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STONER INCORPORATED GROUP HEALTH & LIFE PLAN 401k Plan overview

Plan NameSTONER INCORPORATED GROUP HEALTH & LIFE PLAN
Plan identification number 502

STONER INCORPORATED GROUP HEALTH & LIFE PLAN Benefits

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

401k Sponsoring company profile

STONER INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name:STONER INCORPORATED
Employer identification number (EIN):232260044
NAIC Classification:325100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STONER INCORPORATED GROUP HEALTH & LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-01-01JON FARRELL
5022014-01-01JON FARRELL
5022013-01-01JON FARRELL

Plan Statistics for STONER INCORPORATED GROUP HEALTH & LIFE PLAN

401k plan membership statisitcs for STONER INCORPORATED GROUP HEALTH & LIFE PLAN

Measure Date Value
2015: STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0175
Total number of active participants reported on line 7a of the Form 55002015-01-0191
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0191
2014: STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0165
Total number of active participants reported on line 7a of the Form 55002014-01-0174
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0175
2013: STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0165
Total number of active participants reported on line 7a of the Form 55002013-01-0165
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0165

Financial Data on STONER INCORPORATED GROUP HEALTH & LIFE PLAN

Measure Date Value
2015 : STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$78,836
Total plan liabilities at beginning of year2015-12-31$69,429
Total income from all sources2015-12-31$968,352
Expenses. Total of all expenses incurred2015-12-31$941,459
Benefits paid (including direct rollovers)2015-12-31$614,477
Total plan assets at end of year2015-12-31$88,728
Total plan assets at beginning of year2015-12-31$52,428
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$326,031
Expenses. Other expenses not covered elsewhere2015-12-31$283,450
Contributions received from other sources (not participants or employers)2015-12-31$9,723
Other income received2015-12-31$144
Net income (gross income less expenses)2015-12-31$26,893
Net plan assets at end of year (total assets less liabilities)2015-12-31$9,892
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$-17,001
Total contributions received or receivable from employer(s)2015-12-31$632,454
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$43,532
2014 : STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$69,429
Total plan liabilities at beginning of year2014-12-31$79,906
Total income from all sources2014-12-31$802,449
Expenses. Total of all expenses incurred2014-12-31$739,544
Benefits paid (including direct rollovers)2014-12-31$454,625
Total plan assets at end of year2014-12-31$52,428
Total plan assets at beginning of year2014-12-31$0
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$245,341
Expenses. Other expenses not covered elsewhere2014-12-31$246,048
Contributions received from other sources (not participants or employers)2014-12-31$9,562
Other income received2014-12-31$75
Net income (gross income less expenses)2014-12-31$62,905
Net plan assets at end of year (total assets less liabilities)2014-12-31$-17,001
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$-79,906
Total contributions received or receivable from employer(s)2014-12-31$547,471
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$38,871
2013 : STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$79,906
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$776,818
Expenses. Total of all expenses incurred2013-12-31$856,724
Benefits paid (including direct rollovers)2013-12-31$597,132
Total plan assets at end of year2013-12-31$0
Total plan assets at beginning of year2013-12-31$0
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$248,144
Expenses. Other expenses not covered elsewhere2013-12-31$224,567
Contributions received from other sources (not participants or employers)2013-12-31$2,045
Other income received2013-12-31$59
Net income (gross income less expenses)2013-12-31$-79,906
Net plan assets at end of year (total assets less liabilities)2013-12-31$-79,906
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$526,570
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$35,025

Form 5500 Responses for STONER INCORPORATED GROUP HEALTH & LIFE PLAN

2015: STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: STONER INCORPORATED GROUP HEALTH & LIFE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Welfare Benefit Premiums Paid to CarrierUSD $682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 2
Insurance contract or identification numberVERIS
Number of Individuals Covered91
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Welfare Benefit Premiums Paid to CarrierUSD $234,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered75
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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
Welfare Benefit Premiums Paid to CarrierUSD $200,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered65
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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
Welfare Benefit Premiums Paid to CarrierUSD $182,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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