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CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 401k Plan overview

Plan NameCHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN
Plan identification number 504

CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN Benefits

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

401k Sponsoring company profile

KAUL SAFETY INTERNATIONAL D/B/A CHOCTAW-KAUL DISTRIBUTION has sponsored the creation of one or more 401k plans.

Company Name:KAUL SAFETY INTERNATIONAL D/B/A CHOCTAW-KAUL DISTRIBUTION
Employer identification number (EIN):381226655
NAIC Classification:488990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-09-01CAITLIN THESIER2023-03-29 ANTHONY CONNIFF2023-03-29
5042020-09-01
5042019-09-01
5042018-09-01
5042017-09-01ANTHONY CONNIFF ANTHONY CONNIFF2019-03-07
5042016-09-01ANTHONY CONNIFF ANTHONY CONNIFF2018-03-23
5042015-09-01ANTHONY CONNIFF ANTHONY CONNIFF2017-03-13
5042014-09-01ANTHONY CONNIFF ANTHONY CONNIFF2016-03-30
5042013-09-01ANTHONY CONNIFF ANTHONY CONNIFF2015-03-26
5042012-09-01KIMBERLY BRACEY KIMBERLY BRACEY2014-03-27
5042009-09-01ANTHONY CONNIFF ANTHONY CONNIFF2011-03-30

Plan Statistics for CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN

401k plan membership statisitcs for CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN

Measure Date Value
2021: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01172
Total number of active participants reported on line 7a of the Form 55002021-09-01174
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01174
2020: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01158
Total number of active participants reported on line 7a of the Form 55002020-09-01172
Total of all active and inactive participants2020-09-01172
2019: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01126
Total number of active participants reported on line 7a of the Form 55002019-09-01158
Total of all active and inactive participants2019-09-01158
2018: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01132
Total number of active participants reported on line 7a of the Form 55002018-09-01126
Total of all active and inactive participants2018-09-01126
2017: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01110
Total number of active participants reported on line 7a of the Form 55002017-09-01132
Total of all active and inactive participants2017-09-01132
2016: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01108
Total number of active participants reported on line 7a of the Form 55002016-09-01110
Total of all active and inactive participants2016-09-01110
2015: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01111
Total number of active participants reported on line 7a of the Form 55002015-09-01108
Total of all active and inactive participants2015-09-01108
2014: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01101
Total number of active participants reported on line 7a of the Form 55002014-09-01111
Total of all active and inactive participants2014-09-01111
2013: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01110
Total number of active participants reported on line 7a of the Form 55002013-09-01101
Total of all active and inactive participants2013-09-01101
2012: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-0198
Total number of active participants reported on line 7a of the Form 55002012-09-01110
Total of all active and inactive participants2012-09-01110
2009: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01125
Total number of active participants reported on line 7a of the Form 55002009-09-01108
Total of all active and inactive participants2009-09-01108
Total participants2009-09-010

Form 5500 Responses for CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN

2021: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planNo
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – InsuranceYes
2020: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planNo
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2009: CHOCTAW-KAUL DISTRIBUTION LIFE INSURANCE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01First time form 5500 has been submittedYes
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630953 & 630594
Policy instance 1
Insurance contract or identification number630953 & 630594
Number of Individuals Covered174
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $4,978
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $35,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,978
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630953 & 630594
Policy instance 1
Insurance contract or identification number630953 & 630594
Number of Individuals Covered172
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $4,172
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $30,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,172
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630593, 630594
Policy instance 1
Insurance contract or identification number630593, 630594
Number of Individuals Covered158
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $3,860
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $25,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,860
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010082542
Policy instance 1
Insurance contract or identification number000010082542
Number of Individuals Covered126
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $706
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $706
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010082542
Policy instance 1
Insurance contract or identification number000010082542
Number of Individuals Covered132
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $709
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010082542
Policy instance 1
Insurance contract or identification number000010082542
Number of Individuals Covered108
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $578
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $578
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameM&M BENEFIT GROUP
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010082542
Policy instance 1
Insurance contract or identification number000010082542
Number of Individuals Covered111
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $493
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $493
Insurance broker organization code?3
Insurance broker nameM&M BENEFIT GROUP
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010082542
Policy instance 1
Insurance contract or identification number000010082542
Number of Individuals Covered101
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $527
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $401
Insurance broker organization code?3
Insurance broker nameM&M BENEFIT GROUP, LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010082542
Policy instance 1
Insurance contract or identification number000010082542
Number of Individuals Covered110
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $568
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $568
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameDAVID L. HELLER

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