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A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameA AND H INSURANCE, INC. 401(K) RETIREMENT PLAN
Plan identification number 001

A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

A AND H INSURANCE INC has sponsored the creation of one or more 401k plans.

Company Name:A AND H INSURANCE INC
Employer identification number (EIN):880097951
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JEFFREY SHAFFER2023-03-02 JEFFREY SHAFFER2023-03-02
0012021-01-01JEFFREY SHAFFER2022-04-13 JEFFREY SHAFFER2022-04-13
0012020-01-01JEFFREY SHAFFER2021-04-07 JEFFREY SHAFFER2021-04-07
0012019-01-01JEFFREY SHAFFER2020-04-15 JEFFREY SHAFFER2020-04-15
0012018-01-01JEFFREY SHAFFER2019-03-07 JEFFREY SHAFFER2019-03-07
0012017-01-01JEFFREY SHAFFER2018-03-12 JEFFREY SHAFFER2018-03-12
0012016-01-01JEFFREY SHAFFER2017-06-16 JEFFREY SHAFFER2017-06-16
0012015-01-01JEFFREY SHAFFER2016-03-25 JEFFREY SHAFFER2016-03-25
0012014-01-01JEFFREY SHAFFER2015-04-10 JEFFREY SHAFFER2015-04-10
0012013-01-01JEFFREY SHAFFER2014-03-10 JEFFREY SHAFFER2014-03-10
0012012-01-01JEFFREY SHAFFER2013-05-22 JEFFREY SHAFFER2013-05-22
0012011-01-01JEFFREY SHAFFER2012-07-06 JEFFREY SHAFFER2012-07-06
0012009-01-01JEFFREY SHAFFER JEFFREY SHAFFER2011-01-21
0012009-01-01JEFFREY SHAFFER JEFFREY SHAFFER2012-07-06
0012009-01-01JEFFREY P. SHAFFER JEFFREY P. SHAFFER2010-08-13

Plan Statistics for A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2009: A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0196
Total number of active participants reported on line 7a of the Form 55002009-01-0191
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0116
Total of all active and inactive participants2009-01-01107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01107
Number of participants with account balances2009-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-017

Financial Data on A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2010 : A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$352,150
Expenses. Total of all expenses incurred2010-12-31$390,442
Benefits paid (including direct rollovers)2010-12-31$386,743
Total plan assets at end of year2010-12-31$1,528,704
Total plan assets at beginning of year2010-12-31$1,566,996
Value of fidelity bond covering the plan2010-12-31$250,000
Total contributions received or receivable from participants2010-12-31$166,068
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$186,082
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-38,292
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,528,704
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,566,996
Assets. Value of participant loans2010-12-31$111,558
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2010-12-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2010-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$191,681
Total contributions received or receivable from employer(s)2010-12-31$0
Value of certain deemed distributions of participant loans2010-12-31$702
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$2,997

Form 5500 Responses for A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN

2009: A AND H INSURANCE, INC. 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number449943
Policy instance 1
Insurance contract or identification number449943
Number of Individuals Covered85
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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