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EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 401k Plan overview

Plan NameEMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC
Plan identification number 501

EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

WK HOLDING COMPANY, INC has sponsored the creation of one or more 401k plans.

Company Name:WK HOLDING COMPANY, INC
Employer identification number (EIN):113668289
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01KRYSTLE LORIGAN
5012023-01-01ROGER E KRAFT2024-07-15
5012022-01-01ROGER E KRAFT2023-06-20
5012021-01-01ROGER E KRAFT2022-10-17
5012020-01-01ROGER E KRAFT2021-10-12
5012019-01-01ROGER E KRAFT2020-10-05
5012018-01-01ROGER E KRAFT2019-10-09
5012017-01-01
5012016-01-01CHRIS FARMER CHRIS FARMER2017-10-16
5012016-01-01ROGER E KRAFT2019-10-01
5012015-01-01CHRIS FARMER CHRIS FARMER2016-10-03
5012014-01-01CHRIS FARMER
5012013-01-01CAROL HILL
5012012-01-01CAROL HILL
5012011-01-01CAROL HILL
5012010-01-01KEVIN MARQUARDT ROGER KRAFT2011-10-13

Financial Data on EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC

Measure Date Value
2019 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$374,275
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$215,480
Total income from all sources (including contributions)2019-12-31$2,019,128
Total of all expenses incurred2019-12-31$2,493,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,270,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,018,976
Value of total assets at end of year2019-12-31$18,857
Value of total assets at beginning of year2019-12-31$334,636
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$223,308
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$152
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$80,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,087,954
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$308,487
Administrative expenses (other) incurred2019-12-31$1,076
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$58,796
Total non interest bearing cash at end of year2019-12-31$18,857
Total non interest bearing cash at beginning of year2019-12-31$22,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-474,574
Value of net assets at end of year (total assets less liabilities)2019-12-31$-355,418
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$119,156
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,479
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$477,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$931,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,792,487
Contract administrator fees2019-12-31$222,232
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$374,275
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$156,684
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31TROUT CPA
Accountancy firm EIN2019-12-31231551315
2018 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$215,480
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$41,105
Total income from all sources (including contributions)2018-12-31$2,872,182
Total of all expenses incurred2018-12-31$3,029,871
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,846,607
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,870,767
Value of total assets at end of year2018-12-31$334,636
Value of total assets at beginning of year2018-12-31$317,950
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$183,264
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,415
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,415
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$80,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,088,221
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$308,487
Administrative expenses (other) incurred2018-12-31$9,786
Liabilities. Value of operating payables at end of year2018-12-31$58,796
Liabilities. Value of operating payables at beginning of year2018-12-31$41,105
Total non interest bearing cash at end of year2018-12-31$22,670
Total non interest bearing cash at beginning of year2018-12-31$186,583
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-157,689
Value of net assets at end of year (total assets less liabilities)2018-12-31$119,156
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$276,845
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$131,367
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$540,565
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,782,546
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,306,042
Contract administrator fees2018-12-31$173,478
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$156,684
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31TROUR, EBERSOLE, & GROFF LLP
Accountancy firm EIN2018-12-31231551315
2017 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$262,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$263,014
Total income from all sources (including contributions)2017-12-31$2,051,130
Total of all expenses incurred2017-12-31$2,600,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,443,351
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,048,632
Value of total assets at end of year2017-12-31$317,950
Value of total assets at beginning of year2017-12-31$867,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$157,282
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,498
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$2,498
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$80,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,011,891
Administrative expenses (other) incurred2017-12-31$2,392
Liabilities. Value of operating payables at end of year2017-12-31$41,105
Liabilities. Value of operating payables at beginning of year2017-12-31$1,585
Total non interest bearing cash at end of year2017-12-31$186,583
Total non interest bearing cash at beginning of year2017-12-31$2,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-549,503
Value of net assets at end of year (total assets less liabilities)2017-12-31$55,246
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$604,749
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$131,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$691,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$512,325
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,036,741
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$173,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,931,026
Contract administrator fees2017-12-31$154,890
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$221,599
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$261,429
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31TROUT, EBERSOLE & GROFF, LLP
Accountancy firm EIN2017-12-31231551315
2016 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$263,014
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$57,869
Total income from all sources (including contributions)2016-12-31$1,996,575
Total of all expenses incurred2016-12-31$2,239,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,073,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,995,534
Value of total assets at end of year2016-12-31$867,763
Value of total assets at beginning of year2016-12-31$905,840
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$166,755
Total interest from all sources2016-12-31$1,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$8,000
Was this plan covered by a fidelity bond2016-12-31No
Value of fidelity bond cover2016-12-31$80,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$932,418
Administrative expenses (other) incurred2016-12-31$18,248
Liabilities. Value of operating payables at end of year2016-12-31$1,585
Liabilities. Value of operating payables at beginning of year2016-12-31$6,500
Total non interest bearing cash at end of year2016-12-31$2,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-243,222
Value of net assets at end of year (total assets less liabilities)2016-12-31$604,749
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$847,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$693,988
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$739,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$739,964
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,041
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,940,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,063,116
Employer contributions (assets) at end of year2016-12-31$173,775
Employer contributions (assets) at beginning of year2016-12-31$165,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$132,905
Contract administrator fees2016-12-31$140,507
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$261,429
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$51,369
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31STOTTS ARCHAMBO MUEGGENBORG BARCLAY
Accountancy firm EIN2016-12-31731439902
2015 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$57,869
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$47,238
Total income from all sources (including contributions)2015-12-31$1,939,196
Total of all expenses incurred2015-12-31$1,637,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,474,775
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,939,150
Value of total assets at end of year2015-12-31$905,840
Value of total assets at beginning of year2015-12-31$593,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$162,721
Total interest from all sources2015-12-31$46
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$8,483
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$910,876
Participant contributions at end of year2015-12-31$165,876
Participant contributions at beginning of year2015-12-31$159,389
Administrative expenses (other) incurred2015-12-31$33,236
Liabilities. Value of operating payables at end of year2015-12-31$6,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$301,700
Value of net assets at end of year (total assets less liabilities)2015-12-31$847,971
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$546,271
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$739,964
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$434,120
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$434,120
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$46
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,341,920
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,028,274
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$132,855
Contract administrator fees2015-12-31$121,002
Liabilities. Value of benefit claims payable at end of year2015-12-31$51,369
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$47,238
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31STOTTS ARCHAMBO MUEGGENBORG BARCLAY
Accountancy firm EIN2015-12-31731439902
2014 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$47,238
Total income from all sources (including contributions)2014-12-31$1,972,393
Total of all expenses incurred2014-12-31$1,454,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,316,285
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,972,376
Value of total assets at end of year2014-12-31$593,509
Value of total assets at beginning of year2014-12-31$28,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$138,683
Total interest from all sources2014-12-31$17
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$5,630
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$901,212
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$14,910
Administrative expenses (other) incurred2014-12-31$6,719
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$517,425
Value of net assets at end of year (total assets less liabilities)2014-12-31$546,271
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$28,846
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$434,120
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$28,846
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$28,846
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$17
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,071,164
Employer contributions (assets) at end of year2014-12-31$159,389
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,301,375
Contract administrator fees2014-12-31$126,334
Liabilities. Value of benefit claims payable at end of year2014-12-31$47,238
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31STOTTS ARCHAMBO MUEGGENBORG BARCLAY
Accountancy firm EIN2014-12-31731439902
2013 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,636,542
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,640,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,635,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,636,541
Value of total assets at end of year2013-12-31$28,846
Value of total assets at beginning of year2013-12-31$32,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,743
Total interest from all sources2013-12-31$1
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,636,541
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-3,533
Value of net assets at end of year (total assets less liabilities)2013-12-31$28,846
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$32,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$28,846
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$32,379
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$32,379
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,492,420
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$853,558
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$142,912
Contract administrator fees2013-12-31$4,743
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Qualified
Accountancy firm name2013-12-31DIEHL BANWART BOLTON CPAS PA
Accountancy firm EIN2013-12-31203844413
2012 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,734,271
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,722,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,717,442
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,734,271
Value of total assets at end of year2012-12-31$32,379
Value of total assets at beginning of year2012-12-31$20,606
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$5,056
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,724,271
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$11,773
Value of net assets at end of year (total assets less liabilities)2012-12-31$32,379
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$20,606
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$32,379
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$20,606
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$20,606
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,717,442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$10,000
Contract administrator fees2012-12-31$5,056
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Qualified
Accountancy firm name2012-12-31DIEHL BANWART BOLTON CPA PA
Accountancy firm EIN2012-12-31203844413
2011 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,643,550
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,645,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,640,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,643,550
Value of total assets at end of year2011-12-31$20,606
Value of total assets at beginning of year2011-12-31$22,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$4,467
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,633,550
Administrative expenses (other) incurred2011-12-31$4,467
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,561
Value of net assets at end of year (total assets less liabilities)2011-12-31$20,606
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$22,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$20,606
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$22,167
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$22,167
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,640,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$10,000
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Qualified
Accountancy firm name2011-12-31DIEHL BANWART BOLTON CPAS PA
Accountancy firm EIN2011-12-31203844413
2010 : EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,525,740
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,532,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,523,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,525,737
Value of total assets at end of year2010-12-31$22,167
Value of total assets at beginning of year2010-12-31$28,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$8,287
Total interest from all sources2010-12-31$3
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,515,737
Administrative expenses (other) incurred2010-12-31$8,287
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-6,343
Value of net assets at end of year (total assets less liabilities)2010-12-31$22,167
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$28,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$22,167
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$28,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$28,510
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,523,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$10,000
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Qualified
Accountancy firm name2010-12-31DIEHL BANWART BOLTON CPAS PA
Accountancy firm EIN2010-12-31203844413

Form 5500 Responses for EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC

2023: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: EMPLOYEES' BENEFICIARY ASSOCIATION TRUST OF WARD/KRAFT FORMS INC 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05974520
Policy instance 3
Insurance contract or identification numberKM05974520
Number of Individuals Covered394
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $15,525
Total amount of fees paid to insurance companyUSD $1,732
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $100,491
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892240G
Policy instance 2
Insurance contract or identification number892240G
Number of Individuals Covered186
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $14,675
Total amount of fees paid to insurance companyUSD $1,428
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number921087
Policy instance 1
Insurance contract or identification number921087
Number of Individuals Covered79
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $3,686
Total amount of fees paid to insurance companyUSD $1,581
Other welfare benefits providedACCIDENT POLICY, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $22,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05974520
Policy instance 3
Insurance contract or identification numberKM05974520
Number of Individuals Covered470
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,072
Total amount of fees paid to insurance companyUSD $1,597
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $114,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892240G
Policy instance 2
Insurance contract or identification number892240G
Number of Individuals Covered264
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $14,274
Total amount of fees paid to insurance companyUSD $6,839
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number921087
Policy instance 1
Insurance contract or identification number921087
Number of Individuals Covered79
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,225
Total amount of fees paid to insurance companyUSD $1,382
Other welfare benefits providedAD&D, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $23,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number921087
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892240G
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05974520
Policy instance 3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number38-1082080
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number38-1082080
Policy instance 1
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberL19101504 001
Policy instance 2
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI 96439
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AYVN
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877259G
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05941505
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30030146
Policy instance 5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0210043-SL
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AYVN
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877259G
Policy instance 3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05941505
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30030146
Policy instance 5
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124086
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number101248085
Policy instance 2
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number5052690000
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30030146
Policy instance 5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05914865
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05914865
Policy instance 5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30030146
Policy instance 6
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124086
Policy instance 4
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number5051620000
Policy instance 1
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number5051620000
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number101248085
Policy instance 3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number22100
Policy instance 7
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number51968-00001
Policy instance 6
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number51967-00001
Policy instance 5
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number50516200000
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30030146
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124086
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124085
Policy instance 1
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number10718
Policy instance 8
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number51968-00002
Policy instance 9
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 95060 )
Policy contract number5051620000
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124086
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30030146
Policy instance 4
COVENTRY HEALTH CARE OF KANSAS, INC. (National Association of Insurance Commissioners NAIC id number: 95489 )
Policy contract number50516200000
Policy instance 5
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number51967
Policy instance 6
DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 )
Policy contract number51968
Policy instance 7
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number22100
Policy instance 8
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number10718
Policy instance 9
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124085
Policy instance 1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5456868
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124086
Policy instance 2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124085
Policy instance 3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number718592
Policy instance 4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124085
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number718592
Policy instance 3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10124086
Policy instance 1

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