FRESNO FORD TRACTOR, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN
401k plan membership statisitcs for KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN
| Measure | Date | Value |
|---|
| 2022: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 14 |
| Total of all active and inactive participants | 2022-01-01 | 14 |
| Total participants | 2022-01-01 | 14 |
| 2021: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 12 |
| Total of all active and inactive participants | 2021-01-01 | 12 |
| Total participants | 2021-01-01 | 12 |
| 2020: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 11 |
| Total of all active and inactive participants | 2020-01-01 | 11 |
| Total participants | 2020-01-01 | 11 |
| 2019: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 20 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 21 |
| Total of all active and inactive participants | 2019-01-01 | 21 |
| Total participants | 2019-01-01 | 21 |
| Number of participants with account balances | 2019-01-01 | 0 |
| 2018: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 20 |
| Total of all active and inactive participants | 2018-01-01 | 20 |
| Total participants | 2018-01-01 | 20 |
| 2017: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 21 |
| Total of all active and inactive participants | 2017-01-01 | 21 |
| Total participants | 2017-01-01 | 21 |
| 2016: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 24 |
| Total of all active and inactive participants | 2016-01-01 | 24 |
| Total participants | 2016-01-01 | 24 |
| 2015: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 18 |
| Total of all active and inactive participants | 2015-01-01 | 18 |
| Total participants | 2015-01-01 | 0 |
| 2014: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 18 |
| Total of all active and inactive participants | 2014-01-01 | 18 |
| Total participants | 2014-01-01 | 0 |
| 2013: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 12 |
| Total of all active and inactive participants | 2013-01-01 | 12 |
| Total participants | 2013-01-01 | 0 |
| 2012: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 15 |
| Total of all active and inactive participants | 2012-01-01 | 15 |
| Total participants | 2012-01-01 | 0 |
| 2011: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 17 |
| Total of all active and inactive participants | 2011-01-01 | 17 |
| Total participants | 2011-01-01 | 17 |
| 2010: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 16 |
| Total of all active and inactive participants | 2010-01-01 | 16 |
| Total participants | 2010-01-01 | 16 |
| 2009: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 14 |
| Total of all active and inactive participants | 2009-01-01 | 14 |
| Total participants | 2009-01-01 | 14 |
| Measure | Date | Value |
|---|
| 2022 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $17,872 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $17,872 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $17,872 |
| Total plan assets at end of year | 2022-12-31 | $0 |
| Total contributions received or receivable from participants | 2022-12-31 | $17,872 |
| 2021 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $10,697 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $10,697 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $10,697 |
| Total contributions received or receivable from participants | 2021-12-31 | $10,697 |
| 2020 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $76,884 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $76,884 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $76,884 |
| Total contributions received or receivable from participants | 2020-12-31 | $76,884 |
| 2019 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $30,829 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $30,829 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $30,829 |
| Total contributions received or receivable from participants | 2019-12-31 | $30,829 |
| 2018 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $28,930 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $28,930 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $28,930 |
| Total contributions received or receivable from participants | 2018-12-31 | $28,930 |
| 2017 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $33,916 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $33,916 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $33,916 |
| Total contributions received or receivable from participants | 2017-12-31 | $33,916 |
| 2016 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $28,233 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $28,233 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $28,233 |
| Total contributions received or receivable from participants | 2016-12-31 | $28,233 |
| 2015 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $27,954 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $27,954 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $27,954 |
| Total contributions received or receivable from participants | 2015-12-31 | $27,954 |
| 2014 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $24,950 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $24,950 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $24,950 |
| Total contributions received or receivable from participants | 2014-12-31 | $24,950 |
| 2013 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $23,825 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $23,825 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $23,825 |
| Total contributions received or receivable from participants | 2013-12-31 | $23,825 |
| 2012 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $22,849 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $22,849 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $22,849 |
| Total contributions received or receivable from participants | 2012-12-31 | $22,849 |
| 2011 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $23,474 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $23,474 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $23,474 |
| Total contributions received or receivable from participants | 2011-12-31 | $23,474 |
| 2010 : KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $30,745 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $30,745 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $30,745 |
| Total contributions received or receivable from participants | 2010-12-31 | $30,745 |
| 2022: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | This submission is the final filing | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 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: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 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: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 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: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 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: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 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 |
| 2010: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: KUCKENBECKER TRACTOR CO. PREMIUM CONVERSION PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 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 |
| UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 10 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 3 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 9 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 10 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 5 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 8 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 6 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 7 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 11 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 4 |
| Insurance contract or identification number | 1G2453 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 4 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AGRICULTURAL EMPLOYEE WELFARE BENEFIT PLAN & TRUST (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 3 |
| Number of Individuals Covered | 16 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 12 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 11 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | |
| Policy instance | 7 |
| Number of Individuals Covered | 15 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 12 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | |
| Policy instance | 5 |
| Number of Individuals Covered | 16 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W00827331000 |
| Policy instance | 4 |
| Insurance contract or identification number | W00827331000 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00458255-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 00458255-0001 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00458255-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00458255-0001 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 1 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-06-01 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 1 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-06-01 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00458255-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00458255-0001 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00458255-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 00458255-0001 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WESTERN GROWERS INS. CO. (National Association of Insurance Commissioners NAIC id number: 29947 ) |
| Policy contract number | 09663 |
| Policy instance | 4 |
| Insurance contract or identification number | 09663 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| WESTERN GROWERS INS. CO. (National Association of Insurance Commissioners NAIC id number: 29947 ) |
| Policy contract number | 09663 |
| Policy instance | 4 |
| Insurance contract or identification number | 09663 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00458255-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 00458255-0001 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-06-01 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00458255-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00458255-0001 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-06-01 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 1 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 1 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 4 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-06-01 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 4 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-06-01 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,008 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHILADELPHIA AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67784 ) |
| Policy contract number | 1G2453 |
| Policy instance | 4 |
| Insurance contract or identification number | 1G2453 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2008-06-01 | | Insurance policy end date | 2009-06-01 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,610 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
