401k Plan data: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN plan

CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 401k Plan overview

Plan Name	CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN
Plan identification number	501

CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

CENTRAL FARM SERVICE has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL FARM SERVICE

Employer identification number (EIN): 810923572

NAIC Classification: 115110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01 MERLYN KRUGER MERLYN KRUGER 2019-06-18
501 2017-01-01 MERLYN KRUGER MERLYN KRUGER 2018-07-18
501 2016-03-01 TODD LUDWIG TODD LUDWIG 2017-07-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01
501	2021-01-01
501	2020-01-01
501	2019-01-01
501	2018-01-01	MERLYN KRUGER	MERLYN KRUGER	2019-06-18
501	2017-01-01	MERLYN KRUGER	MERLYN KRUGER	2018-07-18
501	2016-03-01	TODD LUDWIG	TODD LUDWIG	2017-07-11

Plan Statistics for CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN

401k plan membership statisitcs for CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN

Measure Date Value
2022: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 236
Total of all active and inactive participants 2022-01-01 236
Total participants 2022-01-01 236
2021: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 239
Total of all active and inactive participants 2021-01-01 239
Total participants 2021-01-01 239
2020: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 226
Total of all active and inactive participants 2020-01-01 226
Total participants 2020-01-01 226
2019: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 283
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 251
Total of all active and inactive participants 2019-01-01 251
Total participants 2019-01-01 251
2018: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 359
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 359
Total of all active and inactive participants 2018-01-01 359
Total participants 2018-01-01 359
2017: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 382
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 382
Total of all active and inactive participants 2017-01-01 382
Total participants 2017-01-01 382
2016: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-03-01 379
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 379
Total of all active and inactive participants 2016-03-01 379
Total participants 2016-03-01 379

Measure	Date	Value
2022: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	236
Total of all active and inactive participants	2022-01-01	236
Total participants	2022-01-01	236
2021: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	239
Total of all active and inactive participants	2021-01-01	239
Total participants	2021-01-01	239
2020: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	226
Total of all active and inactive participants	2020-01-01	226
Total participants	2020-01-01	226
2019: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	283
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	251
Total of all active and inactive participants	2019-01-01	251
Total participants	2019-01-01	251
2018: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	359
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	359
Total of all active and inactive participants	2018-01-01	359
Total participants	2018-01-01	359
2017: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	382
Total of all active and inactive participants	2017-01-01	382
Total participants	2017-01-01	382
2016: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-03-01	379
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	379
Total of all active and inactive participants	2016-03-01	379
Total participants	2016-03-01	379

Form 5500 Responses for CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN

2022: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: CENTRAL FARM SERVICE MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	First time form 5500 has been submitted	Yes
2016-03-01	Submission has been amended	No
2016-03-01	This submission is the final filing	No
2016-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-03-01	Plan is a collectively bargained plan	No
2016-03-01	Plan funding arrangement – Insurance	Yes
2016-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-03-01	Plan benefit arrangement – Insurance	Yes
2016-03-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010125680

Policy instance

Insurance contract or identification number	000010125680
Number of Individuals Covered	382
Insurance policy start date	2017-02-01
Insurance policy end date	2018-01-31
Total amount of commissions paid to insurance broker	USD $3,781
Are there contracts with allocated funds for individual policies?	0
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	No
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	Yes
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 $43,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,781
Insurance broker organization code?	3
Insurance broker name	CHS INSURANCE SERVIES LLC

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Company Name:	CENTRAL FARM SERVICE
Employer identification number (EIN):	810923572
NAIC Classification:	115110