09-01 130
Number of employers contributing to the scheme 2021-09-01 0
2020: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-09-01 119
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 129
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 0
Total of all active and inactive participants 2020-09-01 129
Number of employers contributing to the scheme 2020-09-01 0

Measure	Date	Value
2022: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-09-01	130
Total number of active participants reported on line 7a of the Form 5500	2022-09-01	144
Number of retired or separated participants receiving benefits	2022-09-01	1
Number of other retired or separated participants entitled to future benefits	2022-09-01	0
Total of all active and inactive participants	2022-09-01	145
2021: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	129
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	130
Number of retired or separated participants receiving benefits	2021-09-01	0
Number of other retired or separated participants entitled to future benefits	2021-09-01	0
Total of all active and inactive participants	2021-09-01	130
Number of employers contributing to the scheme	2021-09-01	0
2020: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	119
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	129
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	0
Total of all active and inactive participants	2020-09-01	129
Number of employers contributing to the scheme	2020-09-01	0

Form 5500 Responses for AMERICAN FOOD EQUIPMENT CO WELFARE PLAN

2022: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2022 form 5500 responses
2022-09-01	Type of plan entity	Single employer plan
2022-09-01	Submission has been amended	No
2022-09-01	This submission is the final filing	No
2022-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-09-01	Plan is a collectively bargained plan	No
2022-09-01	Plan funding arrangement – Insurance	Yes
2022-09-01	Plan benefit arrangement – Insurance	Yes
2021: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2020: AMERICAN FOOD EQUIPMENT CO WELFARE PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	First time form 5500 has been submitted	Yes
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )

Policy contract number

GV-3274

Policy instance

Insurance contract or identification number	GV-3274
Number of Individuals Covered	93
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $1,535
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
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
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 Carrier	USD $15,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,535
Insurance broker organization code?	3

BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )

Policy contract number

10036444

Policy instance

Insurance contract or identification number	10036444
Number of Individuals Covered	231
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $46,500
Total amount of fees paid to insurance company	USD $3,990
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,500
Amount paid for insurance broker fees	3990
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

DELTA DENTAL OF IDAHO, INC (National Association of Insurance Commissioners NAIC id number: 47791 )

Policy contract number

4057

Policy instance

Insurance contract or identification number	4057
Number of Individuals Covered	101
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $6,657
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $6,657
Insurance broker organization code?	3

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )

Policy contract number

GRP00003497

Policy instance

Insurance contract or identification number	GRP00003497
Number of Individuals Covered	129
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $3,017
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
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 Carrier	USD $18,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,017
Insurance broker organization code?	3

BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )

Policy contract number

10036444

Policy instance

Insurance contract or identification number	10036444
Number of Individuals Covered	242
Insurance policy start date	2021-09-01
Insurance policy end date	2022-08-31
Total amount of commissions paid to insurance broker	USD $45,060
Total amount of fees paid to insurance company	USD $3,900
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $45,060
Amount paid for insurance broker fees	3900
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )

Policy contract number

10036444

Policy instance

Insurance contract or identification number	10036444
Number of Individuals Covered	247
Insurance policy start date	2020-09-01
Insurance policy end date	2021-08-31
Total amount of commissions paid to insurance broker	USD $43,950
Total amount of fees paid to insurance company	USD $7,680
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $43,950
Amount paid for insurance broker fees	7680
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

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Company Name:	AMERICAN FOOD EQUIPMENT CO
Employer identification number (EIN):	043392689
NAIC Classification:	333310