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ACCIDENTAL DEATH & DISMEMBERMENT 401k Plan overview

Plan NameACCIDENTAL DEATH & DISMEMBERMENT
Plan identification number 507

ACCIDENTAL DEATH & DISMEMBERMENT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

KANSAS BANKERS SERVICES, INC. GROUP TERM DEPENDENT CARE LIFE PLAN has sponsored the creation of one or more 401k plans.

Company Name:KANSAS BANKERS SERVICES, INC. GROUP TERM DEPENDENT CARE LIFE PLAN
Employer identification number (EIN):481233705
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCIDENTAL DEATH & DISMEMBERMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-02-01ELIZABETH ROCHE2023-08-24
5072021-02-01ELIZABETH ROCHE2022-07-11
5072020-02-01ELIZABETH ROCHE2021-06-02
5072019-02-01EDWARD L. GRIFFITH2020-08-15
5072018-02-01
5072017-02-01
5072016-02-01
5072015-02-01
5072014-02-01
5072013-02-01
5072012-02-01EDWARD L. GRIFFITH
5072011-02-01EDWARD L. GRIFFITH
5072009-02-01EDWARD L. GRIFFITH

Plan Statistics for ACCIDENTAL DEATH & DISMEMBERMENT

401k plan membership statisitcs for ACCIDENTAL DEATH & DISMEMBERMENT

Measure Date Value
2022: ACCIDENTAL DEATH & DISMEMBERMENT 2022 401k membership
Total participants, beginning-of-year2022-02-011,541
Total number of active participants reported on line 7a of the Form 55002022-02-011,564
Total of all active and inactive participants2022-02-011,564
2021: ACCIDENTAL DEATH & DISMEMBERMENT 2021 401k membership
Total participants, beginning-of-year2021-02-011,579
Total number of active participants reported on line 7a of the Form 55002021-02-011,541
Total of all active and inactive participants2021-02-011,541
2020: ACCIDENTAL DEATH & DISMEMBERMENT 2020 401k membership
Total participants, beginning-of-year2020-02-011,528
Total number of active participants reported on line 7a of the Form 55002020-02-011,579
Total of all active and inactive participants2020-02-011,579
2019: ACCIDENTAL DEATH & DISMEMBERMENT 2019 401k membership
Total participants, beginning-of-year2019-02-011,515
Total number of active participants reported on line 7a of the Form 55002019-02-011,528
Total of all active and inactive participants2019-02-011,528
2018: ACCIDENTAL DEATH & DISMEMBERMENT 2018 401k membership
Total participants, beginning-of-year2018-02-011,557
Total number of active participants reported on line 7a of the Form 55002018-02-011,515
Total of all active and inactive participants2018-02-011,515
2017: ACCIDENTAL DEATH & DISMEMBERMENT 2017 401k membership
Total participants, beginning-of-year2017-02-011,601
Total number of active participants reported on line 7a of the Form 55002017-02-011,557
Total of all active and inactive participants2017-02-011,557
2016: ACCIDENTAL DEATH & DISMEMBERMENT 2016 401k membership
Total participants, beginning-of-year2016-02-011,638
Total number of active participants reported on line 7a of the Form 55002016-02-011,601
Total of all active and inactive participants2016-02-011,601
2015: ACCIDENTAL DEATH & DISMEMBERMENT 2015 401k membership
Total participants, beginning-of-year2015-02-011,656
Total number of active participants reported on line 7a of the Form 55002015-02-011,638
Total of all active and inactive participants2015-02-011,638
2014: ACCIDENTAL DEATH & DISMEMBERMENT 2014 401k membership
Total participants, beginning-of-year2014-02-011,689
Total number of active participants reported on line 7a of the Form 55002014-02-011,656
Total of all active and inactive participants2014-02-011,656
2013: ACCIDENTAL DEATH & DISMEMBERMENT 2013 401k membership
Total participants, beginning-of-year2013-02-011,707
Total number of active participants reported on line 7a of the Form 55002013-02-011,689
Total of all active and inactive participants2013-02-011,689
2012: ACCIDENTAL DEATH & DISMEMBERMENT 2012 401k membership
Total participants, beginning-of-year2012-02-011,758
Total number of active participants reported on line 7a of the Form 55002012-02-011,707
Total of all active and inactive participants2012-02-011,707
2011: ACCIDENTAL DEATH & DISMEMBERMENT 2011 401k membership
Total participants, beginning-of-year2011-02-011,724
Total number of active participants reported on line 7a of the Form 55002011-02-011,758
Total of all active and inactive participants2011-02-011,758
2009: ACCIDENTAL DEATH & DISMEMBERMENT 2009 401k membership
Total participants, beginning-of-year2009-02-012,089
Total number of active participants reported on line 7a of the Form 55002009-02-011,855
Total of all active and inactive participants2009-02-011,855

Form 5500 Responses for ACCIDENTAL DEATH & DISMEMBERMENT

2022: ACCIDENTAL DEATH & DISMEMBERMENT 2022 form 5500 responses
2022-02-01Type of plan entityMulitple employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – InsuranceYes
2021: ACCIDENTAL DEATH & DISMEMBERMENT 2021 form 5500 responses
2021-02-01Type of plan entityMulitple employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2020: ACCIDENTAL DEATH & DISMEMBERMENT 2020 form 5500 responses
2020-02-01Type of plan entityMulitple employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: ACCIDENTAL DEATH & DISMEMBERMENT 2019 form 5500 responses
2019-02-01Type of plan entityMulitple employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: ACCIDENTAL DEATH & DISMEMBERMENT 2018 form 5500 responses
2018-02-01Type of plan entityMulitple employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: ACCIDENTAL DEATH & DISMEMBERMENT 2017 form 5500 responses
2017-02-01Type of plan entityMulitple employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: ACCIDENTAL DEATH & DISMEMBERMENT 2016 form 5500 responses
2016-02-01Type of plan entityMulitple employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: ACCIDENTAL DEATH & DISMEMBERMENT 2015 form 5500 responses
2015-02-01Type of plan entityMulitple employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: ACCIDENTAL DEATH & DISMEMBERMENT 2014 form 5500 responses
2014-02-01Type of plan entityMulitple employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2013: ACCIDENTAL DEATH & DISMEMBERMENT 2013 form 5500 responses
2013-02-01Type of plan entityMulitple employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – InsuranceYes
2012: ACCIDENTAL DEATH & DISMEMBERMENT 2012 form 5500 responses
2012-02-01Type of plan entityMulitple employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: ACCIDENTAL DEATH & DISMEMBERMENT 2011 form 5500 responses
2011-02-01Type of plan entityMulitple employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – InsuranceYes
2009: ACCIDENTAL DEATH & DISMEMBERMENT 2009 form 5500 responses
2009-02-01Type of plan entityMulitple employer plan
2009-02-01This submission is the final filingNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1564
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $10,049
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $54,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,049
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1541
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $10,245
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,245
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1579
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $10,575
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,575
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1528
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $9,903
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,903
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1515
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $10,436
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $56,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,436
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1557
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $10,673
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $57,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,673
Insurance broker nameKBA INSURANCE, INC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1638
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $10,969
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $59,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,969
Insurance broker nameKBA INSURANCE, INC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $11,360
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $61,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,360
Insurance broker nameKBA INSURANCE, INC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $11,480
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $62,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,480
Insurance broker nameKANSAS BANKERS ASSOCIATION
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1707
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $11,948
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $64,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,948
Insurance broker nameKANSAS BANKERS ASSOCIATION
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 8363979
Policy instance 1
Insurance contract or identification numberGTU 8363979
Number of Individuals Covered1758
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $11,542
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $62,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 836979
Policy instance 1
Insurance contract or identification numberGTU 836979
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $12,877
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $69,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,877
Insurance broker nameKANSAS BANKERS ASSOCIATION

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