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| Plan Name | KANNEGIESSER ETECH HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KANNEGIESSER ETECH |
| Employer identification number (EIN): | 410964806 |
| NAIC Classification: | 333900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-09-01 | KRISTEN HAMMON | 2022-02-23 | ||
| 501 | 2019-09-01 | KRISTEN HAMMON | 2020-12-17 |
| Measure | Date | Value |
|---|---|---|
| 2020: KANNEGIESSER ETECH HEALTH AND WELFARE PLAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-09-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 122 |
| Number of retired or separated participants receiving benefits | 2020-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-09-01 | 0 |
| Total of all active and inactive participants | 2020-09-01 | 122 |
| Number of employers contributing to the scheme | 2020-09-01 | 0 |
| 2019: KANNEGIESSER ETECH HEALTH AND WELFARE PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-09-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 147 |
| Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 147 |
| Number of employers contributing to the scheme | 2019-09-01 | 0 |
| 2020: KANNEGIESSER ETECH HEALTH AND WELFARE PLAN 2020 form 5500 responses | ||
|---|---|---|
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: KANNEGIESSER ETECH HEALTH AND WELFARE PLAN 2019 form 5500 responses | ||
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | First time form 5500 has been submitted | Yes |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 ) | |||||||||||||||||||||||||||
| Policy contract number | 149198 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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| MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 ) | |||||||||||||||||||||||||||
| Policy contract number | 149047 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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