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HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 401k Plan overview

Plan NameHEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION
Plan identification number 503

HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION Benefits

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

401k Sponsoring company profile

KANSAS BANKERS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:KANSAS BANKERS ASSOCIATION
Employer identification number (EIN):480937602
NAIC Classification:522298
NAIC Description:All Other Nondepository Credit Intermediation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-08-01ELIZABETH ROCHE2023-05-15
5032020-08-01
5032020-08-01
5032019-08-01
5032018-08-01
5032017-08-01
5032016-08-01YVONNE G. BROWNELL
5032016-08-01
5032015-08-01YVONNE G. BROWNELL
5032014-08-01YVONNE G. BROWNELL
5032013-08-01
5032012-08-01EDWARD GRIFFITH
5032011-08-01EDWARD GRIFFITH
5032010-08-01EDWARD GRIFFITH
5032009-08-01EDWARD GRIFFITH

Plan Statistics for HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION

401k plan membership statisitcs for HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION

Measure Date Value
2021: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2021 401k membership
Total participants, beginning-of-year2021-08-0110,593
Total number of active participants reported on line 7a of the Form 55002021-08-0110,767
Number of retired or separated participants receiving benefits2021-08-0166
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-0110,833
2020: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2020 401k membership
Total participants, beginning-of-year2020-08-0111,312
Total number of active participants reported on line 7a of the Form 55002020-08-0110,813
Total of all active and inactive participants2020-08-0110,813
Total participants2020-08-0110,813
2019: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2019 401k membership
Total participants, beginning-of-year2019-08-0111,088
Total number of active participants reported on line 7a of the Form 55002019-08-0111,312
Total of all active and inactive participants2019-08-0111,312
Total participants2019-08-0111,312
2018: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2018 401k membership
Total participants, beginning-of-year2018-08-0111,248
Total number of active participants reported on line 7a of the Form 55002018-08-0111,088
Total of all active and inactive participants2018-08-0111,088
Total participants2018-08-0111,088
2017: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2017 401k membership
Total participants, beginning-of-year2017-08-0111,325
Total number of active participants reported on line 7a of the Form 55002017-08-0111,248
Total of all active and inactive participants2017-08-0111,248
Total participants2017-08-0111,248
2016: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2016 401k membership
Total participants, beginning-of-year2016-08-0111,405
Total number of active participants reported on line 7a of the Form 55002016-08-0111,325
Total of all active and inactive participants2016-08-0111,325
Total participants2016-08-0111,325
2015: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2015 401k membership
Total participants, beginning-of-year2015-08-0111,286
Total number of active participants reported on line 7a of the Form 55002015-08-0111,405
Total of all active and inactive participants2015-08-0111,405
Total participants2015-08-010
2014: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-08-0111,279
Total number of active participants reported on line 7a of the Form 55002014-08-0111,286
Total of all active and inactive participants2014-08-0111,286
Total participants2014-08-010
2013: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-08-0112,640
Total number of active participants reported on line 7a of the Form 55002013-08-0111,279
Total of all active and inactive participants2013-08-0111,279
2012: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-08-0113,564
Total number of active participants reported on line 7a of the Form 55002012-08-0112,640
Total of all active and inactive participants2012-08-0112,640
2011: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-08-0113,916
Total number of active participants reported on line 7a of the Form 55002011-08-0113,564
Total of all active and inactive participants2011-08-0113,564
2010: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2010 401k membership
Total participants, beginning-of-year2010-08-0115,254
Total number of active participants reported on line 7a of the Form 55002010-08-0113,916
Total of all active and inactive participants2010-08-0113,916
2009: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-08-0115,720
Total number of active participants reported on line 7a of the Form 55002009-08-0115,254
Total of all active and inactive participants2009-08-0115,254

Financial Data on HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION

Measure Date Value
2022 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-07-31$-205,902
Total unrealized appreciation/depreciation of assets2022-07-31$-205,902
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-31$7,117,093
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-31$6,392,104
Total income from all sources (including contributions)2022-07-31$64,613,340
Total of all expenses incurred2022-07-31$67,551,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-31$61,327,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-31$64,707,798
Value of total assets at end of year2022-07-31$22,483,669
Value of total assets at beginning of year2022-07-31$24,697,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-31$6,223,993
Total interest from all sources2022-07-31$111,444
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-31No
Administrative expenses professional fees incurred2022-07-31$27,437
Was this plan covered by a fidelity bond2022-07-31Yes
Value of fidelity bond cover2022-07-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2022-07-31No
Contributions received from participants2022-07-31$20,937,337
Assets. Other investments not covered elsewhere at end of year2022-07-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-07-31$486,539
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-07-31$1,566,487
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-07-31$27,804
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-07-31$61,120
Administrative expenses (other) incurred2022-07-31$587,550
Liabilities. Value of operating payables at end of year2022-07-31$319,651
Liabilities. Value of operating payables at beginning of year2022-07-31$370,807
Total non interest bearing cash at end of year2022-07-31$660,500
Total non interest bearing cash at beginning of year2022-07-31$482,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Value of net income/loss2022-07-31$-2,938,490
Value of net assets at end of year (total assets less liabilities)2022-07-31$15,366,576
Value of net assets at beginning of year (total assets less liabilities)2022-07-31$18,305,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-31No
Were any leases to which the plan was party in default or uncollectible2022-07-31No
Investment advisory and management fees2022-07-31$135,000
Income. Interest from US Government securities2022-07-31$85,254
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-07-31$15,957,555
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-07-31$21,119,851
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-07-31$21,119,851
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-07-31$26,190
Expenses. Payments to insurance carriers foe the provision of benefits2022-07-31$1,378,911
Asset value of US Government securities at end of year2022-07-31$4,299,127
Asset value of US Government securities at beginning of year2022-07-31$2,580,801
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-31Yes
Was there a failure to transmit to the plan any participant contributions2022-07-31No
Has the plan failed to provide any benefit when due under the plan2022-07-31No
Contributions received in cash from employer2022-07-31$43,770,461
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-07-31$59,948,926
Contract administrator fees2022-07-31$5,474,006
Liabilities. Value of benefit claims payable at end of year2022-07-31$6,797,442
Liabilities. Value of benefit claims payable at beginning of year2022-07-31$5,960,177
Did the plan have assets held for investment2022-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-31No
Opinion of an independent qualified public accountant for this plan2022-07-31Unqualified
Accountancy firm name2022-07-31FORVIS, LLP
Accountancy firm EIN2022-07-31440160260
2021 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-07-31$6,392,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-07-31$6,914,491
Total income from all sources (including contributions)2021-07-31$64,407,624
Total of all expenses incurred2021-07-31$61,560,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-07-31$55,692,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-07-31$64,259,977
Value of total assets at end of year2021-07-31$24,697,170
Value of total assets at beginning of year2021-07-31$22,372,271
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-07-31$5,868,041
Total interest from all sources2021-07-31$147,647
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-07-31No
Administrative expenses professional fees incurred2021-07-31$170,930
Was this plan covered by a fidelity bond2021-07-31Yes
Value of fidelity bond cover2021-07-31$2,000,000
If this is an individual account plan, was there a blackout period2021-07-31No
Were there any nonexempt tranactions with any party-in-interest2021-07-31No
Contributions received from participants2021-07-31$646,152
Assets. Other investments not covered elsewhere at end of year2021-07-31$486,539
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-07-31$207,611
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-07-31$27,804
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-07-31$31,793
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-07-31$61,120
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-07-31$193,058
Administrative expenses (other) incurred2021-07-31$1,090,636
Liabilities. Value of operating payables at end of year2021-07-31$370,807
Liabilities. Value of operating payables at beginning of year2021-07-31$1,599,147
Total non interest bearing cash at end of year2021-07-31$482,175
Total non interest bearing cash at beginning of year2021-07-31$1,333,424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Value of net income/loss2021-07-31$2,847,286
Value of net assets at end of year (total assets less liabilities)2021-07-31$18,305,066
Value of net assets at beginning of year (total assets less liabilities)2021-07-31$15,457,780
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-07-31No
Were any leases to which the plan was party in default or uncollectible2021-07-31No
Value of interest in pooled separate accounts at end of year2021-07-31$0
Income. Interest from US Government securities2021-07-31$27,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-07-31$21,119,851
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-07-31$18,326,326
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-07-31$18,326,326
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-07-31$120,630
Expenses. Payments to insurance carriers foe the provision of benefits2021-07-31$1,399,957
Asset value of US Government securities at end of year2021-07-31$2,580,801
Asset value of US Government securities at beginning of year2021-07-31$2,680,728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-07-31No
Was there a failure to transmit to the plan any participant contributions2021-07-31No
Has the plan failed to provide any benefit when due under the plan2021-07-31No
Contributions received in cash from employer2021-07-31$63,613,825
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-07-31$54,084,729
Contract administrator fees2021-07-31$4,606,475
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-07-31No
Liabilities. Value of benefit claims payable at end of year2021-07-31$5,960,177
Liabilities. Value of benefit claims payable at beginning of year2021-07-31$5,122,286
Did the plan have assets held for investment2021-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-07-31No
Opinion of an independent qualified public accountant for this plan2021-07-31Unqualified
Accountancy firm name2021-07-31MIZE CPAS INC
Accountancy firm EIN2021-07-31480882363
2020 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$6,914,491
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$5,853,264
Total income from all sources (including contributions)2020-07-31$64,491,684
Total of all expenses incurred2020-07-31$59,074,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$53,135,290
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$64,151,749
Value of total assets at end of year2020-07-31$22,372,271
Value of total assets at beginning of year2020-07-31$15,893,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$5,939,092
Total interest from all sources2020-07-31$339,935
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31No
Administrative expenses professional fees incurred2020-07-31$150,571
Was this plan covered by a fidelity bond2020-07-31Yes
Value of fidelity bond cover2020-07-31$2,000,000
If this is an individual account plan, was there a blackout period2020-07-31No
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Contributions received from participants2020-07-31$724,624
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-07-31$14,405
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-07-31$31,793
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-07-31$37,341
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-07-31$193,058
Administrative expenses (other) incurred2020-07-31$1,187,578
Liabilities. Value of operating payables at end of year2020-07-31$1,599,147
Liabilities. Value of operating payables at beginning of year2020-07-31$988,950
Total non interest bearing cash at end of year2020-07-31$1,333,424
Total non interest bearing cash at beginning of year2020-07-31$5,372,914
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Value of net income/loss2020-07-31$5,417,302
Value of net assets at end of year (total assets less liabilities)2020-07-31$15,457,780
Value of net assets at beginning of year (total assets less liabilities)2020-07-31$10,040,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Value of interest in pooled separate accounts at end of year2020-07-31$0
Income. Interest from US Government securities2020-07-31$108,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-07-31$18,326,326
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-07-31$7,055,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-07-31$7,055,919
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-07-31$231,231
Expenses. Payments to insurance carriers foe the provision of benefits2020-07-31$1,624,792
Asset value of US Government securities at end of year2020-07-31$2,680,728
Asset value of US Government securities at beginning of year2020-07-31$3,427,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31Yes
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Contributions received in cash from employer2020-07-31$63,427,125
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-31$51,496,093
Contract administrator fees2020-07-31$4,600,943
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-07-31No
Liabilities. Value of benefit claims payable at end of year2020-07-31$5,122,286
Liabilities. Value of benefit claims payable at beginning of year2020-07-31$4,864,314
Did the plan have assets held for investment2020-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31No
Opinion of an independent qualified public accountant for this plan2020-07-31Unqualified
Accountancy firm name2020-07-31MIZE CPAS INC
Accountancy firm EIN2020-07-31480882363
2019 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$5,853,264
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$5,606,877
Total income from all sources (including contributions)2019-07-31$63,072,787
Total of all expenses incurred2019-07-31$65,560,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-07-31$59,583,115
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-07-31$62,625,104
Value of total assets at end of year2019-07-31$15,893,742
Value of total assets at beginning of year2019-07-31$18,134,735
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-07-31$5,977,052
Total interest from all sources2019-07-31$447,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-07-31No
Administrative expenses professional fees incurred2019-07-31$195,668
Was this plan covered by a fidelity bond2019-07-31Yes
Value of fidelity bond cover2019-07-31$2,000,000
If this is an individual account plan, was there a blackout period2019-07-31No
Were there any nonexempt tranactions with any party-in-interest2019-07-31No
Contributions received from participants2019-07-31$632,486
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-07-31$37,341
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-07-31$31,291
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-07-31$73,117
Administrative expenses (other) incurred2019-07-31$1,257,190
Liabilities. Value of operating payables at end of year2019-07-31$988,950
Liabilities. Value of operating payables at beginning of year2019-07-31$794,218
Total non interest bearing cash at end of year2019-07-31$5,372,914
Total non interest bearing cash at beginning of year2019-07-31$1,242,366
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Value of net income/loss2019-07-31$-2,487,380
Value of net assets at end of year (total assets less liabilities)2019-07-31$10,040,478
Value of net assets at beginning of year (total assets less liabilities)2019-07-31$12,527,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-07-31No
Were any leases to which the plan was party in default or uncollectible2019-07-31No
Value of interest in pooled separate accounts at end of year2019-07-31$0
Income. Interest from US Government securities2019-07-31$226,338
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-07-31$7,055,919
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-07-31$11,362,597
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-07-31$11,362,597
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-07-31$221,345
Expenses. Payments to insurance carriers foe the provision of benefits2019-07-31$1,795,672
Asset value of US Government securities at end of year2019-07-31$3,427,568
Asset value of US Government securities at beginning of year2019-07-31$5,498,481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-07-31Yes
Was there a failure to transmit to the plan any participant contributions2019-07-31No
Has the plan failed to provide any benefit when due under the plan2019-07-31No
Contributions received in cash from employer2019-07-31$61,992,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-07-31$57,787,443
Contract administrator fees2019-07-31$4,524,194
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-07-31No
Liabilities. Value of benefit claims payable at end of year2019-07-31$4,864,314
Liabilities. Value of benefit claims payable at beginning of year2019-07-31$4,739,542
Did the plan have assets held for investment2019-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-07-31No
Opinion of an independent qualified public accountant for this plan2019-07-31Unqualified
Accountancy firm name2019-07-31MIZE CPAS INC
Accountancy firm EIN2019-07-31480882363
2018 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$5,606,877
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$6,765,441
Total income from all sources (including contributions)2018-07-31$61,541,320
Total of all expenses incurred2018-07-31$60,997,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-31$56,155,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-31$61,307,389
Value of total assets at end of year2018-07-31$18,134,735
Value of total assets at beginning of year2018-07-31$18,749,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-31$4,842,035
Total interest from all sources2018-07-31$233,931
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-31No
Administrative expenses professional fees incurred2018-07-31$76,007
Was this plan covered by a fidelity bond2018-07-31Yes
Value of fidelity bond cover2018-07-31$2,000,000
If this is an individual account plan, was there a blackout period2018-07-31No
Were there any nonexempt tranactions with any party-in-interest2018-07-31No
Contributions received from participants2018-07-31$612,171
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-07-31$31,291
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-07-31$461,061
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-07-31$73,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-07-31$222,807
Administrative expenses (other) incurred2018-07-31$959,676
Liabilities. Value of operating payables at end of year2018-07-31$794,218
Liabilities. Value of operating payables at beginning of year2018-07-31$737,745
Total non interest bearing cash at end of year2018-07-31$1,242,366
Total non interest bearing cash at beginning of year2018-07-31$570,342
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Value of net income/loss2018-07-31$543,697
Value of net assets at end of year (total assets less liabilities)2018-07-31$12,527,858
Value of net assets at beginning of year (total assets less liabilities)2018-07-31$11,984,161
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-31No
Were any leases to which the plan was party in default or uncollectible2018-07-31No
Income. Interest from US Government securities2018-07-31$104,532
Value of interest in common/collective trusts at end of year2018-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-07-31$11,362,597
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-07-31$8,296,444
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-07-31$8,296,444
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-07-31$129,399
Expenses. Payments to insurance carriers foe the provision of benefits2018-07-31$1,450,451
Asset value of US Government securities at end of year2018-07-31$5,498,481
Asset value of US Government securities at beginning of year2018-07-31$9,421,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-31Yes
Was there a failure to transmit to the plan any participant contributions2018-07-31No
Has the plan failed to provide any benefit when due under the plan2018-07-31No
Contributions received in cash from employer2018-07-31$60,695,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-07-31$54,705,137
Contract administrator fees2018-07-31$3,806,352
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-07-31No
Liabilities. Value of benefit claims payable at end of year2018-07-31$4,739,542
Liabilities. Value of benefit claims payable at beginning of year2018-07-31$5,804,889
Did the plan have assets held for investment2018-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-31No
Opinion of an independent qualified public accountant for this plan2018-07-31Unqualified
Accountancy firm name2018-07-31MIZE HOUSER & COMPANY PA
Accountancy firm EIN2018-07-31480882363
2017 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$6,765,441
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$8,012,457
Total income from all sources (including contributions)2017-07-31$59,070,016
Total of all expenses incurred2017-07-31$58,167,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-07-31$53,249,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-07-31$58,984,118
Value of total assets at end of year2017-07-31$18,318,568
Value of total assets at beginning of year2017-07-31$18,663,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-07-31$4,918,224
Total interest from all sources2017-07-31$85,898
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-07-31No
Administrative expenses professional fees incurred2017-07-31$19,485
Was this plan covered by a fidelity bond2017-07-31Yes
Value of fidelity bond cover2017-07-31$2,000,000
If this is an individual account plan, was there a blackout period2017-07-31No
Were there any nonexempt tranactions with any party-in-interest2017-07-31No
Contributions received from participants2017-07-31$489,736
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-07-31$30,027
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-07-31$11,382
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-07-31$222,807
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-07-31$145,697
Administrative expenses (other) incurred2017-07-31$1,176,551
Liabilities. Value of operating payables at end of year2017-07-31$737,745
Liabilities. Value of operating payables at beginning of year2017-07-31$1,087,460
Total non interest bearing cash at end of year2017-07-31$1,550,342
Total non interest bearing cash at beginning of year2017-07-31$317,619
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Value of net income/loss2017-07-31$902,112
Value of net assets at end of year (total assets less liabilities)2017-07-31$11,553,127
Value of net assets at beginning of year (total assets less liabilities)2017-07-31$10,651,015
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-07-31No
Were any leases to which the plan was party in default or uncollectible2017-07-31No
Income. Interest from US Government securities2017-07-31$49,761
Value of interest in common/collective trusts at end of year2017-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-07-31$7,316,444
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-07-31$18,334,471
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-07-31$18,334,471
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-07-31$36,137
Expenses. Payments to insurance carriers foe the provision of benefits2017-07-31$1,548,041
Asset value of US Government securities at end of year2017-07-31$9,421,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-07-31Yes
Was there a failure to transmit to the plan any participant contributions2017-07-31No
Has the plan failed to provide any benefit when due under the plan2017-07-31No
Contributions received in cash from employer2017-07-31$58,494,382
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-07-31$51,701,639
Contract administrator fees2017-07-31$3,722,188
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-07-31No
Liabilities. Value of benefit claims payable at end of year2017-07-31$5,804,889
Liabilities. Value of benefit claims payable at beginning of year2017-07-31$6,779,300
Did the plan have assets held for investment2017-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-07-31No
Opinion of an independent qualified public accountant for this plan2017-07-31Unqualified
Accountancy firm name2017-07-31MIZE HOUSER & COMPANY PA
Accountancy firm EIN2017-07-31480882363
2016 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2016 401k financial data
Total transfer of assets to this plan2016-07-31$4,817,014
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-31$8,012,457
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-31$7,565,703
Total income from all sources (including contributions)2016-07-31$56,305,588
Total of all expenses incurred2016-07-31$57,170,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-07-31$52,033,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-07-31$56,282,940
Value of total assets at end of year2016-07-31$18,663,472
Value of total assets at beginning of year2016-07-31$14,265,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-07-31$5,137,740
Total interest from all sources2016-07-31$22,648
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-07-31No
Administrative expenses professional fees incurred2016-07-31$33,795
Was this plan covered by a fidelity bond2016-07-31Yes
Value of fidelity bond cover2016-07-31$2,000,000
If this is an individual account plan, was there a blackout period2016-07-31No
Were there any nonexempt tranactions with any party-in-interest2016-07-31No
Contributions received from participants2016-07-31$397,692
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-07-31$11,382
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-07-31$8,165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-07-31$145,697
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-07-31$120,652
Administrative expenses (other) incurred2016-07-31$1,547,181
Liabilities. Value of operating payables at end of year2016-07-31$1,087,460
Liabilities. Value of operating payables at beginning of year2016-07-31$867,888
Total non interest bearing cash at end of year2016-07-31$317,619
Total non interest bearing cash at beginning of year2016-07-31$270,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Value of net income/loss2016-07-31$-865,397
Value of net assets at end of year (total assets less liabilities)2016-07-31$10,651,015
Value of net assets at beginning of year (total assets less liabilities)2016-07-31$6,699,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-07-31No
Were any leases to which the plan was party in default or uncollectible2016-07-31No
Value of interest in common/collective trusts at end of year2016-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-07-31$18,334,471
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-07-31$13,986,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-07-31$13,986,654
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-07-31$22,648
Expenses. Payments to insurance carriers foe the provision of benefits2016-07-31$1,484,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-07-31No
Was there a failure to transmit to the plan any participant contributions2016-07-31No
Has the plan failed to provide any benefit when due under the plan2016-07-31No
Contributions received in cash from employer2016-07-31$55,885,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-07-31$50,548,572
Contract administrator fees2016-07-31$3,556,764
Liabilities. Value of benefit claims payable at end of year2016-07-31$6,779,300
Liabilities. Value of benefit claims payable at beginning of year2016-07-31$6,577,163
Did the plan have assets held for investment2016-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-07-31No
Opinion of an independent qualified public accountant for this plan2016-07-31Unqualified
Accountancy firm name2016-07-31MIZE HOUSER & COMPANY PA
Accountancy firm EIN2016-07-31480882363
2015 : HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2015 401k financial data
Total transfer of assets to this plan2015-07-31$2,280,885
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-31$7,565,703
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-31$90,748
Total income from all sources (including contributions)2015-07-31$56,255,101
Total of all expenses incurred2015-07-31$56,783,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-07-31$51,968,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-07-31$56,233,222
Value of total assets at end of year2015-07-31$14,265,101
Value of total assets at beginning of year2015-07-31$5,037,471
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-07-31$4,814,422
Total interest from all sources2015-07-31$21,879
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-07-31No
Administrative expenses professional fees incurred2015-07-31$10,288
Was this plan covered by a fidelity bond2015-07-31Yes
Value of fidelity bond cover2015-07-31$1,000,000
If this is an individual account plan, was there a blackout period2015-07-31No
Were there any nonexempt tranactions with any party-in-interest2015-07-31No
Contributions received from participants2015-07-31$399,745
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-07-31$8,165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-07-31$120,652
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-07-31$90,748
Administrative expenses (other) incurred2015-07-31$1,538,329
Liabilities. Value of operating payables at end of year2015-07-31$867,888
Total non interest bearing cash at end of year2015-07-31$270,282
Total non interest bearing cash at beginning of year2015-07-31$263,136
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Value of net income/loss2015-07-31$-528,210
Value of net assets at end of year (total assets less liabilities)2015-07-31$6,699,398
Value of net assets at beginning of year (total assets less liabilities)2015-07-31$4,946,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-07-31No
Were any leases to which the plan was party in default or uncollectible2015-07-31No
Value of interest in common/collective trusts at end of year2015-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-07-31$13,986,654
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-07-31$4,774,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-07-31$4,774,335
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-07-31$21,879
Expenses. Payments to insurance carriers foe the provision of benefits2015-07-31$1,304,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-07-31No
Was there a failure to transmit to the plan any participant contributions2015-07-31No
Has the plan failed to provide any benefit when due under the plan2015-07-31No
Contributions received in cash from employer2015-07-31$55,833,477
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-07-31$50,664,493
Contract administrator fees2015-07-31$3,265,805
Liabilities. Value of benefit claims payable at end of year2015-07-31$6,577,163
Did the plan have assets held for investment2015-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-07-31No
Opinion of an independent qualified public accountant for this plan2015-07-31Unqualified
Accountancy firm name2015-07-31MIZE HOUSER & COMPANY PA
Accountancy firm EIN2015-07-31480882363

Form 5500 Responses for HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION

2021: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2021 form 5500 responses
2021-08-01Type of plan entityMulitple employer plan
2021-08-01Submission has been amendedNo
2021-08-01This submission is the final filingNo
2021-08-01This return/report is a short plan year return/report (less than 12 months)No
2021-08-01Plan is a collectively bargained planNo
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – TrustYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement - TrustYes
2020: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2020 form 5500 responses
2020-08-01Type of plan entityMulitple employer plan
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement - TrustYes
2019: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2019 form 5500 responses
2019-08-01Type of plan entityMulitple employer plan
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement - TrustYes
2018: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2018 form 5500 responses
2018-08-01Type of plan entityMulitple employer plan
2018-08-01Plan funding arrangement – TrustYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement - TrustYes
2017: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2017 form 5500 responses
2017-08-01Type of plan entityMulitple employer plan
2017-08-01Plan funding arrangement – TrustYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement - TrustYes
2016: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2016 form 5500 responses
2016-08-01Type of plan entityMulitple employer plan
2016-08-01Submission has been amendedYes
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement - TrustYes
2015: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2015 form 5500 responses
2015-08-01Type of plan entityMulitple employer plan
2015-08-01Plan funding arrangement – TrustYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement - TrustYes
2014: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2014 form 5500 responses
2014-08-01Type of plan entityMulitple employer plan
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement - TrustYes
2013: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2013 form 5500 responses
2013-08-01Type of plan entityMulitple employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2012 form 5500 responses
2012-08-01Type of plan entityMulitple employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2011 form 5500 responses
2011-08-01Type of plan entityMulitple employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2010 form 5500 responses
2010-08-01Type of plan entityMulitple employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: HEALTH BENEFIT PLAN FOR MEMBERS OF THE KANSAS BANKERS ASSOCIATION 2009 form 5500 responses
2009-08-01Type of plan entityMulitple employer plan
2009-08-01This submission is the final filingNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number0700000
Policy instance 1
Insurance contract or identification number0700000
Number of Individuals Covered10833
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,378,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9600000
Policy instance 1
Insurance contract or identification number9600000
Number of Individuals Covered10813
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Welfare Benefit Premiums Paid to CarrierUSD $1,399,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9600000
Policy instance 1
Insurance contract or identification number9600000
Number of Individuals Covered11312
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Welfare Benefit Premiums Paid to CarrierUSD $1,624,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9600000
Policy instance 1
Insurance contract or identification number9600000
Number of Individuals Covered11088
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Welfare Benefit Premiums Paid to CarrierUSD $1,795,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9600000
Policy instance 1
Insurance contract or identification number9600000
Number of Individuals Covered11248
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Welfare Benefit Premiums Paid to CarrierUSD $1,450,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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