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CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameCANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN
Plan identification number 501

CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN Benefits

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

401k Sponsoring company profile

CANTEEN SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:CANTEEN SERVICES, INC.
Employer identification number (EIN):381557774
NAIC Classification:722300
NAIC Description: Special Food Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01CRAIG TIGGLEMAN CRAIG TIGGLEMAN
5012021-10-01CRAIG TIGGLEMAN2023-03-10 CRAIG TIGGLEMAN2023-03-10
5012020-10-01CRAIG TIGGLEMAN CRAIG TIGGLEMAN
5012019-10-01CRAIG TIGGLEMAN CRAIG TIGGLEMAN
5012009-05-01JEFFREY J. TIGGLEMAN JEFFREY J. TIGGLEMAN2011-02-15

Plan Statistics for CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN

401k plan membership statisitcs for CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN

Measure Date Value
2022: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01105
Total number of active participants reported on line 7a of the Form 55002022-10-01105
Total of all active and inactive participants2022-10-01105
Total participants2022-10-01105
2021: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-0190
Total number of active participants reported on line 7a of the Form 55002021-10-01105
Total of all active and inactive participants2021-10-01105
Total participants2021-10-01105
2020: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01106
Total number of active participants reported on line 7a of the Form 55002020-10-0190
Total of all active and inactive participants2020-10-0190
Total participants2020-10-0190
2019: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-0190
Total number of active participants reported on line 7a of the Form 55002019-10-01106
Total of all active and inactive participants2019-10-01106
2009: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01416
Total number of active participants reported on line 7a of the Form 55002009-05-0152
Number of retired or separated participants receiving benefits2009-05-0114
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-0166

Financial Data on CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN

Measure Date Value
2023 : CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2023 401k financial data
Transfers to/from the plan2023-09-30$0
Total plan liabilities at end of year2023-09-30$0
Total plan liabilities at beginning of year2023-09-30$0
Total income from all sources2023-09-30$28,492
Expenses. Total of all expenses incurred2023-09-30$28,492
Benefits paid (including direct rollovers)2023-09-30$28,492
Total plan assets at end of year2023-09-30$0
Total plan assets at beginning of year2023-09-30$0
Total contributions received or receivable from participants2023-09-30$26,014
Net income (gross income less expenses)2023-09-30$0
Net plan assets at end of year (total assets less liabilities)2023-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-09-30$0
Total contributions received or receivable from employer(s)2023-09-30$2,478
2022 : CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2022 401k financial data
Transfers to/from the plan2022-09-30$0
Total plan liabilities at end of year2022-09-30$0
Total plan liabilities at beginning of year2022-09-30$0
Total income from all sources2022-09-30$2,018
Expenses. Total of all expenses incurred2022-09-30$2,018
Benefits paid (including direct rollovers)2022-09-30$2,018
Total plan assets at end of year2022-09-30$0
Total plan assets at beginning of year2022-09-30$0
Net income (gross income less expenses)2022-09-30$0
Net plan assets at end of year (total assets less liabilities)2022-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-09-30$0
Total contributions received or receivable from employer(s)2022-09-30$2,018
2021 : CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2021 401k financial data
Transfers to/from the plan2021-09-30$0
Total plan liabilities at end of year2021-09-30$0
Total plan liabilities at beginning of year2021-09-30$0
Total income from all sources2021-09-30$1,962
Expenses. Total of all expenses incurred2021-09-30$1,962
Benefits paid (including direct rollovers)2021-09-30$1,962
Total plan assets at end of year2021-09-30$0
Total plan assets at beginning of year2021-09-30$0
Total contributions received or receivable from participants2021-09-30$0
Other income received2021-09-30$0
Noncash contributions received2021-09-30$0
Net income (gross income less expenses)2021-09-30$0
Net plan assets at end of year (total assets less liabilities)2021-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$0
Total contributions received or receivable from employer(s)2021-09-30$1,962

Form 5500 Responses for CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN

2022: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2009: CANTEEN SERVICES, INC. ASSOCIATE HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630391
Policy instance 1
Insurance contract or identification number630391
Number of Individuals Covered105
Insurance policy start date2022-10-19
Insurance policy end date2023-10-19
Total amount of commissions paid to insurance brokerUSD $287
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $287
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630392
Policy instance 2
Insurance contract or identification number630392
Number of Individuals Covered34
Insurance policy start date2022-10-01
Insurance policy end date2023-10-01
Total amount of commissions paid to insurance brokerUSD $2,395
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY LIFE - LIFESTYLE
Welfare Benefit Premiums Paid to CarrierUSD $10,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,838
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630393
Policy instance 3
Insurance contract or identification number630393
Number of Individuals Covered16
Insurance policy start date2022-10-01
Insurance policy end date2023-10-01
Total amount of commissions paid to insurance brokerUSD $3,603
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedSELECT SHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $15,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,766
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630391
Policy instance 1
Insurance contract or identification number630391
Number of Individuals Covered105
Insurance policy start date2021-10-19
Insurance policy end date2022-10-19
Total amount of commissions paid to insurance brokerUSD $217
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $217
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630391
Policy instance 1
Insurance contract or identification number630391
Number of Individuals Covered90
Insurance policy start date2020-10-19
Insurance policy end date2021-10-19
Total amount of commissions paid to insurance brokerUSD $226
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $226
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number630391
Policy instance 1
Insurance contract or identification number630391
Number of Individuals Covered106
Insurance policy start date2019-10-19
Insurance policy end date2020-10-19
Total amount of commissions paid to insurance brokerUSD $240
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $240
Amount paid for insurance broker fees0
Insurance broker organization code?3

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