401k Plan data: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST plan

OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 401k Plan overview

Plan Name	OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST
Plan identification number	506

OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

OKLAHOMA FARM BUREAU MUTUAL INSURANCE CO has sponsored the creation of one or more 401k plans.

Company Name: OKLAHOMA FARM BUREAU MUTUAL INSURANCE CO

Employer identification number (EIN): 730540035

NAIC Classification: 524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2015-01-01 ROBERT SHEEHAN
506 2015-01-01 ROBERT SHEEHAN
506 2014-01-01 ROBERT SHEEHAN
506 2013-01-01 ROBERT SHEEHAN
506 2012-01-01 ROBERT SHEEHAN
506 2011-01-01 RICHARD NEWBERRY
506 2009-01-01 RICHARD NEWBERRY

Plan id#	Filing Submission Date	Name of Administrator
506	2015-01-01	ROBERT SHEEHAN
506	2015-01-01	ROBERT SHEEHAN
506	2014-01-01	ROBERT SHEEHAN
506	2013-01-01	ROBERT SHEEHAN
506	2012-01-01	ROBERT SHEEHAN
506	2011-01-01	RICHARD NEWBERRY
506	2009-01-01	RICHARD NEWBERRY

Plan Statistics for OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST

401k plan membership statisitcs for OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST

Measure Date Value
2015: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 437
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 425
Number of retired or separated participants receiving benefits 2015-01-01 25
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 450
2014: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 515
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 416
Number of retired or separated participants receiving benefits 2014-01-01 21
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 437
2013: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 498
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 440
Number of retired or separated participants receiving benefits 2013-01-01 67
Number of other retired or separated participants entitled to future benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 515
2012: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 473
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 407
Number of retired or separated participants receiving benefits 2012-01-01 83
Number of other retired or separated participants entitled to future benefits 2012-01-01 8
Total of all active and inactive participants 2012-01-01 498
2011: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 465
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 379
Number of retired or separated participants receiving benefits 2011-01-01 87
Number of other retired or separated participants entitled to future benefits 2011-01-01 7
Total of all active and inactive participants 2011-01-01 473
2009: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 446
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 373
Number of retired or separated participants receiving benefits 2009-01-01 86
Total of all active and inactive participants 2009-01-01 459

Measure	Date	Value
2015: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	437
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	425
Number of retired or separated participants receiving benefits	2015-01-01	25
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	450
2014: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	515
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	416
Number of retired or separated participants receiving benefits	2014-01-01	21
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	437
2013: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	498
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	440
Number of retired or separated participants receiving benefits	2013-01-01	67
Number of other retired or separated participants entitled to future benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	515
2012: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	473
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	407
Number of retired or separated participants receiving benefits	2012-01-01	83
Number of other retired or separated participants entitled to future benefits	2012-01-01	8
Total of all active and inactive participants	2012-01-01	498
2011: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	465
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	379
Number of retired or separated participants receiving benefits	2011-01-01	87
Number of other retired or separated participants entitled to future benefits	2011-01-01	7
Total of all active and inactive participants	2011-01-01	473
2009: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	446
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	373
Number of retired or separated participants receiving benefits	2009-01-01	86
Total of all active and inactive participants	2009-01-01	459

Financial Data on OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST

Measure	Date	Value
2015 : OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$756,554
Total income from all sources (including contributions)	2015-12-31	$5,059,040
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$5,366,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$5,366,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$5,059,040
Value of total assets at end of year	2015-12-31	$0
Value of total assets at beginning of year	2015-12-31	$1,064,260
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$0
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,022,267
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$31,969
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$61,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$50,009
Liabilities. Value of operating payables at end of year	2015-12-31	$0
Liabilities. Value of operating payables at beginning of year	2015-12-31	$73,545
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$1,002,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-307,706
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$307,706
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$395,331
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$4,036,773
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$4,939,446
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$633,000
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	WILLIAM G. LAJOIE P.C.
Accountancy firm EIN	2015-12-31	841001549
2014 : OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$756,554
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$529,111
Total income from all sources (including contributions)	2014-12-31	$4,950,440
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$5,082,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$5,082,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$4,950,440
Value of total assets at end of year	2014-12-31	$1,064,260
Value of total assets at beginning of year	2014-12-31	$968,610
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$0
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,033,763
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$67,009
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$61,703
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$145,159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$50,009
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Liabilities. Value of operating payables at end of year	2014-12-31	$73,545
Liabilities. Value of operating payables at beginning of year	2014-12-31	$54,111
Total non interest bearing cash at end of year	2014-12-31	$1,002,557
Total non interest bearing cash at beginning of year	2014-12-31	$823,451
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-131,793
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$307,706
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$439,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$307,745
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$3,916,677
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,707,479
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$633,000
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$475,000
Did the plan have assets held for investment	2014-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	WILLIAM G. LAJOIE P.C.
Accountancy firm EIN	2014-12-31	841001549
2013 : OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$529,111
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$622,288
Total income from all sources (including contributions)	2013-12-31	$4,630,140
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$5,033,382
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,033,382
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,630,140
Value of total assets at end of year	2013-12-31	$968,610
Value of total assets at beginning of year	2013-12-31	$1,465,029
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$0
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,031,591
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$145,159
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$51,094
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$102,288
Liabilities. Value of operating payables at end of year	2013-12-31	$54,111
Liabilities. Value of operating payables at beginning of year	2013-12-31	$41,555
Total non interest bearing cash at end of year	2013-12-31	$823,451
Total non interest bearing cash at beginning of year	2013-12-31	$828,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-403,242
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$439,499
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$842,741
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$294,484
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$3,598,549
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$585,203
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$4,738,898
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$475,000
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$478,445
Did the plan have assets held for investment	2013-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	WILLIAM G. LAJOIE P.C.
Accountancy firm EIN	2013-12-31	841001549
2012 : OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$520,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$441,000
Total income from all sources (including contributions)	2012-12-31	$4,677,786
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$4,695,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,695,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$4,677,786
Value of total assets at end of year	2012-12-31	$1,465,029
Value of total assets at beginning of year	2012-12-31	$1,403,305
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,037,536
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$17,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$17,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$102,288
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$0
Liabilities. Value of operating payables at end of year	2012-12-31	$41,555
Liabilities. Value of operating payables at beginning of year	2012-12-31	$0
Total non interest bearing cash at end of year	2012-12-31	$828,732
Total non interest bearing cash at beginning of year	2012-12-31	$1,386,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-17,276
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$945,029
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$962,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$255,616
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$3,640,250
Employer contributions (assets) at end of year	2012-12-31	$619,297
Employer contributions (assets) at beginning of year	2012-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$4,439,446
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$520,000
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$441,000
Did the plan have assets held for investment	2012-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	WILLIAM G. LAJOIE P.C.
Accountancy firm EIN	2012-12-31	841001549
2011 : OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$441,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$317,000
Total income from all sources (including contributions)	2011-12-31	$4,516,199
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$4,247,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$4,247,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$4,516,199
Value of total assets at end of year	2011-12-31	$1,403,305
Value of total assets at beginning of year	2011-12-31	$1,010,501
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$978,160
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$17,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$17,000
Total non interest bearing cash at end of year	2011-12-31	$1,386,305
Total non interest bearing cash at beginning of year	2011-12-31	$993,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$268,804
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$962,305
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$693,501
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$234,042
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$3,538,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$4,013,353
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$441,000
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$317,000
Did the plan have assets held for investment	2011-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	WILLIAM G. LAJOIE P.C.
Accountancy firm EIN	2011-12-31	841001549
2010 : OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$317,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$484,000
Total income from all sources (including contributions)	2010-12-31	$4,124,695
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$4,381,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$4,381,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$4,124,695
Value of total assets at end of year	2010-12-31	$1,010,501
Value of total assets at beginning of year	2010-12-31	$1,434,304
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$869,678
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$17,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$17,000
Total non interest bearing cash at end of year	2010-12-31	$993,501
Total non interest bearing cash at beginning of year	2010-12-31	$1,417,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-256,803
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$693,501
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$950,304
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$223,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$3,255,017
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$4,158,003
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$317,000
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$484,000
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	WILLIAM G. LAJOIE P.C.
Accountancy firm EIN	2010-12-31	841001549

Form 5500 Responses for OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST

2015: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY GROUP HEALTH INSURANCE TRUST 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-008153-000

Policy instance

Insurance contract or identification number	16-008153-000
Number of Individuals Covered	429
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $8,169
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $395,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-008153-000

Policy instance

Insurance contract or identification number	16-008153-000
Number of Individuals Covered	434
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,608
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $307,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4608
Additional information about fees paid to insurance broker	GROUP VOLUME BONUS
Insurance broker organization code?	3
Insurance broker name	PREMIUM SOURCE, LLC

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-008153-000

Policy instance

Insurance contract or identification number	16-008153-000
Number of Individuals Covered	426
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $305,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-008153-000

Policy instance

Insurance contract or identification number	16-008153-000
Number of Individuals Covered	439
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $255,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-008153-000

Policy instance

Insurance contract or identification number	16-008153-000
Number of Individuals Covered	426
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $234,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-008153-000

Policy instance

Insurance contract or identification number	16-008153-000
Number of Individuals Covered	411
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $223,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	OKLAHOMA FARM BUREAU MUTUAL INSURANCE CO
Employer identification number (EIN):	730540035
NAIC Classification:	524150