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BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 401k Plan overview

Plan NameBUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY
Plan identification number 503

BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

BUTCH'S RATHOLE & ANCHOR SERVICE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BUTCH'S RATHOLE & ANCHOR SERVICE, INC.
Employer identification number (EIN):751714654
NAIC Classification:213110
NAIC Description: Support Activities for Mining

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-12-01
5032013-12-01EDDIE WILSON
5032012-12-01EDDIE WILSON
5032012-04-01EDDIE WILSON

Plan Statistics for BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY

401k plan membership statisitcs for BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY

Measure Date Value
2014: BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 2014 401k membership
Total participants, beginning-of-year2014-12-010
Total number of active participants reported on line 7a of the Form 55002014-12-010
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-010
2013: BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 2013 401k membership
Total participants, beginning-of-year2013-12-01531
Total number of active participants reported on line 7a of the Form 55002013-12-01530
Number of retired or separated participants receiving benefits2013-12-011
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01531
2012: BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 2012 401k membership
Total participants, beginning-of-year2012-12-01251
Total number of active participants reported on line 7a of the Form 55002012-12-01249
Number of retired or separated participants receiving benefits2012-12-012
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01251
Total participants, beginning-of-year2012-04-01156
Total number of active participants reported on line 7a of the Form 55002012-04-01154
Number of retired or separated participants receiving benefits2012-04-012
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-01156

Form 5500 Responses for BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY

2014: BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingYes
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2013: BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – InsuranceYes
2012: BUTCH'S RAT HOLE & ANCHOR SERVICE, INC. AMERITAS GROUP DENTAL & EYE CARE POLICY 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-038285
Policy instance 1
Insurance contract or identification number010-038285
Number of Individuals Covered1643
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $61,441
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $344,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,441
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT SOLUTIONS
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-038285
Policy instance 1
Insurance contract or identification number010-038285
Number of Individuals Covered1254
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $73,039
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $409,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,039
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT SOLUTIONS
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-038285
Policy instance 1
Insurance contract or identification number010-038285
Number of Individuals Covered789
Insurance policy start date2012-04-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $29,610
Total amount of fees paid to insurance companyUSD $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 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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $165,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,610
Insurance broker organization code?3
Insurance broker nameTOTAL BENEFIT SOLUTIONS

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