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TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 401k Plan overview

Plan NameTOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH
Plan identification number 502

TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

TOKUSEN U.S.A.,INC. has sponsored the creation of one or more 401k plans.

Company Name:TOKUSEN U.S.A.,INC.
Employer identification number (EIN):710683148
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01MARY ROSE MUSIL2024-08-05
5022022-01-01CARYL CHILLDRES2023-05-08
5022021-01-01CARYL CHILLDRES2022-07-05
5022020-01-01CARYL CHILLDRES2021-08-25
5022019-01-01CARYL CHILLDRES2020-10-03
5022018-01-01HOGANTAYLOR LLP PREPARER
5022017-01-01HOGANTAYLOR LLP PREPARER
5022016-01-01CARYL CHILLDRES CARYL CHILLDRES2017-05-31
5022015-01-01CARYL CHILLDRES CARYL CHILLDRES2016-06-09
5022014-01-01CARYL CHILLDRES CARYL CHILLDRES2015-05-30
5022013-01-01CARYL CHILLDRES CARYL CHILLDRES2014-07-17
5022012-01-01ED LEA ED LEA2014-02-18
5022011-01-01ED LEA ED LEA2014-02-18

Plan Statistics for TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH

401k plan membership statisitcs for TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH

Measure Date Value
2023: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2023 401k membership
Total participants, beginning-of-year2023-01-01258
Total number of active participants reported on line 7a of the Form 55002023-01-010
Total of all active and inactive participants2023-01-010
2022: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2022 401k membership
Total participants, beginning-of-year2022-01-01267
Total number of active participants reported on line 7a of the Form 55002022-01-01258
Total of all active and inactive participants2022-01-01258
2021: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2021 401k membership
Total participants, beginning-of-year2021-01-01301
Total number of active participants reported on line 7a of the Form 55002021-01-01267
Total of all active and inactive participants2021-01-01267
2020: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2020 401k membership
Total participants, beginning-of-year2020-01-01301
Total number of active participants reported on line 7a of the Form 55002020-01-01292
Total of all active and inactive participants2020-01-01292
2019: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2019 401k membership
Total participants, beginning-of-year2019-01-01287
Total number of active participants reported on line 7a of the Form 55002019-01-01301
Total of all active and inactive participants2019-01-01301
2018: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2018 401k membership
Total participants, beginning-of-year2018-01-01337
Total number of active participants reported on line 7a of the Form 55002018-01-01287
Total of all active and inactive participants2018-01-01287
2017: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2017 401k membership
Total participants, beginning-of-year2017-01-01428
Total number of active participants reported on line 7a of the Form 55002017-01-01337
Total of all active and inactive participants2017-01-01337
Total participants2017-01-01337
2016: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2016 401k membership
Total participants, beginning-of-year2016-01-01372
Total number of active participants reported on line 7a of the Form 55002016-01-01404
Total of all active and inactive participants2016-01-01404
Total participants2016-01-01404
2015: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2015 401k membership
Total participants, beginning-of-year2015-01-01340
Total number of active participants reported on line 7a of the Form 55002015-01-01372
Total of all active and inactive participants2015-01-01372
Total participants2015-01-01372
2014: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2014 401k membership
Total participants, beginning-of-year2014-01-01305
Total number of active participants reported on line 7a of the Form 55002014-01-01340
Total of all active and inactive participants2014-01-01340
Total participants2014-01-01340
2013: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2013 401k membership
Total participants, beginning-of-year2013-01-01340
Total number of active participants reported on line 7a of the Form 55002013-01-01301
Total of all active and inactive participants2013-01-01301
Total participants2013-01-01301
2012: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2012 401k membership
Total participants, beginning-of-year2012-01-01356
Total number of active participants reported on line 7a of the Form 55002012-01-01340
Total of all active and inactive participants2012-01-01340
Total participants2012-01-01340
2011: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2011 401k membership
Total participants, beginning-of-year2011-01-01334
Total number of active participants reported on line 7a of the Form 55002011-01-01280
Total of all active and inactive participants2011-01-01280
Total participants2011-01-01280

Form 5500 Responses for TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH

2023: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 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 – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: TOKUSEN U.S.A.,INC EMPLOYEE BENEFIT PLAN - HEALTH 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number029527/528/529
Policy instance 1
Insurance contract or identification number029527/528/529
Number of Individuals Covered564
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number029527/528/529
Policy instance 1
Insurance contract or identification number029527/528/529
Number of Individuals Covered561
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0920532
Policy instance 1
Insurance contract or identification number0920532
Number of Individuals Covered604
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $122,712
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,330,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees122712
Additional information about fees paid to insurance brokerSERVICE FEE ARRANGEMENT
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0920532
Policy instance 1
Insurance contract or identification number0920532
Number of Individuals Covered676
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $143,447
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,479,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees143447
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
HEALTH ADVANTAGE (National Association of Insurance Commissioners NAIC id number: 95442 )
Policy contract number776814
Policy instance 1
Insurance contract or identification number776814
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number029004
Policy instance 1
Insurance contract or identification number029004
Number of Individuals Covered768
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number029004
Policy instance 1
Insurance contract or identification number029004
Number of Individuals Covered885
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number
Policy instance 1
Number of Individuals Covered301
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,217
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,217
Insurance broker organization code?3
Insurance broker nameDANNY M. KNOTTS
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number
Policy instance 1
Number of Individuals Covered340
Insurance policy start date2012-12-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $12,218
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,218
Insurance broker organization code?3
Insurance broker nameDANNY M. KNOTTS
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number
Policy instance 1
Number of Individuals Covered280
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $13,972
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARKANSAS BLUE CROSS BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 83470 )
Policy contract number
Policy instance 1
Number of Individuals Covered334
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,982
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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