| Plan Name | KANE INFRASTRUCTURE SERVICES AND INTERMEDIATE HOLDINGS, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | KANE INFRASTRUCTURE SERVICES |
| Employer identification number (EIN): | 871751107 |
| NAIC Classification: | 541800 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-04-01 | RYAN KASTEN | 2024-07-15 | ||
| 501 | 2022-04-01 | RYAN KASTEN | 2023-11-26 |
| Measure | Date | Value |
|---|---|---|
| 2023: KANE INFRASTRUCTURE SERVICES AND INTERMEDIATE HOLDINGS, LLC HEALTH AND WELFARE PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-04-01 | 336 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-04-01 | 317 |
| Number of retired or separated participants receiving benefits | 2023-04-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2023-04-01 | 0 |
| Total of all active and inactive participants | 2023-04-01 | 320 |
| Number of employers contributing to the scheme | 2023-04-01 | 0 |
| 2022: KANE INFRASTRUCTURE SERVICES AND INTERMEDIATE HOLDINGS, LLC HEALTH AND WELFARE PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-04-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-04-01 | 218 |
| Number of retired or separated participants receiving benefits | 2022-04-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2022-04-01 | 1 |
| Total of all active and inactive participants | 2022-04-01 | 220 |
| 2023: KANE INFRASTRUCTURE SERVICES AND INTERMEDIATE HOLDINGS, LLC HEALTH AND WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: KANE INFRASTRUCTURE SERVICES AND INTERMEDIATE HOLDINGS, LLC HEALTH AND WELFARE PLAN 2022 form 5500 responses | ||
| 2022-04-01 | Type of plan entity | Single employer plan |
| 2022-04-01 | First time form 5500 has been submitted | Yes |
| 2022-04-01 | Submission has been amended | No |
| 2022-04-01 | This submission is the final filing | No |
| 2022-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-04-01 | Plan is a collectively bargained plan | No |
| 2022-04-01 | Plan funding arrangement – Insurance | Yes |
| 2022-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||||
| Policy contract number | 41950 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||
| Policy contract number | 5395155 | ||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||||
| Policy contract number | 41950 | ||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||
| Policy contract number | 5395155 | ||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||
| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) | |||||||||||||||||||||||||||||
| Policy contract number | 041950 | ||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||