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KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameKILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN
Plan identification number 501

KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

KILLBUCK SAVINGS BANK CO has sponsored the creation of one or more 401k plans.

Company Name:KILLBUCK SAVINGS BANK CO
Employer identification number (EIN):340330520
NAIC Classification:551111
NAIC Description:Offices of Bank Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01RACHEL MILLER2023-06-28
5012020-08-01RACHEL MILLER2022-05-09
5012019-08-01RACHEL MILLER2021-05-10
5012018-08-01RACHEL MILLER2020-06-17
5012017-08-01RACHEL MILLER2019-05-06
5012016-08-01
5012015-08-01

Plan Statistics for KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN

401k plan membership statisitcs for KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN

Measure Date Value
2021: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-0159
Total number of active participants reported on line 7a of the Form 55002021-08-0156
Number of other retired or separated participants entitled to future benefits2021-08-0156
Total of all active and inactive participants2021-08-01112
2020: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-01111
Total number of active participants reported on line 7a of the Form 55002020-08-0159
Total of all active and inactive participants2020-08-0159
2019: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01111
Total number of active participants reported on line 7a of the Form 55002019-08-01111
Total of all active and inactive participants2019-08-01111
2018: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01108
Total number of active participants reported on line 7a of the Form 55002018-08-01111
Total of all active and inactive participants2018-08-01111
2017: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01103
Total number of active participants reported on line 7a of the Form 55002017-08-01108
Total of all active and inactive participants2017-08-01108
2016: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01108
Total number of active participants reported on line 7a of the Form 55002016-08-01103
Total of all active and inactive participants2016-08-01103
2015: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01101
Total number of active participants reported on line 7a of the Form 55002015-08-01108
Total of all active and inactive participants2015-08-01108

Form 5500 Responses for KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN

2021: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: KILLBUCK SAVINGS BANK CO LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01First time form 5500 has been submittedYes
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7100613
Policy instance 1
Insurance contract or identification numberE7100613
Number of Individuals Covered56
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $1,722
Total amount of fees paid to insurance companyUSD $9
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,469
Amount paid for insurance broker fees7
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7100613
Policy instance 1
Insurance contract or identification numberE7100613
Number of Individuals Covered60
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $1,713
Total amount of fees paid to insurance companyUSD $9
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,428
Amount paid for insurance broker fees6
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9022550489
Policy instance 1
Insurance contract or identification number9022550489
Number of Individuals Covered111
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $1,884
Total amount of fees paid to insurance companyUSD $2
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,547
Amount paid for insurance broker fees1
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9022550489
Policy instance 1
Insurance contract or identification number9022550489
Number of Individuals Covered111
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $2,797
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $932
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9022550489
Policy instance 1
Insurance contract or identification number9022550489
Number of Individuals Covered108
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $2,888
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9022550489
Policy instance 1
Insurance contract or identification number9022550489
Number of Individuals Covered108
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $2,580
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,580
Insurance broker organization code?3
Insurance broker nameCOMPANION LIFE INSURANCE COMPANY

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