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BUCK DISTRIBUTING CO., INC. HEALTH PLAN 401k Plan overview

Plan NameBUCK DISTRIBUTING CO., INC. HEALTH PLAN
Plan identification number 501

BUCK DISTRIBUTING CO., INC. HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

BUCK DISTRIBUTING COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:BUCK DISTRIBUTING COMPANY, INC.
Employer identification number (EIN):520730876
NAIC Classification:445310
NAIC Description:Beer, Wine, and Liquor Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUCK DISTRIBUTING CO., INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-08-01DAVID WOODSIDE
5012014-08-01JAMES FRANTA
5012013-08-01RICHARD KENTULA
5012012-08-01RICHARD KENTULA
5012011-08-01RICHARD KENTULA
5012009-08-01RICHARD KENTULA

Plan Statistics for BUCK DISTRIBUTING CO., INC. HEALTH PLAN

401k plan membership statisitcs for BUCK DISTRIBUTING CO., INC. HEALTH PLAN

Measure Date Value
2015: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-01104
Total of all active and inactive participants2015-08-010
Total participants2015-08-010
2014: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-0194
Total number of active participants reported on line 7a of the Form 55002014-08-01104
Total of all active and inactive participants2014-08-01104
Total participants2014-08-010
2013: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01107
Total number of active participants reported on line 7a of the Form 55002013-08-0194
Total of all active and inactive participants2013-08-0194
Total participants2013-08-010
2012: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01100
Total number of active participants reported on line 7a of the Form 55002012-08-01107
Total of all active and inactive participants2012-08-01107
Total participants2012-08-010
2011: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-0199
Total number of active participants reported on line 7a of the Form 55002011-08-01100
Total of all active and inactive participants2011-08-01100
Total participants2011-08-01100
2009: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01105
Total number of active participants reported on line 7a of the Form 55002009-08-01101
Total of all active and inactive participants2009-08-01101
Total participants2009-08-01101

Financial Data on BUCK DISTRIBUTING CO., INC. HEALTH PLAN

Measure Date Value
2016 : BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2016 401k financial data
Total plan assets at end of year2016-07-31$0

Form 5500 Responses for BUCK DISTRIBUTING CO., INC. HEALTH PLAN

2015: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01This submission is the final filingYes
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes
2013: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: BUCK DISTRIBUTING CO., INC. HEALTH PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164113000
Policy instance 4
Insurance contract or identification number000010164113000
Number of Individuals Covered105
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $2,090
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Life 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 $2,090
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164112000
Policy instance 3
Insurance contract or identification number000010164112000
Number of Individuals Covered105
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $2,176
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Life 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 $2,176
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL INC
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 2
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of fees paid to insurance companyUSD $871
Other welfare benefits providedTRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees871
Additional information about fees paid to insurance brokerADMINISTRATIVE ALLOWANCE
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL CENTER
ONENET PPO, LLC (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 1
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $17,848
Total amount of fees paid to insurance companyUSD $8,580
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 $17,848
Amount paid for insurance broker fees8580
Additional information about fees paid to insurance brokerREPRICING FEES
Insurance broker organization code?0
Insurance broker namePREMIER HEALTHCARE EXCHANGE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164113000
Policy instance 4
Insurance contract or identification number000010164113000
Number of Individuals Covered101
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $1,527
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Life 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 $1,527
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL INC
ONENET PPO, LLC (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 1
Number of Individuals Covered104
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $17,160
Total amount of fees paid to insurance companyUSD $12,535
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 $17,160
Amount paid for insurance broker fees12535
Additional information about fees paid to insurance brokerREPRICING FEES
Insurance broker organization code?0
Insurance broker namePREMIER HEALTHCARE EXCHANGE
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 2
Number of Individuals Covered104
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of fees paid to insurance companyUSD $770
Other welfare benefits providedTRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees770
Additional information about fees paid to insurance brokerADMINISTRATIVE ALLOWANCE
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL CENTER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164112000
Policy instance 3
Insurance contract or identification number000010164112000
Number of Individuals Covered101
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $1,682
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Life 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 $1,682
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL INC
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 3
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of fees paid to insurance companyUSD $639
Other welfare benefits providedTRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees639
Additional information about fees paid to insurance brokerADMINISTRATIVE ALLOWANCE
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL CENTER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164112000
Policy instance 4
Insurance contract or identification number000010164112000
Number of Individuals Covered98
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $2,123
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Life 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 $2,123
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL INC
PPO USA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 1
Number of Individuals Covered94
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of fees paid to insurance companyUSD $1,006
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1006
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES PAID FOR DENTAL POLICY
Insurance broker organization code?3
Insurance broker namePPO USA
ONENET PPO, LLC (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 2
Number of Individuals Covered94
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $17,256
Total amount of fees paid to insurance companyUSD $5,713
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 $17,256
Amount paid for insurance broker fees5713
Additional information about fees paid to insurance brokerREPRICING FEES
Insurance broker organization code?0
Insurance broker namePREMIER HEALTHCARE EXCHANGE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164113000
Policy instance 1
Insurance contract or identification number000010164113000
Number of Individuals Covered107
Insurance policy start date2012-09-01
Insurance policy end date2013-08-01
Total amount of commissions paid to insurance brokerUSD $1,338
Long Term Disability 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 $1,338
Insurance broker organization code?4
Insurance broker namePSA FINANCIAL INC
PPO USA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 5
Number of Individuals Covered107
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of fees paid to insurance companyUSD $1,004
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1004
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES PAID FOR DENTAL POLICY
Insurance broker organization code?3
Insurance broker namePPO USA
ONENET PPO, LLC (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 4
Number of Individuals Covered107
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $17,256
Total amount of fees paid to insurance companyUSD $10,724
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees934
Additional information about fees paid to insurance brokerMEDICAL REVIEW FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $17,256
Insurance broker namePSA FINANCIAL CENTER
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 3
Number of Individuals Covered107
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of fees paid to insurance companyUSD $727
Other welfare benefits providedTRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees727
Additional information about fees paid to insurance brokerADMINISTRATIVE ALLOWANCE
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL CENTER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010164112000
Policy instance 2
Insurance contract or identification number000010164112000
Number of Individuals Covered107
Insurance policy start date2012-09-01
Insurance policy end date2013-08-01
Total amount of commissions paid to insurance brokerUSD $1,471
Life 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 $1,471
Insurance broker organization code?3
Insurance broker namePSA FINANCIAL INC
ONENET PPO, LLC (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 3
Number of Individuals Covered100
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $16,789
Total amount of fees paid to insurance companyUSD $8,069
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 2
Number of Individuals Covered100
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of fees paid to insurance companyUSD $671
Other welfare benefits providedTRANSPLANT
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 numberG000AB1M
Policy instance 1
Insurance contract or identification numberG000AB1M
Number of Individuals Covered103
Insurance policy start date2011-08-01
Insurance policy end date2012-08-01
Total amount of commissions paid to insurance brokerUSD $2,585
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PPO USA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 4
Number of Individuals Covered100
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of fees paid to insurance companyUSD $980
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PPO USA (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 4
Number of Individuals Covered99
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of fees paid to insurance companyUSD $1,030
Dental Insurance Welfare BenefitYes
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 number
Policy instance 2
Number of Individuals Covered99
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of fees paid to insurance companyUSD $441
Other welfare benefits providedTRANSPLANT
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 numberG000AB1M
Policy instance 1
Insurance contract or identification numberG000AB1M
Insurance policy start date2010-08-01
Insurance policy end date2011-08-01
Total amount of commissions paid to insurance brokerUSD $2,814
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ONENET PPO, LLC (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number
Policy instance 3
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $16,390
Total amount of fees paid to insurance companyUSD $4,901
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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