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D & J FARM MANAGEMENT, LLC MEDICAL PLAN. 401k Plan overview

Plan NameD & J FARM MANAGEMENT, LLC MEDICAL PLAN.
Plan identification number 503

D & J FARM MANAGEMENT, LLC MEDICAL PLAN. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ILLUME AGRICULTURE, LLC has sponsored the creation of one or more 401k plans.

Company Name:ILLUME AGRICULTURE, LLC
Employer identification number (EIN):208350499
NAIC Classification:111900
NAIC Description:Other Crop Farming

Additional information about ILLUME AGRICULTURE, LLC

Jurisdiction of Incorporation: California Secretary of State
Incorporation Date: 2007-01-17
Company Identification Number: 200701910227
Legal Registered Office Address: 4200 TRUXTUN AVE STE 101

BAKERSFIELD
United States of America (USA)
93309

More information about ILLUME AGRICULTURE, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D & J FARM MANAGEMENT, LLC MEDICAL PLAN.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-12-01KEVIN CANADAY2023-06-20
5032020-12-01TRACY SAIKI2022-02-10

Plan Statistics for D & J FARM MANAGEMENT, LLC MEDICAL PLAN.

401k plan membership statisitcs for D & J FARM MANAGEMENT, LLC MEDICAL PLAN.

Measure Date Value
2021: D & J FARM MANAGEMENT, LLC MEDICAL PLAN. 2021 401k membership
Total participants, beginning-of-year2021-12-01144
Total number of active participants reported on line 7a of the Form 55002021-12-0187
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0187
Number of employers contributing to the scheme2021-12-010
2020: D & J FARM MANAGEMENT, LLC MEDICAL PLAN. 2020 401k membership
Total participants, beginning-of-year2020-12-01138
Total number of active participants reported on line 7a of the Form 55002020-12-01144
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01144
Number of employers contributing to the scheme2020-12-010

Form 5500 Responses for D & J FARM MANAGEMENT, LLC MEDICAL PLAN.

2021: D & J FARM MANAGEMENT, LLC MEDICAL PLAN. 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: D & J FARM MANAGEMENT, LLC MEDICAL PLAN. 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number249738
Policy instance 1
Insurance contract or identification number249738
Number of Individuals Covered87
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $15,780
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,147,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $15,780
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number249738
Policy instance 1
Insurance contract or identification number249738
Number of Individuals Covered144
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $17,775
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,354,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $17,775
Amount paid for insurance broker fees0
Insurance broker organization code?3

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