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

Plan NameOZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN
Plan identification number 508

OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • 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. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5082018-07-01
5082017-07-01
5082016-07-01

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

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

Measure Date Value
2018: OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01480
Total number of active participants reported on line 7a of the Form 55002018-07-010
Total of all active and inactive participants2018-07-010
2017: OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01512
Total number of active participants reported on line 7a of the Form 55002017-07-01483
Total of all active and inactive participants2017-07-01483
Total participants2017-07-01483
2016: OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01500
Total number of active participants reported on line 7a of the Form 55002016-07-01512
Total of all active and inactive participants2016-07-01512
Total participants2016-07-01512

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

2018: OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingYes
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: OZARK MOUNTAIN POULTRY, INC. WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01First time form 5500 has been submittedYes
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413419
Policy instance 1
Insurance contract or identification number413419
Number of Individuals Covered0
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413420
Policy instance 2
Insurance contract or identification number413420
Number of Individuals Covered0
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $142,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413418
Policy instance 3
Insurance contract or identification number413418
Number of Individuals Covered0
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413420
Policy instance 1
Insurance contract or identification number413420
Number of Individuals Covered567
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $18,966
Total amount of fees paid to insurance companyUSD $790
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $127,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413419
Policy instance 2
Insurance contract or identification number413419
Number of Individuals Covered309
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $13,616
Total amount of fees paid to insurance companyUSD $567
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $98,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number413418
Policy instance 3
Insurance contract or identification number413418
Number of Individuals Covered202
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $11,310
Total amount of fees paid to insurance companyUSD $707
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $122,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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