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CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 401k Plan overview

Plan NameCAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN
Plan identification number 501

CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CAPE COD LUMBER CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:CAPE COD LUMBER CO., INC.
Employer identification number (EIN):042272126
NAIC Classification:423300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-11-01HARVEY HURVITZ2024-03-05
5012014-01-01HARVEY HURVITZ HARVEY HURVITZ2015-07-14
5012013-01-01HARVEY HURVITZ HARVEY HURVITZ2014-08-01
5012012-01-01HARVEY HURVITZ HARVEY HURVITZ2013-04-29
5012011-01-01HARVEY HURVITZ HARVEY HURVITZ2012-07-10
5012009-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08
5012008-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08
5012007-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08
5012006-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08
5012005-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08
5012004-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08
5012003-01-01HARVEY HURVITZ HARVEY HURVITZ2011-02-08

Plan Statistics for CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

401k plan membership statisitcs for CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

Measure Date Value
2022: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-11-01100
Total number of active participants reported on line 7a of the Form 55002022-11-0195
Number of retired or separated participants receiving benefits2022-11-010
Number of other retired or separated participants entitled to future benefits2022-11-010
Total of all active and inactive participants2022-11-0195
Number of employers contributing to the scheme2022-11-010
2014: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0191
Total number of active participants reported on line 7a of the Form 55002014-01-0190
Total of all active and inactive participants2014-01-0190
2013: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0186
Total number of active participants reported on line 7a of the Form 55002013-01-0191
Total of all active and inactive participants2013-01-0191
2012: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0190
Total number of active participants reported on line 7a of the Form 55002012-01-0186
Total of all active and inactive participants2012-01-0186
2011: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01108
Total number of active participants reported on line 7a of the Form 55002011-01-0190
Total of all active and inactive participants2011-01-0190
2009: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01108
Total number of active participants reported on line 7a of the Form 55002009-01-010
Total of all active and inactive participants2009-01-010
Total participants2009-01-010
2008: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-01152
Total number of active participants reported on line 7a of the Form 55002008-01-01152
Total of all active and inactive participants2008-01-01152
Total participants2008-01-010
2007: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-01132
Total number of active participants reported on line 7a of the Form 55002007-01-01132
Total of all active and inactive participants2007-01-01132
Total participants2007-01-010
2006: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-01154
Total number of active participants reported on line 7a of the Form 55002006-01-01154
Total of all active and inactive participants2006-01-01154
Total participants2006-01-010
2005: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-01108
Total number of active participants reported on line 7a of the Form 55002005-01-01110
Total of all active and inactive participants2005-01-01110
Total participants2005-01-010
2004: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-01108
Total number of active participants reported on line 7a of the Form 55002004-01-01110
Total of all active and inactive participants2004-01-01110
Total participants2004-01-010
2003: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2003 401k membership
Total participants, beginning-of-year2003-01-01108
Total number of active participants reported on line 7a of the Form 55002003-01-01110
Total of all active and inactive participants2003-01-01110
Total participants2003-01-01110

Form 5500 Responses for CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN

2022: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan funding arrangement – General assets of the sponsorYes
2022-11-01Plan benefit arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – General assets of the sponsorYes
2014: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes
2008: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Submission has been amendedNo
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – InsuranceYes
2004: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedNo
2004-01-01This submission is the final filingNo
2004-01-01This return/report is a short plan year return/report (less than 12 months)No
2004-01-01Plan is a collectively bargained planNo
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan benefit arrangement – InsuranceYes
2003: CAPE COD LUMBER COMPANY, INC. HEALTH AND WELFARE BENEFITS PLAN 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01Submission has been amendedNo
2003-01-01This submission is the final filingNo
2003-01-01This return/report is a short plan year return/report (less than 12 months)No
2003-01-01Plan is a collectively bargained planNo
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4958471
Policy instance 1
Insurance contract or identification number4958471
Number of Individuals Covered155
Insurance policy start date2022-11-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $639
Total amount of fees paid to insurance companyUSD $4,970
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $639
Amount paid for insurance broker fees4970
Additional information about fees paid to insurance brokerOTHER COMMISSION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG0AKEM
Policy instance 2
Insurance contract or identification numberGUG0AKEM
Number of Individuals Covered95
Insurance policy start date2022-11-01
Insurance policy end date2023-10-31
Total amount of commissions paid to insurance brokerUSD $5,042
Total amount of fees paid to insurance companyUSD $2,566
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $42,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,042
Amount paid for insurance broker fees2566
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

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