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T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 401k Plan overview

Plan NameT.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN
Plan identification number 501

T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN Benefits

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

401k Sponsoring company profile

T.B. BUTLER PUBLISHING CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:T.B. BUTLER PUBLISHING CO., INC.
Employer identification number (EIN):751420210
NAIC Classification:511110
NAIC Description:Newspaper Publishers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-01-01ROBIN ASHWORTH
5012013-01-01ROBIN ASHWORTH
5012012-01-01ROBIN ASHWORTH
5012011-01-01ROBIN ASHWORTH
5012010-01-01DEBRA DOWDEN
5012009-01-01THOMAS W CLYDE

Plan Statistics for T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN

401k plan membership statisitcs for T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN

Measure Date Value
2014: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0181
Total number of active participants reported on line 7a of the Form 55002014-01-0173
Number of retired or separated participants receiving benefits2014-01-011
Total of all active and inactive participants2014-01-0174
Total participants2014-01-010
2013: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0198
Total number of active participants reported on line 7a of the Form 55002013-01-0185
Total of all active and inactive participants2013-01-0185
Total participants2013-01-010
2012: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01125
Total number of active participants reported on line 7a of the Form 55002012-01-0198
Total of all active and inactive participants2012-01-0198
Total participants2012-01-010
2011: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01127
Total number of active participants reported on line 7a of the Form 55002011-01-01125
Total of all active and inactive participants2011-01-01125
Total participants2011-01-01125
2010: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01121
Total number of active participants reported on line 7a of the Form 55002010-01-01127
Total of all active and inactive participants2010-01-01127
Total participants2010-01-01127
2009: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01122
Total number of active participants reported on line 7a of the Form 55002009-01-01121
Total of all active and inactive participants2009-01-01121
Total participants2009-01-01121

Form 5500 Responses for T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN

2014: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
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: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
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: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
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
2010: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: T.B. BUTLER PUBLISHING CO. MEDICAL INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 3086 )
Policy contract numberUNI-201801
Policy instance 1
Insurance contract or identification numberUNI-201801
Number of Individuals Covered74
Insurance policy start date2013-12-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $15,305
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $204,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,305
Insurance broker organization code?3
Insurance broker nameRFA INC
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number00192605
Policy instance 1
Insurance contract or identification number00192605
Number of Individuals Covered22
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of fees paid to insurance companyUSD $3,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3780
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?0
Insurance broker nameCONNECTICUT GENERAL LIFE INSURANCE
TIME INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69477 )
Policy contract numberM06396
Policy instance 2
Insurance contract or identification numberM06396
Number of Individuals Covered24
Insurance policy start date2012-11-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $1,428
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,428
Insurance broker organization code?3
Insurance broker nameL.S. AGENCY, LLC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCL170595
Policy instance 3
Insurance contract or identification numberCL170595
Number of Individuals Covered25
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $15,511
Welfare Benefit Premiums Paid to CarrierUSD $87,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,511
Insurance broker organization code?3
Insurance broker nameTEXAS EXCESS & SURPLUS LINES AGENCY
AXIS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 37273 )
Policy contract number8001757
Policy instance 4
Insurance contract or identification number8001757
Number of Individuals Covered65
Insurance policy start date2013-01-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $41,498
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,693
Insurance broker organization code?3
Insurance broker nameL.S. AGENCY, LLC
INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 )
Policy contract numberIIS 1698
Policy instance 1
Insurance contract or identification numberIIS 1698
Number of Individuals Covered98
Insurance policy start date2011-11-01
Insurance policy end date2012-11-01
Total amount of commissions paid to insurance brokerUSD $23,994
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $159,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,994
Insurance broker organization code?3
Insurance broker nameRFA INC
INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 )
Policy contract numberIIS 1698
Policy instance 1
Insurance contract or identification numberIIS 1698
Number of Individuals Covered125
Insurance policy start date2010-11-01
Insurance policy end date2011-11-01
Total amount of commissions paid to insurance brokerUSD $23,261
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberIIAS 9960-7734
Policy instance 1
Insurance contract or identification numberIIAS 9960-7734
Number of Individuals Covered127
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Total amount of commissions paid to insurance brokerUSD $24,080
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,080
Insurance broker organization code?3
Insurance broker nameRFA INC

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