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CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameCORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN
Plan identification number 503

CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CORYA PORK FARM has sponsored the creation of one or more 401k plans.

Company Name:CORYA PORK FARM
Employer identification number (EIN):351446474
NAIC Classification:111100
NAIC Description:Oilseed and Grain Farming

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032020-01-01
5032020-01-01
5032020-01-01BILL LILLYMAN
5032019-01-01
5032018-01-01ADELE CORYA ADELE CORYA2019-06-05
5032017-01-01ADELE CORYA ADELE CORYA2018-07-06
5032016-01-01ADELE CORYA ADELE CORYA2017-06-09

Financial Data on CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN

Measure Date Value
2020 : CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-12-31$307,405
Expenses. Total of all expenses incurred2020-12-31$307,425
Benefits paid (including direct rollovers)2020-12-31$206,805
Total plan assets at end of year2020-12-31$550
Total plan assets at beginning of year2020-12-31$570
Total contributions received or receivable from participants2020-12-31$51,657
Expenses. Other expenses not covered elsewhere2020-12-31$87,888
Net income (gross income less expenses)2020-12-31$-20
Net plan assets at end of year (total assets less liabilities)2020-12-31$550
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$570
Total contributions received or receivable from employer(s)2020-12-31$255,748
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$12,732
2019 : CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-12-31$246,720
Expenses. Total of all expenses incurred2019-12-31$246,700
Benefits paid (including direct rollovers)2019-12-31$138,874
Total plan assets at end of year2019-12-31$570
Total plan assets at beginning of year2019-12-31$550
Total contributions received or receivable from participants2019-12-31$48,102
Expenses. Other expenses not covered elsewhere2019-12-31$92,558
Net income (gross income less expenses)2019-12-31$20
Net plan assets at end of year (total assets less liabilities)2019-12-31$570
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$550
Total contributions received or receivable from employer(s)2019-12-31$198,618
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$15,268
2018 : CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-12-31$237,116
Expenses. Total of all expenses incurred2018-12-31$237,116
Benefits paid (including direct rollovers)2018-12-31$141,034
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$0
Total contributions received or receivable from participants2018-12-31$40,039
Expenses. Other expenses not covered elsewhere2018-12-31$82,021
Net income (gross income less expenses)2018-12-31$0
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$197,077
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$14,061
2017 : CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-12-31$96,543
Expenses. Total of all expenses incurred2017-12-31$96,543
Benefits paid (including direct rollovers)2017-12-31$15,902
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$0
Total contributions received or receivable from participants2017-12-31$35,856
Expenses. Other expenses not covered elsewhere2017-12-31$67,621
Net income (gross income less expenses)2017-12-31$0
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$60,687
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$13,020
2016 : CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-12-31$75,970
Expenses. Total of all expenses incurred2016-12-31$75,970
Benefits paid (including direct rollovers)2016-12-31$20,039
Total plan assets at end of year2016-12-31$0
Total plan assets at beginning of year2016-12-31$0
Total contributions received or receivable from participants2016-12-31$26,169
Expenses. Other expenses not covered elsewhere2016-12-31$48,303
Net income (gross income less expenses)2016-12-31$0
Net plan assets at end of year (total assets less liabilities)2016-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
Total contributions received or receivable from employer(s)2016-12-31$49,801
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$7,628

Form 5500 Responses for CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN

2020: CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: CORYA PORK FARM, INC. EMPLOYEE HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE NORTH RIVER INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 21105 )
Policy contract number14016
Policy instance 3
Insurance contract or identification number14016
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $82,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number14016
Policy instance 2
Insurance contract or identification number14016
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $136
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
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number14016
Policy instance 1
Insurance contract or identification number14016
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $61
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 BenefitYes
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 $1,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number14016
Policy instance 3
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number14016
Policy instance 2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number14016
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number14016
Policy instance 3
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number14016
Policy instance 2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number14016
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number96016
Policy instance 3
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number99016
Policy instance 2
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number99016
Policy instance 1

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