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KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 401k Plan overview

Plan NameKANSAS CROSSING CASINO WELFARE BENEFIT PLAN
Plan identification number 502

KANSAS CROSSING CASINO WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • 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

KANSAS CROSSING CASINO has sponsored the creation of one or more 401k plans.

Company Name:KANSAS CROSSING CASINO
Employer identification number (EIN):472347487
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KANSAS CROSSING CASINO WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-06-01GARY C MATTSON2024-12-10
5022021-06-01GARY MATTSON2022-12-05
5022020-06-01GARY MATTSON2021-09-14
5022020-06-01GARY MATTSON2021-09-14
5022019-06-01GARY MATTSON2020-09-15

Plan Statistics for KANSAS CROSSING CASINO WELFARE BENEFIT PLAN

401k plan membership statisitcs for KANSAS CROSSING CASINO WELFARE BENEFIT PLAN

Measure Date Value
2023: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-06-0183
Total number of active participants reported on line 7a of the Form 55002023-06-0179
Number of retired or separated participants receiving benefits2023-06-010
Number of other retired or separated participants entitled to future benefits2023-06-010
Total of all active and inactive participants2023-06-0179
Number of employers contributing to the scheme2023-06-010
2021: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01108
Total number of active participants reported on line 7a of the Form 55002021-06-0183
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-0183
Number of employers contributing to the scheme2021-06-010
2020: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01107
Total number of active participants reported on line 7a of the Form 55002020-06-0185
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-0185
Number of employers contributing to the scheme2020-06-010
2019: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-01100
Total number of active participants reported on line 7a of the Form 55002019-06-01107
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01107
Number of employers contributing to the scheme2019-06-010

Form 5500 Responses for KANSAS CROSSING CASINO WELFARE BENEFIT PLAN

2023: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-06-01Type of plan entitySingle employer plan
2023-06-01Plan funding arrangement – InsuranceYes
2023-06-01Plan benefit arrangement – InsuranceYes
2021: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2020: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes
2019: KANSAS CROSSING CASINO WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01First time form 5500 has been submittedYes
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9728
Policy instance 1
Insurance contract or identification number9728
Number of Individuals Covered291
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $33,382
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1111524
Policy instance 2
Insurance contract or identification number1111524
Number of Individuals Covered124
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $1,993
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLLC0C4MQ
Policy instance 3
Insurance contract or identification numberGLLC0C4MQ
Number of Individuals Covered71
Insurance policy start date2023-06-01
Insurance policy end date2024-05-31
Total amount of commissions paid to insurance brokerUSD $4,797
Total amount of fees paid to insurance companyUSD $3,881
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $58,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9728
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1111524
Policy instance 2
BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 )
Policy contract number9728
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1111524
Policy instance 2

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