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QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 401k Plan overview

Plan NameQUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D
Plan identification number 501

QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

QUAD COUNTY READY MIX INC has sponsored the creation of one or more 401k plans.

Company Name:QUAD COUNTY READY MIX INC
Employer identification number (EIN):370694034
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-10-01
5012019-10-01
5012018-10-01
5012017-10-01SHANNON FEHRMANN
5012016-10-01SHANNON FEHRMANN
5012015-10-01CAROL HUSTEDDE
5012014-10-01CAROL HUSTEDDE
5012013-10-01CAROL HUSTEDDE
5012012-10-01CAROL HUSTEDDE
5012011-10-01CAROL HUSTEDDE
5012009-10-01CAROL HUSTEDDE

Plan Statistics for QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D

401k plan membership statisitcs for QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D

Measure Date Value
2021: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2021 401k membership
Total participants, beginning-of-year2021-10-01111
Total number of active participants reported on line 7a of the Form 55002021-10-01103
Total of all active and inactive participants2021-10-01103
Total participants2021-10-01103
2020: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2020 401k membership
Total participants, beginning-of-year2020-10-01109
Total number of active participants reported on line 7a of the Form 55002020-10-01111
Total of all active and inactive participants2020-10-01111
Total participants2020-10-01111
2019: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2019 401k membership
Total participants, beginning-of-year2019-10-01116
Total number of active participants reported on line 7a of the Form 55002019-10-01109
Total of all active and inactive participants2019-10-01109
Total participants2019-10-01109
2018: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2018 401k membership
Total participants, beginning-of-year2018-10-01112
Total number of active participants reported on line 7a of the Form 55002018-10-01116
Total of all active and inactive participants2018-10-01116
Total participants2018-10-01116
2017: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2017 401k membership
Total participants, beginning-of-year2017-10-01117
Total number of active participants reported on line 7a of the Form 55002017-10-01112
Total of all active and inactive participants2017-10-01112
Total participants2017-10-01112
2016: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2016 401k membership
Total participants, beginning-of-year2016-10-01117
Total number of active participants reported on line 7a of the Form 55002016-10-01117
Total of all active and inactive participants2016-10-01117
Total participants2016-10-01117
2015: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2015 401k membership
Total participants, beginning-of-year2015-10-01115
Total number of active participants reported on line 7a of the Form 55002015-10-01117
Total of all active and inactive participants2015-10-01117
Total participants2015-10-010
2014: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2014 401k membership
Total participants, beginning-of-year2014-10-01114
Total number of active participants reported on line 7a of the Form 55002014-10-01115
Total of all active and inactive participants2014-10-01115
Total participants2014-10-010
2013: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2013 401k membership
Total participants, beginning-of-year2013-10-01118
Total number of active participants reported on line 7a of the Form 55002013-10-01114
Total of all active and inactive participants2013-10-01114
Total participants2013-10-010
2012: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2012 401k membership
Total participants, beginning-of-year2012-10-01119
Total number of active participants reported on line 7a of the Form 55002012-10-01118
Total of all active and inactive participants2012-10-01118
Total participants2012-10-010
2011: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2011 401k membership
Total participants, beginning-of-year2011-10-01119
Total number of active participants reported on line 7a of the Form 55002011-10-01119
Total of all active and inactive participants2011-10-01119
Total participants2011-10-01119
2009: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2009 401k membership
Total participants, beginning-of-year2009-10-01135
Total number of active participants reported on line 7a of the Form 55002009-10-01129
Total of all active and inactive participants2009-10-01129
Total participants2009-10-01129

Form 5500 Responses for QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D

2021: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: QUAD COUNTY READY MIX SHORT-TERM DISABILITY & LIFE / AD&D 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered103
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $1,474
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,474
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered103
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $601
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $601
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered111
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $1,490
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,490
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered111
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $608
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $608
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered109
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $638
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $638
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered109
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $1,312
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,312
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered116
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $647
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,082
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $647
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered116
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $1,318
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,318
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered112
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $1,013
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,013
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered112
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $633
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $633
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered117
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $597
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $597
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered117
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $895
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $895
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered115
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $877
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $877
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered115
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $588
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $588
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 1
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered114
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $598
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $598
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 2
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered114
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $890
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $890
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 2
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered118
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $605
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $605
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 1
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered118
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $902
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $902
Insurance broker organization code?3
Insurance broker nameSCHMALE INSURANCE AGENCY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 1
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered119
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $1,178
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 2
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered119
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $792
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 083U3
Policy instance 2
Insurance contract or identification numberGLUG 083U3
Number of Individuals Covered119
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $631
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 083U3
Policy instance 1
Insurance contract or identification numberGUG 083U3
Number of Individuals Covered119
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $939
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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