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DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 401k Plan overview

Plan NameDISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN
Plan identification number 002

DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DISABILITY SUPPORTS OF THE GREAT PLAINS, INC. has sponsored the creation of one or more 401k plans.

Company Name:DISABILITY SUPPORTS OF THE GREAT PLAINS, INC.
Employer identification number (EIN):481188444
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01RICHARD J. STAAB2023-10-02
0022021-01-01RICHARD J. STAAB2022-10-04
0022020-01-01RICHARD J. STAAB2021-09-03
0022019-01-01RICHARD J. STAAB2020-09-16
0022018-01-01RICHARD J. STAAB2019-09-23
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01
0022013-01-01

Plan Statistics for DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN

401k plan membership statisitcs for DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN

Measure Date Value
2022: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01133
Total number of active participants reported on line 7a of the Form 55002022-01-01104
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0117
Total of all active and inactive participants2022-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01121
Number of participants with account balances2022-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-014
2021: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01142
Total number of active participants reported on line 7a of the Form 55002021-01-01112
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0121
Total of all active and inactive participants2021-01-01133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01133
Number of participants with account balances2021-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-019
2020: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01147
Total number of active participants reported on line 7a of the Form 55002020-01-01120
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0110
Total of all active and inactive participants2020-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01130
Number of participants with account balances2020-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-018
2019: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01149
Total number of active participants reported on line 7a of the Form 55002019-01-01124
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-018
Total of all active and inactive participants2019-01-01132
Total participants2019-01-01132
Number of participants with account balances2019-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01168
Total number of active participants reported on line 7a of the Form 55002018-01-01139
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-016
Total of all active and inactive participants2018-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01145
Number of participants with account balances2018-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01179
Total number of active participants reported on line 7a of the Form 55002017-01-01152
Number of other retired or separated participants entitled to future benefits2017-01-018
Total of all active and inactive participants2017-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01160
Number of participants with account balances2017-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01177
Total number of active participants reported on line 7a of the Form 55002016-01-01159
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-01166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01166
Number of participants with account balances2016-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-019
2015: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01191
Total number of active participants reported on line 7a of the Form 55002015-01-01161
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-01163
Total participants2015-01-01163
Number of participants with account balances2015-01-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01206
Total number of active participants reported on line 7a of the Form 55002014-01-01173
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-01182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01182
Number of participants with account balances2014-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01308
Total number of active participants reported on line 7a of the Form 55002013-01-01200
Number of other retired or separated participants entitled to future benefits2013-01-016
Total of all active and inactive participants2013-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01206
Number of participants with account balances2013-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN

Measure Date Value
2022 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-204,102
Total of all expenses incurred2022-12-31$78,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$76,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$406,017
Value of total assets at end of year2022-12-31$3,336,333
Value of total assets at beginning of year2022-12-31$3,619,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,068
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$246
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$199,966
Administrative expenses (other) incurred2022-12-31$225
Total non interest bearing cash at end of year2022-12-31$4,623
Total non interest bearing cash at beginning of year2022-12-31$4,085
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-282,919
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,336,333
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$3,619,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$1,597
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,231,276
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,516,874
Net investment gain/loss from pooled separate accounts2022-12-31$-610,119
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$206,051
Employer contributions (assets) at end of year2022-12-31$100,434
Employer contributions (assets) at beginning of year2022-12-31$98,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$76,749
Contract administrator fees2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31LINDBURG VOGEL PIERCE FARIS, CHTD.
Accountancy firm EIN2022-12-31480841034
2021 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$803,608
Total of all expenses incurred2021-12-31$87,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$85,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$393,633
Value of total assets at end of year2021-12-31$3,619,252
Value of total assets at beginning of year2021-12-31$2,902,927
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,043
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$225
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$192,797
Administrative expenses (other) incurred2021-12-31$225
Total non interest bearing cash at end of year2021-12-31$4,085
Total non interest bearing cash at beginning of year2021-12-31$1,685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$716,325
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,619,252
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,902,927
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$1,593
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,516,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,800,577
Net investment gain/loss from pooled separate accounts2021-12-31$409,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$200,836
Employer contributions (assets) at end of year2021-12-31$98,293
Employer contributions (assets) at beginning of year2021-12-31$100,665
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$85,240
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31LINDBURG VOGEL PIERCE FARIS, CHTD.
Accountancy firm EIN2021-12-31480841034
2020 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$737,985
Total of all expenses incurred2020-12-31$224,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$222,370
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$397,472
Value of total assets at end of year2020-12-31$2,902,927
Value of total assets at beginning of year2020-12-31$2,389,024
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,712
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$275
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$194,136
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$3,355
Administrative expenses (other) incurred2020-12-31$250
Total non interest bearing cash at end of year2020-12-31$1,685
Total non interest bearing cash at beginning of year2020-12-31$63
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$513,903
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,902,927
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,389,024
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$1,187
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,800,577
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,299,065
Net investment gain/loss from pooled separate accounts2020-12-31$340,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$199,981
Employer contributions (assets) at end of year2020-12-31$100,665
Employer contributions (assets) at beginning of year2020-12-31$89,896
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$222,370
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LINDBURG VOGEL PIERCE FARIS, CHTD.
Accountancy firm EIN2020-12-31480841034
2019 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$766,770
Total of all expenses incurred2019-12-31$274,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$272,503
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$365,121
Value of total assets at end of year2019-12-31$2,389,024
Value of total assets at beginning of year2019-12-31$1,896,262
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,505
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$250
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$176,580
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$8,510
Administrative expenses (other) incurred2019-12-31$200
Total non interest bearing cash at end of year2019-12-31$63
Total non interest bearing cash at beginning of year2019-12-31$63
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$492,762
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,389,024
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,896,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$1,055
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,299,065
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,896,199
Net investment gain/loss from pooled separate accounts2019-12-31$401,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$180,031
Employer contributions (assets) at end of year2019-12-31$89,896
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$272,503
Contract administrator fees2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31LINDBURG VOGEL PIERCE FARIS, CHTD.
Accountancy firm EIN2019-12-31480841034
2018 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$115,052
Total of all expenses incurred2018-12-31$53,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$51,494
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$231,554
Value of total assets at end of year2018-12-31$1,896,262
Value of total assets at beginning of year2018-12-31$1,834,284
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$148,109
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$13,750
Total non interest bearing cash at end of year2018-12-31$63
Total non interest bearing cash at beginning of year2018-12-31$4,744
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$61,978
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,896,262
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,834,284
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$930
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,896,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,754,879
Net investment gain/loss from pooled separate accounts2018-12-31$-116,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$69,695
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$74,661
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$51,494
Contract administrator fees2018-12-31$650
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31LINDBURG VOGEL PIERCE FARIS, CHTD.
Accountancy firm EIN2018-12-31480841034
2017 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$537,976
Total of all expenses incurred2017-12-31$196,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$194,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$302,479
Value of total assets at end of year2017-12-31$1,834,284
Value of total assets at beginning of year2017-12-31$1,492,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$136,663
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$17,574
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$4,744
Total non interest bearing cash at beginning of year2017-12-31$8,731
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$341,922
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,834,284
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,492,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$352
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,754,879
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,423,144
Net investment gain/loss from pooled separate accounts2017-12-31$235,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$148,242
Employer contributions (assets) at end of year2017-12-31$74,661
Employer contributions (assets) at beginning of year2017-12-31$60,487
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$194,927
Contract administrator fees2017-12-31$775
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31LINDBURG VOGEL PIERCE FARIS
Accountancy firm EIN2017-12-31480841034
2016 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$335,317
Total of all expenses incurred2016-12-31$158,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$158,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$218,807
Value of total assets at end of year2016-12-31$1,492,362
Value of total assets at beginning of year2016-12-31$1,315,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$105
Total interest from all sources2016-12-31$1,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$99,006
Participant contributions at end of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$104
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$8,731
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$176,442
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,492,362
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,315,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$105
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,423,144
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,117,327
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,181
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$139,337
Net investment gain/loss from pooled separate accounts2016-12-31$115,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$119,697
Employer contributions (assets) at end of year2016-12-31$60,487
Employer contributions (assets) at beginning of year2016-12-31$59,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$158,770
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31LINDBURG VOGEL PIERCE FARIS
Accountancy firm EIN2016-12-31480841034
2015 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$223,404
Total of all expenses incurred2015-12-31$224,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$224,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$245,222
Value of total assets at end of year2015-12-31$1,315,920
Value of total assets at beginning of year2015-12-31$1,317,298
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$31
Total interest from all sources2015-12-31$2,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$93,581
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$32,634
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,378
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,315,920
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,317,298
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$31
Value of interest in pooled separate accounts at end of year2015-12-31$1,117,327
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,000,170
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$2,646
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$139,337
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$258,928
Net investment gain/loss from pooled separate accounts2015-12-31$-24,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$119,007
Employer contributions (assets) at end of year2015-12-31$59,256
Employer contributions (assets) at beginning of year2015-12-31$58,200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$224,751
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31LINDBURG VOGEL PIERCE FARIS
Accountancy firm EIN2015-12-31480841034
2014 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$268,909
Total of all expenses incurred2014-12-31$130,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$129,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$208,696
Value of total assets at end of year2014-12-31$1,317,298
Value of total assets at beginning of year2014-12-31$1,179,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$733
Total interest from all sources2014-12-31$3,207
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$730
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$93,548
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$138,250
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,317,298
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,179,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$3
Value of interest in pooled separate accounts at end of year2014-12-31$1,000,170
Value of interest in pooled separate accounts at beginning of year2014-12-31$865,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3,207
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$258,928
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$254,256
Net investment gain/loss from pooled separate accounts2014-12-31$57,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$115,148
Employer contributions (assets) at end of year2014-12-31$58,200
Employer contributions (assets) at beginning of year2014-12-31$58,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$129,926
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31LINDBURG VOGEL PIERCE FARIS
Accountancy firm EIN2014-12-31480841034
2013 : DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,238,634
Total of all expenses incurred2013-12-31$59,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$59,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,117,236
Value of total assets at end of year2013-12-31$1,179,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$199
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$97,072
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$902,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,179,048
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,179,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$865,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$199
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$254,256
Net investment gain/loss from pooled separate accounts2013-12-31$121,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$117,538
Employer contributions (assets) at end of year2013-12-31$58,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$59,586
Contract administrator fees2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31LINDBURG VOGEL PIERCE FARIS
Accountancy firm EIN2013-12-31480841034

Form 5500 Responses for DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN

2022: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) 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 – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) 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 – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) 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 – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: DISABILITY SUPPORTS OF THE GREAT PLAINS 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number126757
Policy instance 1
Insurance contract or identification number126757
Number of Individuals Covered73
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $11,249
Total amount of fees paid to insurance companyUSD $1,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,249
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number126757
Policy instance 1
Insurance contract or identification number126757
Number of Individuals Covered72
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $14,346
Total amount of fees paid to insurance companyUSD $1,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,346
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number126757
Policy instance 1
Insurance contract or identification number126757
Number of Individuals Covered68
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $11,646
Total amount of fees paid to insurance companyUSD $1,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,646
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number126757
Policy instance 1
Insurance contract or identification number126757
Number of Individuals Covered66
Insurance policy start date2019-12-21
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $10,359
Total amount of fees paid to insurance companyUSD $1,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,359
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees1288
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number126757
Policy instance 1
Insurance contract or identification number126757
Number of Individuals Covered60
Insurance policy start date2017-12-21
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,894
Total amount of fees paid to insurance companyUSD $6,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6427
Additional information about fees paid to insurance brokerTPA ADMIN FEES AND COMPENSATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $7,894
Insurance broker nameKEN SCHMIEDBAUER
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number915282-01
Policy instance 1
Insurance contract or identification number915282-01
Number of Individuals Covered42
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,395
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,395
Insurance broker organization code?3
Insurance broker nameKEN SCHMIEDBAUER
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number915282-01
Policy instance 1
Insurance contract or identification number915282-01
Number of Individuals Covered41
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,048
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $6,048
Insurance broker organization code?3
Insurance broker nameKEN SCHMIEDBAUER
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number915282-01
Policy instance 1
Insurance contract or identification number915282-01
Number of Individuals Covered39
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,711
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $3,711
Insurance broker organization code?3
Insurance broker nameKEN SCHMIEDBAUER

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