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BKB EMPLOYEE BENEFIT HEALTH PLAN 401k Plan overview

Plan NameBKB EMPLOYEE BENEFIT HEALTH PLAN
Plan identification number 501

BKB EMPLOYEE BENEFIT HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance

401k Sponsoring company profile

BOYD METALS OF FORT SMITH, INC. has sponsored the creation of one or more 401k plans.

Company Name:BOYD METALS OF FORT SMITH, INC.
Employer identification number (EIN):710691641
NAIC Classification:423500

Additional information about BOYD METALS OF FORT SMITH, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2014-05-22
Company Identification Number: 0802001213
Legal Registered Office Address: 1999 BRYAN ST STE 900

DALLAS
United States of America (USA)
75201

More information about BOYD METALS OF FORT SMITH, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BKB EMPLOYEE BENEFIT HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01
5012017-01-01THOMAS KENNON THOMAS KENNON2018-10-11
5012016-01-01THOMAS KENNON THOMAS KENNON2017-10-11
5012015-01-01THOMAS KENNON THOMAS KENNON2016-09-21
5012014-01-01THOMAS KENNON THOMAS KENNON2015-10-13
5012013-01-01THOMAS KENNON THOMAS KENNON2014-03-22
5012012-01-01THOMAS KENNON THOMAS KENNON2013-06-10
5012011-01-01THOMAS KENNON THOMAS KENNON2012-07-09
5012010-01-01THOMAS KENNON THOMAS KENNON2011-09-19
5012009-01-01THOMAS KENNON THOMAS KENNON2010-05-24
5012009-01-01THOMAS KENNON THOMAS KENNON2010-05-24

Plan Statistics for BKB EMPLOYEE BENEFIT HEALTH PLAN

401k plan membership statisitcs for BKB EMPLOYEE BENEFIT HEALTH PLAN

Measure Date Value
2018: BKB EMPLOYEE BENEFIT HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-010
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
2017: BKB EMPLOYEE BENEFIT HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01233
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: BKB EMPLOYEE BENEFIT HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01205
Total number of active participants reported on line 7a of the Form 55002016-01-01233
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01233
2015: BKB EMPLOYEE BENEFIT HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01206
Total number of active participants reported on line 7a of the Form 55002015-01-01205
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01205
2014: BKB EMPLOYEE BENEFIT HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01172
Total number of active participants reported on line 7a of the Form 55002014-01-01196
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01196
2013: BKB EMPLOYEE BENEFIT HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01190
Total number of active participants reported on line 7a of the Form 55002013-01-01172
Total of all active and inactive participants2013-01-01172
2012: BKB EMPLOYEE BENEFIT HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01165
Total number of active participants reported on line 7a of the Form 55002012-01-01190
Total of all active and inactive participants2012-01-01190
2011: BKB EMPLOYEE BENEFIT HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01161
Total number of active participants reported on line 7a of the Form 55002011-01-01165
Total of all active and inactive participants2011-01-01165
2010: BKB EMPLOYEE BENEFIT HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01146
Total number of active participants reported on line 7a of the Form 55002010-01-01161
Total of all active and inactive participants2010-01-01161
2009: BKB EMPLOYEE BENEFIT HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01221
Total number of active participants reported on line 7a of the Form 55002009-01-01146
Total of all active and inactive participants2009-01-01146

Financial Data on BKB EMPLOYEE BENEFIT HEALTH PLAN

Measure Date Value
2018 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$-166,078
Total plan liabilities at beginning of year2018-12-31$27,806
Total income from all sources2018-12-31$1,196
Expenses. Total of all expenses incurred2018-12-31$-1,491
Benefits paid (including direct rollovers)2018-12-31$-250
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$191,197
Other income received2018-12-31$1,196
Net income (gross income less expenses)2018-12-31$2,687
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$163,391
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$-1,241
2017 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$27,806
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$652,861
Total income from all sources (including contributions)2017-12-31$613,474
Total of all expenses incurred2017-12-31$103,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$53,956
Value of total assets at end of year2017-12-31$191,197
Value of total assets at beginning of year2017-12-31$306,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$98,750
Total interest from all sources2017-12-31$972
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$34,816
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$50,000
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$1,485
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$847
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$111,572
Other income not declared elsewhere2017-12-31$558,546
Administrative expenses (other) incurred2017-12-31$14,964
Liabilities. Value of operating payables at end of year2017-12-31$27,806
Liabilities. Value of operating payables at beginning of year2017-12-31$51,189
Total non interest bearing cash at end of year2017-12-31$83
Total non interest bearing cash at beginning of year2017-12-31$-253,065
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$509,743
Value of net assets at end of year (total assets less liabilities)2017-12-31$163,391
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$-346,352
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$190,267
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$241,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$241,688
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$972
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$52,471
Employer contributions (assets) at beginning of year2017-12-31$206,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$4,981
Contract administrator fees2017-12-31$48,970
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$601,672
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31PRZYBYSZ & ASSOCIATES
Accountancy firm EIN2017-12-31202759879
2016 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$652,861
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$592,727
Total income from all sources (including contributions)2016-12-31$2,489,116
Total of all expenses incurred2016-12-31$2,892,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,678,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,488,752
Value of total assets at end of year2016-12-31$306,509
Value of total assets at beginning of year2016-12-31$650,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$214,248
Total interest from all sources2016-12-31$364
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$12,411
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$50,000
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$380,352
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$111,572
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$415,605
Administrative expenses (other) incurred2016-12-31$103,724
Liabilities. Value of operating payables at end of year2016-12-31$51,189
Liabilities. Value of operating payables at beginning of year2016-12-31$41,260
Total non interest bearing cash at end of year2016-12-31$-253,065
Total non interest bearing cash at beginning of year2016-12-31$-47,831
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-403,673
Value of net assets at end of year (total assets less liabilities)2016-12-31$-346,352
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$57,321
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$241,688
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$141,694
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$141,694
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$364
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$440,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,108,400
Employer contributions (assets) at end of year2016-12-31$206,314
Employer contributions (assets) at beginning of year2016-12-31$140,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,238,063
Contract administrator fees2016-12-31$98,113
Liabilities. Value of benefit claims payable at end of year2016-12-31$601,672
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$551,467
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)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31THOMAS GAMMILL & CO., LTD.
Accountancy firm EIN2016-12-31710520775
2015 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$592,727
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$251,335
Total income from all sources (including contributions)2015-12-31$1,760,167
Total of all expenses incurred2015-12-31$1,734,827
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,566,159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,760,060
Value of total assets at end of year2015-12-31$650,048
Value of total assets at beginning of year2015-12-31$283,316
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$168,668
Total interest from all sources2015-12-31$107
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$10,945
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$50,000
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$271,465
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$415,605
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$214,107
Administrative expenses (other) incurred2015-12-31$72,403
Liabilities. Value of operating payables at end of year2015-12-31$41,260
Total non interest bearing cash at end of year2015-12-31$-47,831
Total non interest bearing cash at beginning of year2015-12-31$17,549
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$25,340
Value of net assets at end of year (total assets less liabilities)2015-12-31$57,321
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$31,981
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$141,694
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$35,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$35,623
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$107
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$292,211
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,488,595
Employer contributions (assets) at end of year2015-12-31$140,580
Employer contributions (assets) at beginning of year2015-12-31$16,037
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,273,948
Contract administrator fees2015-12-31$85,320
Liabilities. Value of benefit claims payable at end of year2015-12-31$551,467
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$251,335
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)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31THOMAS GAMMILL & CO., LTD.
Accountancy firm EIN2015-12-31710520775
2014 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$251,335
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$111,522
Total income from all sources (including contributions)2014-12-31$1,952,236
Total of all expenses incurred2014-12-31$1,967,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,784,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,952,210
Value of total assets at end of year2014-12-31$283,316
Value of total assets at beginning of year2014-12-31$158,935
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$183,138
Total interest from all sources2014-12-31$26
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$8,904
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$50,000
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$241,206
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$214,107
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$81,084
Administrative expenses (other) incurred2014-12-31$15,828
Total non interest bearing cash at end of year2014-12-31$17,549
Total non interest bearing cash at beginning of year2014-12-31$4,355
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-15,432
Value of net assets at end of year (total assets less liabilities)2014-12-31$31,981
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$47,413
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$295
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$35,623
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$73,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$73,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$26
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$262,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,711,004
Employer contributions (assets) at end of year2014-12-31$16,037
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,522,395
Contract administrator fees2014-12-31$158,111
Liabilities. Value of benefit claims payable at end of year2014-12-31$251,335
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$111,522
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)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31THOMAS GAMMILL & CO., LTD.
Accountancy firm EIN2014-12-31710520775
2013 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$111,522
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$88,900
Total income from all sources (including contributions)2013-12-31$1,362,036
Total of all expenses incurred2013-12-31$1,282,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,157,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,361,962
Value of total assets at end of year2013-12-31$158,935
Value of total assets at beginning of year2013-12-31$56,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$124,750
Total interest from all sources2013-12-31$74
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$7,788
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$50,000
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$237,242
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$81,084
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$6
Administrative expenses (other) incurred2013-12-31$14,873
Total non interest bearing cash at end of year2013-12-31$4,355
Total non interest bearing cash at beginning of year2013-12-31$2,353
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$79,948
Value of net assets at end of year (total assets less liabilities)2013-12-31$47,413
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-32,535
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
Investment advisory and management fees2013-12-31$422
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$73,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$54,006
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$54,006
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$74
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$221,740
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
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$1,124,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$935,598
Contract administrator fees2013-12-31$101,667
Liabilities. Value of benefit claims payable at end of year2013-12-31$111,522
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$88,900
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)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31THOMAS GAMMILL & CO., LTD.
Accountancy firm EIN2013-12-31710520775
2012 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$88,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$136,749
Total income from all sources (including contributions)2012-12-31$1,612,581
Total of all expenses incurred2012-12-31$1,534,084
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,368,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,511,077
Value of total assets at end of year2012-12-31$56,365
Value of total assets at beginning of year2012-12-31$25,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$165,840
Total interest from all sources2012-12-31$75
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$8,158
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$50,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$165,653
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$6
Other income not declared elsewhere2012-12-31$101,429
Administrative expenses (other) incurred2012-12-31$24,795
Total non interest bearing cash at end of year2012-12-31$2,353
Total non interest bearing cash at beginning of year2012-12-31$-46,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$78,497
Value of net assets at end of year (total assets less liabilities)2012-12-31$-32,535
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-111,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$300
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$54,006
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$72,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$72,232
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$75
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$192,640
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,345,424
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,175,604
Contract administrator fees2012-12-31$132,587
Liabilities. Value of benefit claims payable at end of year2012-12-31$88,900
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$136,749
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31THOMAS GAMMILL & CO., LTD.
Accountancy firm EIN2012-12-31710520775
2011 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$136,749
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$80,900
Total income from all sources (including contributions)2011-12-31$1,173,046
Total of all expenses incurred2011-12-31$1,295,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,192,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,170,682
Value of total assets at end of year2011-12-31$25,717
Value of total assets at beginning of year2011-12-31$91,909
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$102,170
Total interest from all sources2011-12-31$95
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$5,857
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$50,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$140,599
Other income not declared elsewhere2011-12-31$2,269
Administrative expenses (other) incurred2011-12-31$16,621
Total non interest bearing cash at end of year2011-12-31$-46,515
Total non interest bearing cash at beginning of year2011-12-31$57,160
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-122,041
Value of net assets at end of year (total assets less liabilities)2011-12-31$-111,032
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$11,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$300
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$72,232
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$34,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$34,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$95
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$190,465
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,030,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,002,452
Contract administrator fees2011-12-31$79,392
Liabilities. Value of benefit claims payable at end of year2011-12-31$136,749
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$80,900
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31THOMAS GAMMILL & CO., LTD.
Accountancy firm EIN2011-12-31710520775
2010 : BKB EMPLOYEE BENEFIT HEALTH PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$80,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$41,674
Total income from all sources (including contributions)2010-12-31$1,063,290
Total of all expenses incurred2010-12-31$1,049,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$984,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,063,187
Value of total assets at end of year2010-12-31$91,909
Value of total assets at beginning of year2010-12-31$38,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$64,837
Total interest from all sources2010-12-31$103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$6,055
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$50,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$126,394
Administrative expenses (other) incurred2010-12-31$58,782
Total non interest bearing cash at end of year2010-12-31$57,160
Total non interest bearing cash at beginning of year2010-12-31$13,658
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$14,209
Value of net assets at end of year (total assets less liabilities)2010-12-31$11,009
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-3,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$34,749
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$24,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$24,816
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$103
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$184,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$936,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$800,080
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$80,900
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$41,674
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31THOMAS GAMMILL & CO.,LTD. CPAS
Accountancy firm EIN2010-12-31710520775

Form 5500 Responses for BKB EMPLOYEE BENEFIT HEALTH PLAN

2018: BKB EMPLOYEE BENEFIT HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BKB EMPLOYEE BENEFIT HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BKB EMPLOYEE BENEFIT HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BKB EMPLOYEE BENEFIT HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BKB EMPLOYEE BENEFIT HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BKB EMPLOYEE BENEFIT HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BKB EMPLOYEE BENEFIT HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BKB EMPLOYEE BENEFIT HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BKB EMPLOYEE BENEFIT HEALTH PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BKB EMPLOYEE BENEFIT HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31405
Policy instance 1
Insurance contract or identification numberHCL31405
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 brokerCOMMISSIONS
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31405
Policy instance 1
Insurance contract or identification numberHCL31405
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $16,520
Welfare Benefit Premiums Paid to CarrierUSD $33,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,520
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBROWN-HILLER-CLARK & ASSOCIATES
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31405
Policy instance 1
Insurance contract or identification numberHCL31405
Number of Individuals Covered205
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $22,770
Welfare Benefit Premiums Paid to CarrierUSD $269,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,770
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBROWN-HILLER-CLARK & ASSOCIATES
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number0656353
Policy instance 1
Insurance contract or identification number0656353
Number of Individuals Covered196
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $33,418
Total amount of fees paid to insurance companyUSD $4,707
Welfare Benefit Premiums Paid to CarrierUSD $257,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,876
Amount paid for insurance broker fees1109
Insurance broker organization code?3
Insurance broker nameARTHUR J. GALLAGHER & CO.
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract numberGL-10560
Policy instance 2
Insurance contract or identification numberGL-10560
Number of Individuals Covered172
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $508
Life Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees508
Insurance broker organization code?3
Insurance broker nameBROWN-HILLER-CLARK & ASSOCIATES
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract numberGL-10560
Policy instance 2
Insurance contract or identification numberGL-10560
Number of Individuals Covered172
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $473
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $473
Insurance broker organization code?3
Insurance broker nameCORNERSTONE BENEFITS
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number0656353
Policy instance 1
Insurance contract or identification number0656353
Number of Individuals Covered172
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $29,306
Total amount of fees paid to insurance companyUSD $4,128
Welfare Benefit Premiums Paid to CarrierUSD $217,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,306
Amount paid for insurance broker fees4128
Insurance broker organization code?3
Insurance broker nameCORNERSTONE BENEFITS
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract numberGL-10560
Policy instance 2
Insurance contract or identification numberGL-10560
Number of Individuals Covered190
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $473
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $473
Insurance broker organization code?3
Insurance broker nameCORNERSTONE BENEFITS
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number0656353
Policy instance 1
Insurance contract or identification number0656353
Number of Individuals Covered190
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $27,739
Total amount of fees paid to insurance companyUSD $4,314
Welfare Benefit Premiums Paid to CarrierUSD $188,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,739
Amount paid for insurance broker fees4314
Insurance broker organization code?3
Insurance broker nameCORNERSTONE BENEFITS
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number0656353
Policy instance 1
Insurance contract or identification number0656353
Number of Individuals Covered164
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $23,254
Total amount of fees paid to insurance companyUSD $3,942
Welfare Benefit Premiums Paid to CarrierUSD $156,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract numberGL-10560
Policy instance 2
Insurance contract or identification numberGL-10560
Number of Individuals Covered165
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $437
Welfare Benefit Premiums Paid to CarrierUSD $3,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200498
Policy instance 1
Insurance contract or identification numberUNI-200498
Number of Individuals Covered159
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $29,880
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $166,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,900
Insurance broker organization code?3
Insurance broker nameCORNERSTONE BENEFITS
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 )
Policy contract number65129
Policy instance 2
Insurance contract or identification number65129
Number of Individuals Covered161
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $398
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $398
Insurance broker organization code?3
Insurance broker nameCORNERSTONE BENEFITS-KATHY L OTWELL

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