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TLK DAIRY, INC. HEALTH PLAN 401k Plan overview

Plan NameTLK DAIRY, INC. HEALTH PLAN
Plan identification number 501

TLK DAIRY, INC. HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

TLK DAIRY, INC has sponsored the creation of one or more 401k plans.

Company Name:TLK DAIRY, INC
Employer identification number (EIN):830338636
NAIC Classification:112120
NAIC Description:Dairy Cattle and Milk Production

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TLK DAIRY, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01LINDA KETTERLING2023-10-16
5012017-01-01LINDA KETTERLING
5012016-01-01LINDA KETTERLING

Plan Statistics for TLK DAIRY, INC. HEALTH PLAN

401k plan membership statisitcs for TLK DAIRY, INC. HEALTH PLAN

Measure Date Value
2022: TLK DAIRY, INC. HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01133
Total number of active participants reported on line 7a of the Form 55002022-01-01133
Total of all active and inactive participants2022-01-01133
2017: TLK DAIRY, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01110
Total number of active participants reported on line 7a of the Form 55002017-01-01120
Total of all active and inactive participants2017-01-01120
Total participants2017-01-01120
2016: TLK DAIRY, INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01103
Total number of active participants reported on line 7a of the Form 55002016-01-01110
Total of all active and inactive participants2016-01-01110
Total participants2016-01-01110

Form 5500 Responses for TLK DAIRY, INC. HEALTH PLAN

2022: TLK DAIRY, INC. HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2017: TLK DAIRY, INC. HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: TLK DAIRY, INC. HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )
Policy contract number10034637
Policy instance 1
Insurance contract or identification number10034637
Number of Individuals Covered133
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $47,047
Total amount of fees paid to insurance companyUSD $2,100
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,047
Amount paid for insurance broker fees2100
Insurance broker organization code?3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGV-3584
Policy instance 2
Insurance contract or identification numberGV-3584
Number of Individuals Covered108
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $1,184
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $592
Insurance broker organization code?3
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number
Policy instance 3
Number of Individuals Covered104
Insurance policy start date2022-11-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $194
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $194
Insurance broker organization code?3
BLUE CROSS OF IDAHO HEALTH SERVICE INC. (National Association of Insurance Commissioners NAIC id number: 60095 )
Policy contract number10034637
Policy instance 1
Insurance contract or identification number10034637
Number of Individuals Covered120
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $39,330
Total amount of fees paid to insurance companyUSD $44,640
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $379,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,330
Amount paid for insurance broker fees44640
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Insurance broker nameTONI PRICE

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