401k Plan data: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN plan

MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 401k Plan overview

Plan Name	MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN
Plan identification number	501

MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: MIKROS ENGINEERING, INC.

Employer identification number (EIN): 410859898

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-09-01 JOHNATHAN MILKS 2024-02-07
501 2020-09-01 JOHNATHAN MILKS 2022-06-08
501 2019-09-01
501 2018-09-01
501 2015-09-01 BILL TALMAGE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-09-01	JOHNATHAN MILKS	2024-02-07
501	2020-09-01	JOHNATHAN MILKS	2022-06-08
501	2019-09-01
501	2018-09-01
501	2015-09-01	BILL TALMAGE

Plan Statistics for MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN

401k plan membership statisitcs for MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN

Measure Date Value
2022: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-09-01 119
Total number of active participants reported on line 7a of the Form 5500 2022-09-01 89
Number of retired or separated participants receiving benefits 2022-09-01 0
Number of other retired or separated participants entitled to future benefits 2022-09-01 0
Total of all active and inactive participants 2022-09-01 89
Number of employers contributing to the scheme 2022-09-01 0
2020: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-09-01 125
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 91
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 0
Total of all active and inactive participants 2020-09-01 91
Number of employers contributing to the scheme 2020-09-01 0
2019: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 111
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 125
Number of retired or separated participants receiving benefits 2019-09-01 0
Number of other retired or separated participants entitled to future benefits 2019-09-01 0
Total of all active and inactive participants 2019-09-01 125
2018: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 113
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 111
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 0
Total of all active and inactive participants 2018-09-01 111
2015: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 108
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 93
Number of retired or separated participants receiving benefits 2015-09-01 0
Number of other retired or separated participants entitled to future benefits 2015-09-01 0
Total of all active and inactive participants 2015-09-01 93

Measure	Date	Value
2022: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-09-01	119
Total number of active participants reported on line 7a of the Form 5500	2022-09-01	89
Number of retired or separated participants receiving benefits	2022-09-01	0
Number of other retired or separated participants entitled to future benefits	2022-09-01	0
Total of all active and inactive participants	2022-09-01	89
Number of employers contributing to the scheme	2022-09-01	0
2020: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	125
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	91
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	0
Total of all active and inactive participants	2020-09-01	91
Number of employers contributing to the scheme	2020-09-01	0
2019: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	111
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	125
Number of retired or separated participants receiving benefits	2019-09-01	0
Number of other retired or separated participants entitled to future benefits	2019-09-01	0
Total of all active and inactive participants	2019-09-01	125
2018: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	113
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	111
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	0
Total of all active and inactive participants	2018-09-01	111
2015: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	108
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	93
Number of retired or separated participants receiving benefits	2015-09-01	0
Number of other retired or separated participants entitled to future benefits	2015-09-01	0
Total of all active and inactive participants	2015-09-01	93

Form 5500 Responses for MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN

2022: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2022 form 5500 responses
2022-09-01	Type of plan entity	Single employer plan
2022-09-01	Plan funding arrangement – Insurance	Yes
2022-09-01	Plan benefit arrangement – Insurance	Yes
2020: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2019: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Submission has been amended	No
2019-09-01	This submission is the final filing	No
2019-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-09-01	Plan is a collectively bargained plan	No
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2018: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Submission has been amended	No
2018-09-01	This submission is the final filing	No
2018-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-09-01	Plan is a collectively bargained plan	No
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2015: MIKROS ENGINEERING, INC. MEDICAL INSURANCE PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	First time form 5500 has been submitted	Yes
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )

Policy contract number

23959

Policy instance

Insurance contract or identification number	23959
Number of Individuals Covered	113
Insurance policy start date	2022-09-01
Insurance policy end date	2023-08-31
Total amount of commissions paid to insurance broker	USD $24,819
Total amount of fees paid to insurance company	USD $31
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $541,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $24,819
Amount paid for insurance broker fees	31
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )

Policy contract number

23959

Policy instance

Insurance contract or identification number	23959
Number of Individuals Covered	123
Insurance policy start date	2020-09-01
Insurance policy end date	2021-08-31
Total amount of commissions paid to insurance broker	USD $40,554
Total amount of fees paid to insurance company	USD $33
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $721,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,258
Amount paid for insurance broker fees	19
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )

Policy contract number

23959

Policy instance

Insurance contract or identification number	23959
Number of Individuals Covered	170
Insurance policy start date	2019-09-01
Insurance policy end date	2020-08-31
Total amount of commissions paid to insurance broker	USD $28,526
Total amount of fees paid to insurance company	USD $46
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $693,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,526
Amount paid for insurance broker fees	46
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )

Policy contract number

179034

Policy instance

Insurance contract or identification number	179034
Number of Individuals Covered	146
Insurance policy start date	2016-09-01
Insurance policy end date	2017-08-31
Total amount of commissions paid to insurance broker	USD $34,241
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $628,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,241
Insurance broker organization code?	3

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )

Policy contract number

AJ131

Policy instance

Insurance contract or identification number	AJ131
Number of Individuals Covered	131
Insurance policy start date	2015-09-01
Insurance policy end date	2016-08-31
Total amount of commissions paid to insurance broker	USD $21,156
Total amount of fees paid to insurance company	USD $4,243
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $529,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,156
Amount paid for insurance broker fees	4243
Additional information about fees paid to insurance broker	AGENT/BROKER INCENTIVE PAYMENT
Insurance broker organization code?	3
Insurance broker name	ASSOCIATED FINANCIAL GROUP LLC

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Company Name:	MIKROS ENGINEERING, INC.
Employer identification number (EIN):	410859898
NAIC Classification:	326100