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AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 401k Plan overview

Plan NameAMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN
Plan identification number 501

AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

AMERICAN DEHYDRATED FOODS, LLC has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN DEHYDRATED FOODS, LLC
Employer identification number (EIN):640619240
NAIC Classification:311110
NAIC Description: Animal Food Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-11-01
5012018-11-01
5012017-11-01
5012016-11-01JAMES R BATTEN
5012015-11-01JAMES R. BATTEN
5012014-11-01PAUL W. FRY, CFO
5012013-11-01
5012012-11-01PAUL W FRY CFO
5012011-11-01PAUL W FRY
5012009-11-01PAUL W FRY CFO

Plan Statistics for AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN

401k plan membership statisitcs for AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN

Measure Date Value
2019: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-011
Total number of active participants reported on line 7a of the Form 55002019-11-010
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-010
2018: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-012
Total number of active participants reported on line 7a of the Form 55002018-11-011
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-011
2017: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-011
Total number of active participants reported on line 7a of the Form 55002017-11-012
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-012
2016: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-011
Total number of active participants reported on line 7a of the Form 55002016-11-011
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-011
2015: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0115
Total number of active participants reported on line 7a of the Form 55002015-11-011
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-011
2014: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0118
Total number of active participants reported on line 7a of the Form 55002014-11-0115
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-0115
2013: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01106
Total number of active participants reported on line 7a of the Form 55002013-11-0118
Total of all active and inactive participants2013-11-0118
2012: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0198
Total number of active participants reported on line 7a of the Form 55002012-11-01105
Number of retired or separated participants receiving benefits2012-11-011
Total of all active and inactive participants2012-11-01106
2011: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01108
Total number of active participants reported on line 7a of the Form 55002011-11-0197
Number of retired or separated participants receiving benefits2011-11-011
Total of all active and inactive participants2011-11-0198
2009: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01164
Total number of active participants reported on line 7a of the Form 55002009-11-01157
Number of retired or separated participants receiving benefits2009-11-013
Total of all active and inactive participants2009-11-01160

Form 5500 Responses for AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN

2019: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01This submission is the final filingYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes
2018: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes
2017: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – General assets of the sponsorYes
2014: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – General assets of the sponsorYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – General assets of the sponsorYes
2013: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – General assets of the sponsorYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – General assets of the sponsorYes
2012: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – General assets of the sponsorYes
2011: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – General assets of the sponsorYes
2009: AMERICAN DEHYDRATED FOODS, INC GROUP HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01This submission is the final filingNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – General assets of the sponsorYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966655
Policy instance 4
Insurance contract or identification numberFLX966655
Insurance policy start date2019-04-01
Insurance policy end date2020-04-01
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968176
Policy instance 3
Insurance contract or identification numberOK 968176
Insurance policy start date2019-04-01
Insurance policy end date2020-04-01
Other welfare benefits providedACCIDENTAL DEATH
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 751802
Policy instance 2
Insurance contract or identification numberLK 751802
Insurance policy start date2019-04-01
Insurance policy end date2020-04-01
Other welfare benefits providedSHORT TERM DISABILITY
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAMDIN FEES
Insurance broker organization code?5
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS566883
Policy instance 1
Insurance contract or identification numberUS566883
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedCONVERSION
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966655
Policy instance 4
Insurance contract or identification numberFLX966655
Number of Individuals Covered1
Insurance policy start date2018-04-01
Insurance policy end date2019-04-01
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968176
Policy instance 3
Insurance contract or identification numberOK 968176
Number of Individuals Covered1
Insurance policy start date2018-04-01
Insurance policy end date2019-04-01
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $51
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 751802
Policy instance 2
Insurance contract or identification numberLK 751802
Number of Individuals Covered1
Insurance policy start date2018-04-01
Insurance policy end date2019-04-01
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAMDIN FEES
Insurance broker organization code?5
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS566883
Policy instance 1
Insurance contract or identification numberUS566883
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $214
Other welfare benefits providedCONVERSION
Welfare Benefit Premiums Paid to CarrierUSD $223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees196
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966655
Policy instance 4
Insurance contract or identification numberFLX966655
Number of Individuals Covered2
Insurance policy start date2017-04-01
Insurance policy end date2018-04-01
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 968176
Policy instance 3
Insurance contract or identification numberOK 968176
Number of Individuals Covered2
Insurance policy start date2017-04-01
Insurance policy end date2018-04-01
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $65
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 751802
Policy instance 2
Insurance contract or identification numberLK 751802
Number of Individuals Covered2
Insurance policy start date2017-04-01
Insurance policy end date2018-04-01
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $388
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 numberUS566883
Policy instance 1
Insurance contract or identification numberUS566883
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $392
Other welfare benefits providedCONVERSION
Welfare Benefit Premiums Paid to CarrierUSD $4,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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