AUGUSTA COOPERATIVE FARM BUREAU INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I
401k plan membership statisitcs for AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I
| Measure | Date | Value |
|---|
| 2022: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 86 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 118 |
| Total of all active and inactive participants | 2022-07-01 | 118 |
| 2019: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-07-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-07-01 | 79 |
| Total of all active and inactive participants | 2019-07-01 | 79 |
| 2018: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-07-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-07-01 | 81 |
| Total of all active and inactive participants | 2018-07-01 | 81 |
| 2017: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 81 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 84 |
| Total of all active and inactive participants | 2017-07-01 | 84 |
| 2016: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 80 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 1 |
| Total of all active and inactive participants | 2016-07-01 | 81 |
| 2015: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 82 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 84 |
| Total of all active and inactive participants | 2015-07-01 | 84 |
| 2014: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 82 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
| Total of all active and inactive participants | 2014-07-01 | 82 |
| 2013: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 74 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 72 |
| Number of retired or separated participants receiving benefits | 2013-07-01 | 0 |
| Total of all active and inactive participants | 2013-07-01 | 72 |
| 2012: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 69 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 72 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 2 |
| Total of all active and inactive participants | 2012-07-01 | 74 |
| 2011: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-07-01 | 76 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 67 |
| Number of retired or separated participants receiving benefits | 2011-07-01 | 2 |
| Total of all active and inactive participants | 2011-07-01 | 69 |
| 2010: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-07-01 | 75 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 73 |
| Number of retired or separated participants receiving benefits | 2010-07-01 | 3 |
| Total of all active and inactive participants | 2010-07-01 | 76 |
| 2009: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-07-01 | 71 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 73 |
| Number of retired or separated participants receiving benefits | 2009-07-01 | 2 |
| Total of all active and inactive participants | 2009-07-01 | 75 |
| 2022: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2019 form 5500 responses |
|---|
| 2019-07-01 | Type of plan entity | Single employer plan |
| 2019-07-01 | Plan funding arrangement – Insurance | Yes |
| 2019-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2018 form 5500 responses |
|---|
| 2018-07-01 | Type of plan entity | Single employer plan |
| 2018-07-01 | Plan funding arrangement – Insurance | Yes |
| 2018-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2011 form 5500 responses |
|---|
| 2011-07-01 | Type of plan entity | Single employer plan |
| 2011-07-01 | Plan funding arrangement – Insurance | Yes |
| 2011-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2010 form 5500 responses |
|---|
| 2010-07-01 | Type of plan entity | Single employer plan |
| 2010-07-01 | Plan funding arrangement – Insurance | Yes |
| 2010-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: AUGUSTA COOPERATIVE FARM BUREAU INC GROUP HEALTH I 2009 form 5500 responses |
|---|
| 2009-07-01 | Type of plan entity | Single employer plan |
| 2009-07-01 | This submission is the final filing | No |
| 2009-07-01 | Plan funding arrangement – Insurance | Yes |
| 2009-07-01 | Plan benefit arrangement – Insurance | Yes |
| HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 ) |
| Policy contract number | VA3357 |
| Policy instance | 3 |
| Insurance contract or identification number | VA3357 | | Number of Individuals Covered | 52 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $349,403 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | VA3357 |
| Policy instance | 2 |
| Insurance contract or identification number | VA3357 | | Number of Individuals Covered | 228 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $24,419 | | Total amount of fees paid to insurance company | USD $4,280 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $526,579 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,419 | | Amount paid for insurance broker fees | 4280 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION, COMMUNICATION, TRAINING | | Insurance broker organization code? | 3 |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 1127066 |
| Policy instance | 1 |
| Insurance contract or identification number | 1127066 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $6,690 | | Total amount of fees paid to insurance company | USD $2,078 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CRITICAL ILLNESS, ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $59,916 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,690 | | Amount paid for insurance broker fees | 2078 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30395*COBRA |
| Policy instance | 4 |
| Insurance contract or identification number | 30395*COBRA | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,537 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30396 |
| Policy instance | 3 |
| Insurance contract or identification number | 30396 | | Number of Individuals Covered | 68 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $3,813 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $381,297 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,813 | | Insurance broker organization code? | 3 |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30395 |
| Policy instance | 2 |
| Insurance contract or identification number | 30395 | | Number of Individuals Covered | 44 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $3,413 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $338,720 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,413 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00422048 |
| Policy instance | 1 |
| Insurance contract or identification number | 00422048 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $9,712 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, CANCER, VOL CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $88,505 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,595 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00422048 |
| Policy instance | 1 |
| Insurance contract or identification number | 00422048 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $7,120 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $71,210 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30395 |
| Policy instance | 2 |
| Insurance contract or identification number | 30395 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $3,298 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $329,829 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,298 | | Insurance broker organization code? | 3 |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30396 |
| Policy instance | 3 |
| Insurance contract or identification number | 30396 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $3,025 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $302,465 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,025 | | Insurance broker organization code? | 3 |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30396 |
| Policy instance | 3 |
| Insurance contract or identification number | 30396 | | Number of Individuals Covered | 66 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $271,689 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30396*COBRA |
| Policy instance | 4 |
| Insurance contract or identification number | 30396*COBRA | | Number of Individuals Covered | 0 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $427 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00422048 |
| Policy instance | 2 |
| Insurance contract or identification number | 00422048 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $6,256 | | Total amount of fees paid to insurance company | USD $2,040 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL D&D | | Welfare Benefit Premiums Paid to Carrier | USD $63,143 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECTCARE HMO (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 30395 |
| Policy instance | 1 |
| Insurance contract or identification number | 30395 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $159,696 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $326,226 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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