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DENALI HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameDENALI HEALTH AND WELFARE PLAN
Plan identification number 501

DENALI HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

DENALI INGREDIENTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:DENALI INGREDIENTS, LLC
Employer identification number (EIN):205449194

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENALI HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-10-01ROGER STEENSMA2019-05-10

Plan Statistics for DENALI HEALTH AND WELFARE PLAN

401k plan membership statisitcs for DENALI HEALTH AND WELFARE PLAN

Measure Date Value
2017: DENALI HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-0191
Total number of active participants reported on line 7a of the Form 55002017-10-0191
Total of all active and inactive participants2017-10-0191

Form 5500 Responses for DENALI HEALTH AND WELFARE PLAN

2017: DENALI HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01First time form 5500 has been submittedYes
2017-10-01This submission is the final filingYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30077495
Policy instance 1
Insurance contract or identification number30077495
Number of Individuals Covered91
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $1,694
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5946766
Policy instance 2
Insurance contract or identification number5946766
Number of Individuals Covered0
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $10,647
Total amount of fees paid to insurance companyUSD $2,168
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $147,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF WISCONSIN (National Association of Insurance Commissioners NAIC id number: 54003 )
Policy contract number252724
Policy instance 3
Insurance contract or identification number252724
Number of Individuals Covered86
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $41,318
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $985,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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