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OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 401k Plan overview

Plan NameOZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN
Plan identification number 506

OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

OZARK MOUNTAIN POULTRY, INC. has sponsored the creation of one or more 401k plans.

Company Name:OZARK MOUNTAIN POULTRY, INC.
Employer identification number (EIN):710847279
NAIC Classification:112300
NAIC Description:Poultry & Egg Production

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062016-04-01
5062015-04-01HOGANTAYLOR LLP PREPARER HOGANTAYLOR LLP PREPARER2017-01-14
5062015-04-01HOGANTAYLOR LLP PREPARER
5062015-04-01
5062015-04-01
5062014-04-01HOGANTAYLOR LLP PREPARER HOGANTAYLOR LLP PREPARER2016-01-14

Plan Statistics for OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN

401k plan membership statisitcs for OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN

Measure Date Value
2016: OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01682
Total number of active participants reported on line 7a of the Form 55002016-04-010
Total of all active and inactive participants2016-04-010
Total participants2016-04-010
2015: OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01738
Total number of active participants reported on line 7a of the Form 55002015-04-01682
Total of all active and inactive participants2015-04-01682
Total participants2015-04-01682
2014: OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01608
Total number of active participants reported on line 7a of the Form 55002014-04-01738
Total of all active and inactive participants2014-04-01738
Total participants2014-04-01738

Form 5500 Responses for OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN

2016: OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingYes
2016-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: OZARK MOUNTAIN POULTRY, INC. ROGERS WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01First time form 5500 has been submittedYes
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5378204
Policy instance 1
Insurance contract or identification number5378204
Number of Individuals Covered682
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $79,178
Total amount of fees paid to insurance companyUSD $247
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, AD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $506,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,931
Insurance broker organization code?3
Amount paid for insurance broker fees247
Additional information about fees paid to insurance brokerNON MONETARY COMPENSATION
Insurance broker nameCORNERSTONE INSURANCE GROUP INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5378204
Policy instance 1
Insurance contract or identification number5378204
Number of Individuals Covered738
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of fees paid to insurance companyUSD $3,309
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $395,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3309
Additional information about fees paid to insurance brokerBONUS AND NON MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameTAYLOR & ASSOC INS INC

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