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OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 401k Plan overview

Plan NameOTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN
Plan identification number 505

OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

OTOE MISSOURIA DEVELOPMENT AUTHORITY has sponsored the creation of one or more 401k plans.

Company Name:OTOE MISSOURIA DEVELOPMENT AUTHORITY
Employer identification number (EIN):061785997
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-10-01MYCHELE PRIMAS2023-02-17
5052020-10-01MYCHELE PRIMAS2022-03-20
5052019-10-01MYCHELE PRIMAS2021-04-19
5052018-10-01MYCHELE PRIMAS2020-04-07
5052017-10-01MYCHELE PRIMAS2019-07-11
5052017-10-01MYCHELE PRIMAS2019-10-30
5052016-10-01
5052015-10-01MYCHELE PRIMAS
5052014-10-01MYCHELE PRIMAS
5052013-10-01MYCHELE PRIMAS
5052012-10-01LISA GRANT
5052011-10-01THOMAS FOX

Plan Statistics for OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN

401k plan membership statisitcs for OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN

Measure Date Value
2021: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01275
Total number of active participants reported on line 7a of the Form 55002021-10-01328
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01328
Number of employers contributing to the scheme2021-10-010
2020: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0162
Total number of active participants reported on line 7a of the Form 55002020-10-01275
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01275
Number of employers contributing to the scheme2020-10-010
2019: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01308
Total number of active participants reported on line 7a of the Form 55002019-10-0162
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-0162
Number of employers contributing to the scheme2019-10-010
2018: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01323
Total number of active participants reported on line 7a of the Form 55002018-10-01340
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01340
Number of employers contributing to the scheme2018-10-010
2017: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01248
Total number of active participants reported on line 7a of the Form 55002017-10-01260
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01260
Number of employers contributing to the scheme2017-10-010
2016: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01197
Total number of active participants reported on line 7a of the Form 55002016-10-01280
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01280
2015: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01233
Total number of active participants reported on line 7a of the Form 55002015-10-01197
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-01197
2014: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01118
Total number of active participants reported on line 7a of the Form 55002014-10-01226
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-01226
2013: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01248
Total number of active participants reported on line 7a of the Form 55002013-10-01118
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01118
2012: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01221
Total number of active participants reported on line 7a of the Form 55002012-10-01248
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01248
2011: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01100
Total number of active participants reported on line 7a of the Form 55002011-10-01221
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-01221

Form 5500 Responses for OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN

2021: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: OTOE MISSOURIA DEVELOPMENT AUTHORITY WORKSITE PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01First time form 5500 has been submittedYes
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number49420
Policy instance 1
Insurance contract or identification number49420
Number of Individuals Covered328
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $26,000
Total amount of fees paid to insurance companyUSD $1,548
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL,CRITICAL ILLNESS,HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $128,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,719
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number49420
Policy instance 1
Insurance contract or identification number49420
Number of Individuals Covered275
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $52,992
Total amount of fees paid to insurance companyUSD $649
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL,HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $170,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,178
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number802525
Policy instance 1
Insurance contract or identification number802525
Number of Individuals Covered62
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $58,059
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $98,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,059
Amount paid for insurance broker fees0
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number13798
Policy instance 1
Insurance contract or identification number13798
Number of Individuals Covered234
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $26,687
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $119,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,958
Amount paid for insurance broker fees0
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number14771
Policy instance 1
Insurance contract or identification number14771
Number of Individuals Covered260
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Welfare Benefit Premiums Paid to CarrierUSD $10,047
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number13798
Policy instance 2
Insurance contract or identification number13798
Number of Individuals Covered173
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $22,555
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $70,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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