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YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameYELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN
Plan identification number 501

YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

YELLOW BREECHES EDUCATIONAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:YELLOW BREECHES EDUCATIONAL CENTER, INC.
Employer identification number (EIN):251869453
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-12-01
5012021-12-01

Plan Statistics for YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN

Measure Date Value
2023: YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0167
Total number of active participants reported on line 7a of the Form 55002023-01-0173
Number of retired or separated participants receiving benefits2023-01-011
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-0174
2022: YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-0164
Total number of active participants reported on line 7a of the Form 55002022-12-0167
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-0167
2021: YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0163
Total number of active participants reported on line 7a of the Form 55002021-12-0164
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0164

Financial Data on YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN

Measure Date Value
2023 : YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2023 401k financial data
Total plan liabilities at end of year2023-12-31$90,976
Total plan liabilities at beginning of year2023-12-31$19,187
Total income from all sources2023-12-31$546,924
Expenses. Total of all expenses incurred2023-12-31$646,971
Benefits paid (including direct rollovers)2023-12-31$391,359
Total plan assets at end of year2023-12-31$6,934
Total plan assets at beginning of year2023-12-31$35,192
Value of fidelity bond covering the plan2023-12-31$120,000
Total contributions received or receivable from participants2023-12-31$147,159
Expenses. Other expenses not covered elsewhere2023-12-31$228,197
Contributions received from other sources (not participants or employers)2023-12-31$508
Other income received2023-12-31$361
Net income (gross income less expenses)2023-12-31$-100,047
Net plan assets at end of year (total assets less liabilities)2023-12-31$-84,042
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$16,005
Total contributions received or receivable from employer(s)2023-12-31$398,896
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$27,415
2022 : YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$19,187
Total plan liabilities at beginning of year2022-12-31$28,303
Total income from all sources2022-12-31$36,752
Expenses. Total of all expenses incurred2022-12-31$19,682
Benefits paid (including direct rollovers)2022-12-31$831
Total plan assets at end of year2022-12-31$35,192
Total plan assets at beginning of year2022-12-31$27,238
Value of fidelity bond covering the plan2022-12-31$120,000
Total contributions received or receivable from participants2022-12-31$15,439
Expenses. Other expenses not covered elsewhere2022-12-31$16,480
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$13
Net income (gross income less expenses)2022-12-31$17,070
Net plan assets at end of year (total assets less liabilities)2022-12-31$16,005
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-1,065
Total contributions received or receivable from employer(s)2022-12-31$21,300
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$2,371
Total plan liabilities at end of year2022-11-30$28,303
Total income from all sources2022-11-30$450,302
Expenses. Total of all expenses incurred2022-11-30$451,367
Benefits paid (including direct rollovers)2022-11-30$225,144
Total plan assets at end of year2022-11-30$27,238
Value of fidelity bond covering the plan2022-11-30$120,000
Total contributions received or receivable from participants2022-11-30$129,512
Expenses. Other expenses not covered elsewhere2022-11-30$199,010
Contributions received from other sources (not participants or employers)2022-11-30$0
Other income received2022-11-30$49
Net income (gross income less expenses)2022-11-30$-1,065
Net plan assets at end of year (total assets less liabilities)2022-11-30$-1,065
Net plan assets at beginning of year (total assets less liabilities)2022-11-30$0
Total contributions received or receivable from employer(s)2022-11-30$320,741
Value of corrective distributions2022-11-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-11-30$27,213

Form 5500 Responses for YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN

2023: YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – TrustYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement - TrustYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes
2021: YELLOW BREECHES EDUCATIONAL CENTER, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01First time form 5500 has been submittedYes
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500812
Policy instance 1
Insurance contract or identification number30500812
Number of Individuals Covered73
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $178,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500812
Policy instance 1
Insurance contract or identification number30500812
Number of Individuals Covered67
Insurance policy start date2022-12-01
Insurance policy end date2022-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $12,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500812
Policy instance 1
Insurance contract or identification number30500812
Number of Individuals Covered64
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $151,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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