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ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 401k Plan overview

Plan NameESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE
Plan identification number 502

ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE Benefits

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

401k Sponsoring company profile

ESBENSHADE, INC has sponsored the creation of one or more 401k plans.

Company Name:ESBENSHADE, INC
Employer identification number (EIN):263835385
NAIC Classification:112300
NAIC Description:Poultry & Egg Production

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-03-01H GLENN ESBENSHADE H GLENN ESBENSHADE2017-10-02
5022015-03-01H GLENN ESBENSHADE H GLENN ESBENSHADE2016-09-19
5022014-03-01H GLENN ESBENSHADE H GLENN ESBENSHADE2015-10-07
5022013-03-01H GLENN ESBENSHADE H GLENN ESBENSHADE2014-09-02
5022012-11-01H GLENN ESBENSHADE H GLENN ESBENSHADE2013-09-30
5022011-11-01H GLENN ESBENSHADE H GLENN ESBENSHADE2013-08-15

Plan Statistics for ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE

401k plan membership statisitcs for ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE

Measure Date Value
2016: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2016 401k membership
Total participants, beginning-of-year2016-03-01146
Total number of active participants reported on line 7a of the Form 55002016-03-010
Total of all active and inactive participants2016-03-010
2015: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2015 401k membership
Total participants, beginning-of-year2015-03-01131
Total number of active participants reported on line 7a of the Form 55002015-03-01146
Total of all active and inactive participants2015-03-01146
2014: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2014 401k membership
Total participants, beginning-of-year2014-03-01121
Total number of active participants reported on line 7a of the Form 55002014-03-01131
Total of all active and inactive participants2014-03-01131
2013: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2013 401k membership
Total participants, beginning-of-year2013-03-01122
Total number of active participants reported on line 7a of the Form 55002013-03-01121
Total of all active and inactive participants2013-03-01121
2012: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2012 401k membership
Total participants, beginning-of-year2012-11-01123
Total number of active participants reported on line 7a of the Form 55002012-11-01122
Total of all active and inactive participants2012-11-01122
2011: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2011 401k membership
Total participants, beginning-of-year2011-11-010
Total number of active participants reported on line 7a of the Form 55002011-11-01123
Total of all active and inactive participants2011-11-01123

Form 5500 Responses for ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE

2016: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01This submission is the final filingYes
2016-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – General assets of the sponsorYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – General assets of the sponsorYes
2015: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – General assets of the sponsorYes
2011: ESBENSHADE INC SALARY REDUCTION PREMIUM ONLY LIFE 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01First time form 5500 has been submittedYes
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5405484
Policy instance 1
Insurance contract or identification number5405484
Number of Individuals Covered76
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12,271
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,271
Insurance broker organization code?3
Insurance broker nameMURRAY INSURANCE ASSOC. INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00520580
Policy instance 2
Insurance contract or identification number00520580
Number of Individuals Covered146
Insurance policy start date2016-01-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4557542
Policy instance 3
Insurance contract or identification numberE4557542
Number of Individuals Covered90
Insurance policy start date2016-01-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $1,072
Total amount of fees paid to insurance companyUSD $1,454
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $221
Amount paid for insurance broker fees774
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameSTEPHEN M HENSS LLC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5405484
Policy instance 1
Insurance contract or identification number5405484
Number of Individuals Covered131
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $13,846
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,846
Insurance broker organization code?3
Insurance broker nameMURRAY INSURANCE ASSOC. INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5405484
Policy instance 1
Insurance contract or identification number5405484
Number of Individuals Covered121
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $18,059
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,224
Insurance broker organization code?3
Insurance broker nameMURRAY INSURANCE ASSOC. INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5405484
Policy instance 1
Insurance contract or identification number5405484
Number of Individuals Covered122
Insurance policy start date2012-11-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $15,900
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $113,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,172
Insurance broker organization code?3
Insurance broker nameHEALTHFIRST BEBEFITS, INC
SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68721 )
Policy contract number37151
Policy instance 1
Insurance contract or identification number37151
Number of Individuals Covered123
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $96
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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