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CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 401k Plan overview

Plan NameCHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL
Plan identification number 506

CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CHEROKEE NATION BUSINESSES, LLC has sponsored the creation of one or more 401k plans.

Company Name:CHEROKEE NATION BUSINESSES, LLC
Employer identification number (EIN):113784371
NAIC Classification:713900

Additional information about CHEROKEE NATION BUSINESSES, LLC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: 201433610072

More information about CHEROKEE NATION BUSINESSES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01JOANNE RUTH2023-10-11
5062021-01-01
5062021-01-01
5062020-01-01
5062019-01-01
5062018-01-01

Plan Statistics for CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL

401k plan membership statisitcs for CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL

Measure Date Value
2022: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2022 401k membership
Total participants, beginning-of-year2022-01-012,046
Total number of active participants reported on line 7a of the Form 55002022-01-012,023
Number of retired or separated participants receiving benefits2022-01-0114
Number of other retired or separated participants entitled to future benefits2022-01-0114
Total of all active and inactive participants2022-01-012,051
2021: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2021 401k membership
Total participants, beginning-of-year2021-01-011,538
Total number of active participants reported on line 7a of the Form 55002021-01-011,409
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0160
Total of all active and inactive participants2021-01-011,469
2020: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2020 401k membership
Total participants, beginning-of-year2020-01-011,762
Total number of active participants reported on line 7a of the Form 55002020-01-011,464
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-0170
Total of all active and inactive participants2020-01-011,538
2019: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2019 401k membership
Total participants, beginning-of-year2019-01-011,236
Total number of active participants reported on line 7a of the Form 55002019-01-011,683
Number of retired or separated participants receiving benefits2019-01-0110
Number of other retired or separated participants entitled to future benefits2019-01-0169
Total of all active and inactive participants2019-01-011,762
2018: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2018 401k membership
Total participants, beginning-of-year2018-01-01993
Total number of active participants reported on line 7a of the Form 55002018-01-011,197
Number of retired or separated participants receiving benefits2018-01-018
Number of other retired or separated participants entitled to future benefits2018-01-0131
Total of all active and inactive participants2018-01-011,236

Form 5500 Responses for CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL

2022: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: CHEROKEE NATION BUSINESSES, LLC HEALTH & WELFARE PLAN FOR CHEROKEE FEDERAL 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30040115
Policy instance 1
Insurance contract or identification number30040115
Number of Individuals Covered4599
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 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 BenefitNo
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0000163785
Policy instance 2
Insurance contract or identification number0000163785
Number of Individuals Covered145
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $56,819
Total amount of fees paid to insurance companyUSD $0
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 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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $216,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,303
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30040115
Policy instance 1
Insurance contract or identification number30040115
Number of Individuals Covered1798
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number426941
Policy instance 2
Insurance contract or identification number426941
Number of Individuals Covered3009
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,215
Total amount of fees paid to insurance companyUSD $37,824
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $410,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,215
Amount paid for insurance broker fees37824
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number426942
Policy instance 3
Insurance contract or identification number426942
Number of Individuals Covered3009
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $21,565
Total amount of fees paid to insurance companyUSD $13,478
Life Insurance Welfare BenefitYes
Other welfare benefits providedFLEX ADD
Welfare Benefit Premiums Paid to CarrierUSD $1,078,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,565
Amount paid for insurance broker fees13478
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3

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