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ELK HILL FARM STD/LTD PLAN 401k Plan overview

Plan NameELK HILL FARM STD/LTD PLAN
Plan identification number 501

ELK HILL FARM STD/LTD PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ELK HILL FARM, INC has sponsored the creation of one or more 401k plans.

Company Name:ELK HILL FARM, INC
Employer identification number (EIN):237071154
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ELK HILL FARM STD/LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-11-01EBONY JONES2021-01-21
5012018-11-01MICHAEL C. FARLEY2020-02-24
5012017-11-01MICHAEL FARLEY2019-10-28
5012016-11-01MICHAEL FARLEY2019-10-28
5012015-11-01MICHAEL FARLEY2019-10-28
5012014-11-01MICHAEL FARLEY2019-10-28
5012013-11-01MICHAEL FARLEY2019-10-28

Plan Statistics for ELK HILL FARM STD/LTD PLAN

401k plan membership statisitcs for ELK HILL FARM STD/LTD PLAN

Measure Date Value
2019: ELK HILL FARM STD/LTD PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01156
Total number of active participants reported on line 7a of the Form 55002019-11-010
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-010
Number of employers contributing to the scheme2019-11-010
2018: ELK HILL FARM STD/LTD PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01145
Total number of active participants reported on line 7a of the Form 55002018-11-01152
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01152
Number of employers contributing to the scheme2018-11-010
2017: ELK HILL FARM STD/LTD PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01123
Total number of active participants reported on line 7a of the Form 55002017-11-01136
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01136
Number of employers contributing to the scheme2017-11-010
2016: ELK HILL FARM STD/LTD PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01138
Total number of active participants reported on line 7a of the Form 55002016-11-01140
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01140
Number of employers contributing to the scheme2016-11-010
2015: ELK HILL FARM STD/LTD PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01141
Total number of active participants reported on line 7a of the Form 55002015-11-01138
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01138
Number of employers contributing to the scheme2015-11-010
2014: ELK HILL FARM STD/LTD PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01121
Total number of active participants reported on line 7a of the Form 55002014-11-01141
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01141
Number of employers contributing to the scheme2014-11-010
2013: ELK HILL FARM STD/LTD PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01107
Total number of active participants reported on line 7a of the Form 55002013-11-01121
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-01121
Number of employers contributing to the scheme2013-11-010

Form 5500 Responses for ELK HILL FARM STD/LTD PLAN

2019: ELK HILL FARM STD/LTD PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01This submission is the final filingYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: ELK HILL FARM STD/LTD PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: ELK HILL FARM STD/LTD PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: ELK HILL FARM STD/LTD PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: ELK HILL FARM STD/LTD PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: ELK HILL FARM STD/LTD PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: ELK HILL FARM STD/LTD PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01First time form 5500 has been submittedYes
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF1D0622
Policy instance 1
Insurance contract or identification numberF1D0622
Number of Individuals Covered140
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $1,362
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $144,811
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,362
Amount paid for insurance broker fees0
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF1D0622
Policy instance 1
Insurance contract or identification numberF1D0622
Number of Individuals Covered146
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $1,229
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $133,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF1D0622
Policy instance 1
Insurance contract or identification numberF1D0622
Number of Individuals Covered165
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $9,146
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $112,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,146
Amount paid for insurance broker fees0
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF1D0622
Policy instance 1
Insurance contract or identification numberF1D0622
Number of Individuals Covered107
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $8,231
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $101,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,231
Amount paid for insurance broker fees0
Insurance broker organization code?3

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