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| Plan Name | BARRETT AG SERVICE, INC. DENTAL AND VISION PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BARRETT AG SERVICE, INC. |
| Employer identification number (EIN): | 411572322 |
| NAIC Classification: | 311110 |
| NAIC Description: | Animal Food Manufacturing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2023-01-01 | KATE RADEMACHER | 2024-05-24 | ||
| 502 | 2023-01-01 | KATE RADEMACHER | 2024-07-17 | ||
| 502 | 2022-01-01 | KATE RADEMACHER | 2024-03-19 | ||
| 502 | 2021-01-01 | KATE RADEMACHER | 2024-03-19 |
| 2023: BARRETT AG SERVICE, INC. DENTAL AND VISION PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | Yes |
| 2023-01-01 | This submission is the final filing | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: BARRETT AG SERVICE, INC. DENTAL AND VISION PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: BARRETT AG SERVICE, INC. DENTAL AND VISION PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||||
| Policy contract number | 101112 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||
| Policy contract number | GLLV0BMRW | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| |||||||||||||||||||
| DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 ) | |||||||||||||||||||
| Policy contract number | 101112 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) | |||||||||||||||||||
| Policy contract number | GLLV0BMRW | ||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||
| Policy contract number | 01H9754 | ||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||
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