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DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 401k Plan overview

Plan NameDAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT
Plan identification number 598

DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT Benefits

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

DAVIS FAMILY HOLDINGS INC has sponsored the creation of one or more 401k plans.

Company Name:DAVIS FAMILY HOLDINGS INC
Employer identification number (EIN):400002908
NAIC Classification:311500
NAIC Description: Dairy Product Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5982015-01-01MAUREEN WHEATON MAUREEN WHEATON2016-07-25
5982014-01-01MAUREEN WHEATON MAUREEN WHEATON2015-07-29
5982013-01-01JOHN VELGERSDYK JOHN VELGERSDYK2014-07-28

Plan Statistics for DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT

401k plan membership statisitcs for DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT

Measure Date Value
2015: DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 2015 401k membership
Total participants, beginning-of-year2015-01-011,273
Total number of active participants reported on line 7a of the Form 55002015-01-011,509
Number of retired or separated participants receiving benefits2015-01-0113
Total of all active and inactive participants2015-01-011,522
2014: DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 2014 401k membership
Total participants, beginning-of-year2014-01-01852
Total number of active participants reported on line 7a of the Form 55002014-01-011,118
Number of retired or separated participants receiving benefits2014-01-0113
Total of all active and inactive participants2014-01-011,131
2013: DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 2013 401k membership
Total participants, beginning-of-year2013-01-01852
Total number of active participants reported on line 7a of the Form 55002013-01-011,117
Number of retired or separated participants receiving benefits2013-01-011
Total of all active and inactive participants2013-01-011,118

Form 5500 Responses for DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT

2015: DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: DAVIS FAMILY HOLDINGS INC EMPLOYEE WELFARE BENEFIT 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number302004
Policy instance 1
Insurance contract or identification number302004
Number of Individuals Covered21
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,446
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,446
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0ATF7
Policy instance 2
Insurance contract or identification numberGLTD0ATF7
Number of Individuals Covered1509
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $28,404
Total amount of fees paid to insurance companyUSD $2,552
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $315,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,404
Amount paid for insurance broker fees2552
Additional information about fees paid to insurance brokerMARKETING ALLOWANCE
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number302004
Policy instance 1
Insurance contract or identification number302004
Number of Individuals Covered25
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,453
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
Welfare Benefit Premiums Paid to CarrierUSD $13,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,453
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0ATF7
Policy instance 2
Insurance contract or identification numberGLTD0ATF7
Number of Individuals Covered1226
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $29,406
Total amount of fees paid to insurance companyUSD $6,049
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $314,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,406
Amount paid for insurance broker fees6049
Additional information about fees paid to insurance brokerMARKETING ALLOWANCE
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP
DELTA DENTAL OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55034 )
Policy contract number302004
Policy instance 1
Insurance contract or identification number302004
Number of Individuals Covered27
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $711
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
Welfare Benefit Premiums Paid to CarrierUSD $7,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $711
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0759K
Policy instance 2
Insurance contract or identification numberGLUG0759K
Number of Individuals Covered1065
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $19,651
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
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $204,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,651
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP

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