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FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 401k Plan overview

Plan NameFLEXIBLE BENEFITS PLAN OF GIBAULT, INC.
Plan identification number 504

FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

GIBAULT INC has sponsored the creation of one or more 401k plans.

Company Name:GIBAULT INC
Employer identification number (EIN):350868093
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLEXIBLE BENEFITS PLAN OF GIBAULT, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-12-01
5042020-12-01
5042019-12-01
5042018-12-01
5042017-12-01
5042016-12-01AMY ATCHLEY
5042015-12-01AMY ATCHLEY
5042014-12-01AMY ATCHLEY
5042013-12-01AMY ATCHLEY
5042012-12-01AMY ATCHLEY
5042011-12-01AMY ATCHLEY
5042010-12-01AMY ATCHLEY
5042009-12-01AMY ATCHLEY
5042008-12-01

Plan Statistics for FLEXIBLE BENEFITS PLAN OF GIBAULT, INC.

401k plan membership statisitcs for FLEXIBLE BENEFITS PLAN OF GIBAULT, INC.

Measure Date Value
2021: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2021 401k membership
Total participants, beginning-of-year2021-12-01144
Total number of active participants reported on line 7a of the Form 55002021-12-01170
Number of retired or separated participants receiving benefits2021-12-011
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01171
2020: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2020 401k membership
Total participants, beginning-of-year2020-12-01194
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
2019: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2019 401k membership
Total participants, beginning-of-year2019-12-01199
Total number of active participants reported on line 7a of the Form 55002019-12-01194
Total of all active and inactive participants2019-12-01194
Total participants2019-12-01194
2018: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2018 401k membership
Total participants, beginning-of-year2018-12-01179
Total number of active participants reported on line 7a of the Form 55002018-12-01199
Total of all active and inactive participants2018-12-01199
Total participants2018-12-01199
2017: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2017 401k membership
Total participants, beginning-of-year2017-12-01201
Total number of active participants reported on line 7a of the Form 55002017-12-01179
Total of all active and inactive participants2017-12-01179
Total participants2017-12-01179
2016: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2016 401k membership
Total participants, beginning-of-year2016-12-01183
Total number of active participants reported on line 7a of the Form 55002016-12-01201
Total of all active and inactive participants2016-12-01201
Total participants2016-12-01201
2015: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2015 401k membership
Total participants, beginning-of-year2015-12-01207
Total number of active participants reported on line 7a of the Form 55002015-12-01183
Total of all active and inactive participants2015-12-01183
Total participants2015-12-010
2014: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2014 401k membership
Total participants, beginning-of-year2014-12-01156
Total number of active participants reported on line 7a of the Form 55002014-12-01207
Total of all active and inactive participants2014-12-01207
Total participants2014-12-010
2013: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2013 401k membership
Total participants, beginning-of-year2013-12-01131
Total number of active participants reported on line 7a of the Form 55002013-12-01155
Number of retired or separated participants receiving benefits2013-12-011
Total of all active and inactive participants2013-12-01156
Total participants2013-12-010
2012: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2012 401k membership
Total participants, beginning-of-year2012-12-01112
Total number of active participants reported on line 7a of the Form 55002012-12-01130
Number of retired or separated participants receiving benefits2012-12-011
Total of all active and inactive participants2012-12-01131
Total participants2012-12-010
2011: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2011 401k membership
Total participants, beginning-of-year2011-12-01159
Total number of active participants reported on line 7a of the Form 55002011-12-01111
Number of retired or separated participants receiving benefits2011-12-011
Total of all active and inactive participants2011-12-01112
Total participants2011-12-01112
2010: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2010 401k membership
Total participants, beginning-of-year2010-12-01192
Total number of active participants reported on line 7a of the Form 55002010-12-01159
Total of all active and inactive participants2010-12-01159
Total participants2010-12-01159
2009: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2009 401k membership
Total participants, beginning-of-year2009-12-01233
Total number of active participants reported on line 7a of the Form 55002009-12-01192
Total of all active and inactive participants2009-12-01192
Total participants2009-12-01192

Form 5500 Responses for FLEXIBLE BENEFITS PLAN OF GIBAULT, INC.

2021: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes
2015: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Plan funding arrangement – General assets of the sponsorYes
2015-12-01Plan benefit arrangement – General assets of the sponsorYes
2014: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Plan funding arrangement – General assets of the sponsorYes
2014-12-01Plan benefit arrangement – General assets of the sponsorYes
2013: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Plan funding arrangement – General assets of the sponsorYes
2013-12-01Plan benefit arrangement – General assets of the sponsorYes
2012: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Plan funding arrangement – General assets of the sponsorYes
2012-12-01Plan benefit arrangement – General assets of the sponsorYes
2011: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Plan funding arrangement – General assets of the sponsorYes
2011-12-01Plan benefit arrangement – General assets of the sponsorYes
2010: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Plan funding arrangement – General assets of the sponsorYes
2010-12-01Plan benefit arrangement – General assets of the sponsorYes
2009: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Plan funding arrangement – General assets of the sponsorYes
2009-12-01Plan benefit arrangement – General assets of the sponsorYes
2008: FLEXIBLE BENEFITS PLAN OF GIBAULT, INC. 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number2296-3663-3021
Policy instance 1
Insurance contract or identification number2296-3663-3021
Number of Individuals Covered170
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,317
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,317
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AHNJ
Policy instance 2
Insurance contract or identification numberGLUG0AHNJ
Number of Individuals Covered160
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $802
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $802
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDE0AHNJ
Policy instance 3
Insurance contract or identification numberGUDE0AHNJ
Number of Individuals Covered32
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $634
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $4,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $634
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUDH0AHNJ
Policy instance 4
Insurance contract or identification numberGUDH0AHNJ
Number of Individuals Covered35
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $779
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $779
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUSIBAHNJ
Policy instance 5
Insurance contract or identification numberGUSIBAHNJ
Number of Individuals Covered160
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,667
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3667
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?5
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AHNJ
Policy instance 6
Insurance contract or identification numberGVTL0AHNJ
Number of Individuals Covered58
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $2,968
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $19,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,968
Insurance broker organization code?3
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number2296-4704-3021
Policy instance 7
Insurance contract or identification number2296-4704-3021
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0

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