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MID-MISSOURI BANK HEALTH CARE PLAN 401k Plan overview

Plan NameMID-MISSOURI BANK HEALTH CARE PLAN
Plan identification number 501

MID-MISSOURI BANK HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

MID-MISSOURI BANK has sponsored the creation of one or more 401k plans.

Company Name:MID-MISSOURI BANK
Employer identification number (EIN):431362091
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-MISSOURI BANK HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01BRIAN RIEDY BRIAN RIEDY2016-10-12
5012014-01-01BRIAN RIEDY BRIAN RIEDY2015-10-09
5012013-01-01BRIAN RIEDY BRIAN RIEDY2014-08-11
5012012-01-01BRIAN RIEDY BRIAN RIEDY2013-09-23
5012011-01-01BRIAN RIEDY BRIAN RIEDY2012-09-19
5012009-01-01JOHN KOPECKY

Plan Statistics for MID-MISSOURI BANK HEALTH CARE PLAN

401k plan membership statisitcs for MID-MISSOURI BANK HEALTH CARE PLAN

Measure Date Value
2015: MID-MISSOURI BANK HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01141
Total number of active participants reported on line 7a of the Form 55002015-01-01133
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01133
2014: MID-MISSOURI BANK HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01145
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: MID-MISSOURI BANK HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01141
Total number of active participants reported on line 7a of the Form 55002013-01-01145
Total of all active and inactive participants2013-01-01145
2012: MID-MISSOURI BANK HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01141
Total number of active participants reported on line 7a of the Form 55002012-01-01141
Total of all active and inactive participants2012-01-01141
2011: MID-MISSOURI BANK HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01136
Total number of active participants reported on line 7a of the Form 55002011-01-01141
Total of all active and inactive participants2011-01-01141
2009: MID-MISSOURI BANK HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01201
Total number of active participants reported on line 7a of the Form 55002009-01-01160
Total of all active and inactive participants2009-01-01160

Financial Data on MID-MISSOURI BANK HEALTH CARE PLAN

Measure Date Value
2015 : MID-MISSOURI BANK HEALTH CARE PLAN 2015 401k financial data
Total income from all sources2015-12-31$0
Total plan assets at end of year2015-12-31$0
Total plan assets at beginning of year2015-12-31$0
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
2014 : MID-MISSOURI BANK HEALTH CARE PLAN 2014 401k financial data
Total income from all sources2014-12-31$0
Total plan assets at end of year2014-12-31$0
Total plan assets at beginning of year2014-12-31$0
Net plan assets at end of year (total assets less liabilities)2014-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
2013 : MID-MISSOURI BANK HEALTH CARE PLAN 2013 401k financial data
Total income from all sources2013-12-31$0
Total plan assets at end of year2013-12-31$0
Total plan assets at beginning of year2013-12-31$0
Net plan assets at end of year (total assets less liabilities)2013-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
2012 : MID-MISSOURI BANK HEALTH CARE PLAN 2012 401k financial data
Total income from all sources2012-12-31$0
Total plan assets at end of year2012-12-31$0
Total plan assets at beginning of year2012-12-31$0
Net plan assets at end of year (total assets less liabilities)2012-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
2011 : MID-MISSOURI BANK HEALTH CARE PLAN 2011 401k financial data
Total income from all sources2011-12-31$0
Total plan assets at end of year2011-12-31$0
Total plan assets at beginning of year2011-12-31$0
Net plan assets at end of year (total assets less liabilities)2011-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
2010 : MID-MISSOURI BANK HEALTH CARE PLAN 2010 401k financial data
Total plan assets at end of year2010-12-31$0
Net plan assets at end of year (total assets less liabilities)2010-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0

Form 5500 Responses for MID-MISSOURI BANK HEALTH CARE PLAN

2015: MID-MISSOURI BANK HEALTH CARE PLAN 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: MID-MISSOURI BANK HEALTH CARE PLAN 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: MID-MISSOURI BANK HEALTH CARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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
2012: MID-MISSOURI BANK HEALTH CARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: MID-MISSOURI BANK HEALTH CARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: MID-MISSOURI BANK HEALTH CARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberIHCRS-00619-15
Policy instance 1
Insurance contract or identification numberIHCRS-00619-15
Number of Individuals Covered133
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,283
Total amount of fees paid to insurance companyUSD $3,562
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $168,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,283
Amount paid for insurance broker fees346
Additional information about fees paid to insurance brokerPPO FEES
Insurance broker nameCOX HEALTH NETWORK
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL12343
Policy instance 1
Insurance contract or identification numberHCL12343
Number of Individuals Covered141
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,315
Total amount of fees paid to insurance companyUSD $6,938
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,249
Amount paid for insurance broker fees326
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPPO FEES
Insurance broker nameCOX HEALTH NETWORK
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL12343
Policy instance 1
Insurance contract or identification numberHCL12343
Number of Individuals Covered145
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $36,617
Total amount of fees paid to insurance companyUSD $12,311
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $131,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,617
Amount paid for insurance broker fees20
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPPO FEES
Insurance broker nameFREEDOM NETWORK
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL12343
Policy instance 1
Insurance contract or identification numberHCL12343
Number of Individuals Covered141
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $33,334
Total amount of fees paid to insurance companyUSD $11,156
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,334
Amount paid for insurance broker fees2272
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPPO FEES
Insurance broker nameFREEDOM NETWORK
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL12343
Policy instance 1
Insurance contract or identification numberHCL12343
Number of Individuals Covered141
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $30,075
Total amount of fees paid to insurance companyUSD $8,976
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $123,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL12343
Policy instance 1
Insurance contract or identification numberHCL12343
Number of Individuals Covered136
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $479
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $479
Insurance broker organization code?3
Insurance broker nameBENEFIT MANAGEMENT INC

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