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CAN USA, INC. HEALTH INSURANCE PLAN 401k Plan overview

Plan NameCAN USA, INC. HEALTH INSURANCE PLAN
Plan identification number 503

CAN USA, INC. HEALTH INSURANCE PLAN Benefits

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

401k Sponsoring company profile

CAN-USA, INC. has sponsored the creation of one or more 401k plans.

Company Name:CAN-USA, INC.
Employer identification number (EIN):721381707
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAN USA, INC. HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-05-01CLAYTON HINYUP2024-08-19
5032022-05-01CLAYTON HINYUP2023-10-31
5032021-05-01CLAYTON HINYUP2022-10-25
5032020-05-01CLAYTON HINYUP2021-10-27
5032019-05-01CLAYTON HINYUP2020-09-17
5032018-05-01CLAYTON HINYUP2019-11-11
5032017-05-01
5032016-05-01
5032015-05-01
5032014-05-01
5032013-05-01
5032012-05-01CLAYTON HINYUP
5032011-05-01CLAYTON HINYUP
5032009-05-01CLAYTON HINYUP

Plan Statistics for CAN USA, INC. HEALTH INSURANCE PLAN

401k plan membership statisitcs for CAN USA, INC. HEALTH INSURANCE PLAN

Measure Date Value
2023: CAN USA, INC. HEALTH INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year2023-05-01169
Total number of active participants reported on line 7a of the Form 55002023-05-01161
Number of retired or separated participants receiving benefits2023-05-010
Number of other retired or separated participants entitled to future benefits2023-05-010
Total of all active and inactive participants2023-05-01161
2022: CAN USA, INC. HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01203
Total number of active participants reported on line 7a of the Form 55002022-05-01179
Total of all active and inactive participants2022-05-01179
2021: CAN USA, INC. HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01178
Total number of active participants reported on line 7a of the Form 55002021-05-01205
Total of all active and inactive participants2021-05-01205
2020: CAN USA, INC. HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01170
Total number of active participants reported on line 7a of the Form 55002020-05-01179
Total of all active and inactive participants2020-05-01179
2019: CAN USA, INC. HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01212
Total number of active participants reported on line 7a of the Form 55002019-05-01166
Total of all active and inactive participants2019-05-01166
2018: CAN USA, INC. HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01227
Total number of active participants reported on line 7a of the Form 55002018-05-01217
Total of all active and inactive participants2018-05-01217
2017: CAN USA, INC. HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01216
Total number of active participants reported on line 7a of the Form 55002017-05-01223
Total of all active and inactive participants2017-05-01223
2016: CAN USA, INC. HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01185
Total number of active participants reported on line 7a of the Form 55002016-05-01201
Total of all active and inactive participants2016-05-01201
2015: CAN USA, INC. HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01190
Total number of active participants reported on line 7a of the Form 55002015-05-01181
Total of all active and inactive participants2015-05-01181
2014: CAN USA, INC. HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01156
Total number of active participants reported on line 7a of the Form 55002014-05-01186
Total of all active and inactive participants2014-05-01186
2013: CAN USA, INC. HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01127
Total number of active participants reported on line 7a of the Form 55002013-05-01128
Total of all active and inactive participants2013-05-01128
2012: CAN USA, INC. HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01111
Total number of active participants reported on line 7a of the Form 55002012-05-01127
Total of all active and inactive participants2012-05-01127
2011: CAN USA, INC. HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01123
Total number of active participants reported on line 7a of the Form 55002011-05-01111
Total of all active and inactive participants2011-05-01111
2009: CAN USA, INC. HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01117
Total number of active participants reported on line 7a of the Form 55002009-05-01115
Total of all active and inactive participants2009-05-01115

Form 5500 Responses for CAN USA, INC. HEALTH INSURANCE PLAN

2023: CAN USA, INC. HEALTH INSURANCE PLAN 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan benefit arrangement – InsuranceYes
2022: CAN USA, INC. HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: CAN USA, INC. HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: CAN USA, INC. HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: CAN USA, INC. HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: CAN USA, INC. HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: CAN USA, INC. HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: CAN USA, INC. HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: CAN USA, INC. HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: CAN USA, INC. HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: CAN USA, INC. HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: CAN USA, INC. HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: CAN USA, INC. HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: CAN USA, INC. HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01First time form 5500 has been submittedYes
2009-05-01This submission is the final filingNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered161
Insurance policy start date2023-05-01
Insurance policy end date2024-05-01
Total amount of commissions paid to insurance brokerUSD $76,773
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered179
Insurance policy start date2022-05-01
Insurance policy end date2023-05-01
Total amount of commissions paid to insurance brokerUSD $70,165
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,165
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered205
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $67,742
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,742
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered179
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $60,227
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,227
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered166
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $53,769
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,769
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered217
Insurance policy start date2018-05-01
Insurance policy end date2019-05-01
Total amount of commissions paid to insurance brokerUSD $63,168
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,168
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered223
Insurance policy start date2017-05-01
Insurance policy end date2018-05-01
Total amount of commissions paid to insurance brokerUSD $67,562
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,562
Insurance broker organization code?3
Insurance broker nameJEFFREY E HAFFNER
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered181
Insurance policy start date2015-05-01
Insurance policy end date2016-05-01
Total amount of commissions paid to insurance brokerUSD $59,460
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,460
Insurance broker organization code?3
Insurance broker nameJEFFREY E HAFFNER
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered186
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $23,305
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,305
Insurance broker organization code?3
Insurance broker nameJEFFREY E HAFFNER
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered128
Insurance policy start date2013-05-01
Insurance policy end date2014-05-01
Total amount of commissions paid to insurance brokerUSD $19,612
Total amount of fees paid to insurance companyUSD $7,319
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,612
Amount paid for insurance broker fees7319
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker nameJEFFREY E HAFFNER
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered127
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $17,230
Total amount of fees paid to insurance companyUSD $11,818
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,230
Amount paid for insurance broker fees11818
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker nameJEFFREY E HAFFNER
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered111
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $17,372
Total amount of fees paid to insurance companyUSD $3,396
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number76876FF2
Policy instance 1
Insurance contract or identification number76876FF2
Number of Individuals Covered123
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $16,637
Total amount of fees paid to insurance companyUSD $8,153
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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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