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K II HOLDING COMPANY GROUP MEDICAL PLAN 401k Plan overview

Plan NameK II HOLDING COMPANY GROUP MEDICAL PLAN
Plan identification number 502

K II HOLDING COMPANY GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

K II HOLDING COMPANY has sponsored the creation of one or more 401k plans.

Company Name:K II HOLDING COMPANY
Employer identification number (EIN):264366175
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan K II HOLDING COMPANY GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-04-01
5022022-04-01

Plan Statistics for K II HOLDING COMPANY GROUP MEDICAL PLAN

401k plan membership statisitcs for K II HOLDING COMPANY GROUP MEDICAL PLAN

Measure Date Value
2023: K II HOLDING COMPANY GROUP MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-01151
Total number of active participants reported on line 7a of the Form 55002023-04-01153
Number of retired or separated participants receiving benefits2023-04-010
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-01153
2022: K II HOLDING COMPANY GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01168
Total number of active participants reported on line 7a of the Form 55002022-04-01151
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01151

Financial Data on K II HOLDING COMPANY GROUP MEDICAL PLAN

Measure Date Value
2023 : K II HOLDING COMPANY GROUP MEDICAL PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$251,028
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$282,435
Total income from all sources (including contributions)2023-06-30$465,850
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$531,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$504,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$446,807
Value of total assets at end of year2023-06-30$96,777
Value of total assets at beginning of year2023-06-30$194,056
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$27,407
Total interest from all sources2023-06-30$351
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$500,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$154,430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-06-30$84,028
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-06-30$122,438
Other income not declared elsewhere2023-06-30$18,692
Total non interest bearing cash at end of year2023-06-30$96,777
Total non interest bearing cash at beginning of year2023-06-30$194,056
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$-65,872
Value of net assets at end of year (total assets less liabilities)2023-06-30$-154,251
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$-88,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Interest earned on other investments2023-06-30$351
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$126,523
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30Yes
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Assets. Invements in employer securities at end of year2023-06-30$0
Assets. Invements in employer securities at beginning of year2023-06-30$0
Contributions received in cash from employer2023-06-30$292,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$377,792
Contract administrator fees2023-06-30$27,407
Liabilities. Value of benefit claims payable at end of year2023-06-30$167,000
Liabilities. Value of benefit claims payable at beginning of year2023-06-30$159,997
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30STAMBAUGH NESS, INC.
Accountancy firm EIN2023-06-30232846715
Total unrealized appreciation/depreciation of assets2023-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$282,435
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$0
Total income from all sources (including contributions)2023-03-31$2,275,840
Total loss/gain on sale of assets2023-03-31$0
Total of all expenses incurred2023-03-31$2,364,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$2,250,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$1,881,516
Value of total assets at end of year2023-03-31$194,056
Value of total assets at beginning of year2023-03-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$114,036
Total interest from all sources2023-03-31$531
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$640,478
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-03-31$532,999
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-03-31$122,438
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-03-31$0
Other income not declared elsewhere2023-03-31$393,793
Total non interest bearing cash at end of year2023-03-31$194,056
Total non interest bearing cash at beginning of year2023-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$-88,379
Value of net assets at end of year (total assets less liabilities)2023-03-31$-88,379
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Interest earned on other investments2023-03-31$531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$1,241,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$1,717,184
Contract administrator fees2023-03-31$114,036
Liabilities. Value of benefit claims payable at end of year2023-03-31$159,997
Liabilities. Value of benefit claims payable at beginning of year2023-03-31$0
Did the plan have assets held for investment2023-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31STAMBAUGH NESS, INC.
Accountancy firm EIN2023-03-31232846715

Form 5500 Responses for K II HOLDING COMPANY GROUP MEDICAL PLAN

2023: K II HOLDING COMPANY GROUP MEDICAL PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Submission has been amendedNo
2023-04-01This submission is the final filingNo
2023-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-04-01Plan is a collectively bargained planNo
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – TrustYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement - TrustYes
2022: K II HOLDING COMPANY GROUP MEDICAL PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01First time form 5500 has been submittedYes
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000282
Policy instance 1
Insurance contract or identification number31000282
Number of Individuals Covered153
Insurance policy start date2023-04-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
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 $126,523
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 number31000282
Policy instance 1
Insurance contract or identification number31000282
Number of Individuals Covered151
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Are there contracts with allocated funds for individual policies?0
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 $532,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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