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YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 401k Plan overview

Plan NameYELLOWBUSH MINING LLC HEALTH BENEFIT PLAN
Plan identification number 501

YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN Benefits

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

401k Sponsoring company profile

YELLOWBUSH MINING LLC has sponsored the creation of one or more 401k plans.

Company Name:YELLOWBUSH MINING LLC
Employer identification number (EIN):205730706
NAIC Classification:212110
NAIC Description: Coal Mining

Form 5500 Filing Information

Submission information for form 5500 for 401k plan YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-06-01DAVID JUDE
5012015-06-01DAVID JUDE
5012014-06-01DAVID JUDE
5012012-06-01DAVID JUDE DAVID JUDE2013-12-27
5012010-06-01DAVID JUDE

Plan Statistics for YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN

401k plan membership statisitcs for YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN

Measure Date Value
2016: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-012
Total number of active participants reported on line 7a of the Form 55002016-06-012
Total of all active and inactive participants2016-06-012
Total participants2016-06-012
2015: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-012
Total number of active participants reported on line 7a of the Form 55002015-06-012
Total of all active and inactive participants2015-06-012
Total participants2015-06-012
2014: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-014
Total number of active participants reported on line 7a of the Form 55002014-06-012
Total of all active and inactive participants2014-06-012
Total participants2014-06-012
2012: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-0113
Total number of active participants reported on line 7a of the Form 55002012-06-014
Total of all active and inactive participants2012-06-014
Total participants2012-06-014
2010: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-06-0182
Total number of active participants reported on line 7a of the Form 55002010-06-0179
Total of all active and inactive participants2010-06-0179
Total participants2010-06-0179

Financial Data on YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN

Measure Date Value
2017 : YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-05-31$62,441
Expenses. Total of all expenses incurred2017-05-31$62,441
Benefits paid (including direct rollovers)2017-05-31$59,175
Expenses. Other expenses not covered elsewhere2017-05-31$3,266
Net income (gross income less expenses)2017-05-31$0
Total contributions received or receivable from employer(s)2017-05-31$62,441
2016 : YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-05-31$115,204
Expenses. Total of all expenses incurred2016-05-31$115,204
Benefits paid (including direct rollovers)2016-05-31$112,825
Expenses. Other expenses not covered elsewhere2016-05-31$2,379
Net income (gross income less expenses)2016-05-31$0
Total contributions received or receivable from employer(s)2016-05-31$115,204
2015 : YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-05-31$114,717
Expenses. Total of all expenses incurred2015-05-31$114,717
Benefits paid (including direct rollovers)2015-05-31$111,560
Expenses. Other expenses not covered elsewhere2015-05-31$3,157
Net income (gross income less expenses)2015-05-31$0
Total contributions received or receivable from employer(s)2015-05-31$114,717
2013 : YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-05-31$57,349
Expenses. Total of all expenses incurred2013-05-31$57,349
Benefits paid (including direct rollovers)2013-05-31$51,548
Expenses. Other expenses not covered elsewhere2013-05-31$5,801
Net income (gross income less expenses)2013-05-31$0
Total contributions received or receivable from employer(s)2013-05-31$57,349
2011 : YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-05-31$1,229,824
Expenses. Total of all expenses incurred2011-05-31$1,229,824
Benefits paid (including direct rollovers)2011-05-31$1,131,751
Expenses. Other expenses not covered elsewhere2011-05-31$98,073
Net income (gross income less expenses)2011-05-31$0
Total contributions received or receivable from employer(s)2011-05-31$1,229,824

Form 5500 Responses for YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN

2016: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2012: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2010: YELLOWBUSH MINING LLC HEALTH BENEFIT PLAN 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01Submission has been amendedYes
2010-06-01This submission is the final filingNo
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35408 )
Policy contract number
Policy instance 1
Number of Individuals Covered4
Total amount of commissions paid to insurance brokerUSD $206
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Total amount of fees paid to insurance companyUSD $330
Commission paid to Insurance BrokerUSD $75
Amount paid for insurance broker fees330
Insurance broker nameMCA ADMINISTRATORS
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35408 )
Policy contract number
Policy instance 1
Number of Individuals Covered4
Total amount of commissions paid to insurance brokerUSD $511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees409
Insurance broker nameMCA ADMINISTRATORS, INC.
SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35408 )
Policy contract number
Policy instance 1
Number of Individuals Covered79
Total amount of commissions paid to insurance brokerUSD $8,358
Health Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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