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CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 401k Plan overview

Plan NameCASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN
Plan identification number 503

CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CASEY'S GENERAL STORES, INC has sponsored the creation of one or more 401k plans.

Company Name:CASEY'S GENERAL STORES, INC
Employer identification number (EIN):420935283
NAIC Classification:447100
NAIC Description: Gasoline Stations, Gas

Additional information about CASEY'S GENERAL STORES, INC

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1967-12-13
Company Identification Number: 7285
Legal Registered Office Address: ONE SE CONVENIENCE BLVD

ANKENY
United States of America (USA)
50021

More information about CASEY'S GENERAL STORES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-01-01CINDI SUMMERS
5032014-01-01CINDI SUMMERS
5032013-01-01CINDI SUMMERS

Plan Statistics for CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN

401k plan membership statisitcs for CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN

Measure Date Value
2015: CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,334
Total number of active participants reported on line 7a of the Form 55002015-01-011,278
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,278
2014: CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,306
Total number of active participants reported on line 7a of the Form 55002014-01-011,334
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,334
2013: CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01476
Total number of active participants reported on line 7a of the Form 55002013-01-01427
Number of retired or separated participants receiving benefits2013-01-0112
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01439

Form 5500 Responses for CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN

2015: CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CASEY'S GENERAL STORES, INC. CRITICAL ILLNESS AND ACCIDENT INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number17002
Policy instance 1
Insurance contract or identification number17002
Number of Individuals Covered1278
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $95,862
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $430,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,174
Insurance broker organization code?3
Insurance broker nameALAN PAPE
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number17002
Policy instance 1
Insurance contract or identification number17002
Number of Individuals Covered1255
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $75,407
Health Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $346,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,412
Insurance broker organization code?3
Insurance broker nameALAN PAPE
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number17002
Policy instance 1
Insurance contract or identification number17002
Number of Individuals Covered824
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $56,592
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $259,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,337
Insurance broker organization code?3
Insurance broker nameALAN PAPE

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