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HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 401k Plan overview

Plan NameHEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES
Plan identification number 501

HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

C.B. MANAGEMENT CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:C.B. MANAGEMENT CO., INC.
Employer identification number (EIN):431139874
NAIC Classification:551112
NAIC Description:Offices of Other Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01LARRY MCMULLIN
5012016-01-01STEPHEN REAGAN
5012015-01-01STEPHEN R REAGAN
5012014-01-01
5012013-01-01
5012012-01-01STEPHEN REAGAN STEPHEN REAGAN2013-07-31
5012011-01-01STEPHEN REAGAN
5012010-01-01STEPHEN REAGAN
5012009-01-01STEPHEN REAGAN

Plan Statistics for HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES

401k plan membership statisitcs for HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES

Measure Date Value
2022: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2022 401k membership
Total participants, beginning-of-year2022-01-01103
Total number of active participants reported on line 7a of the Form 55002022-01-01100
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01100
2021: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2021 401k membership
Total participants, beginning-of-year2021-01-01103
Total number of active participants reported on line 7a of the Form 55002021-01-01103
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01103
2020: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2020 401k membership
Total participants, beginning-of-year2020-01-01121
Total number of active participants reported on line 7a of the Form 55002020-01-01103
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01103
2019: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2019 401k membership
Total participants, beginning-of-year2019-01-01126
Total number of active participants reported on line 7a of the Form 55002019-01-01121
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01121
2018: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2018 401k membership
Total participants, beginning-of-year2018-01-01129
Total number of active participants reported on line 7a of the Form 55002018-01-01126
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01126
2017: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2017 401k membership
Total participants, beginning-of-year2017-01-01135
Total number of active participants reported on line 7a of the Form 55002017-01-01127
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01129
2016: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2016 401k membership
Total participants, beginning-of-year2016-01-01132
Total number of active participants reported on line 7a of the Form 55002016-01-01135
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01135
2015: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2015 401k membership
Total participants, beginning-of-year2015-01-01134
Total number of active participants reported on line 7a of the Form 55002015-01-01132
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01134
2014: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2014 401k membership
Total participants, beginning-of-year2014-01-01130
Total number of active participants reported on line 7a of the Form 55002014-01-01130
Number of retired or separated participants receiving benefits2014-01-014
Total of all active and inactive participants2014-01-01134
2013: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2013 401k membership
Total participants, beginning-of-year2013-01-01131
Total number of active participants reported on line 7a of the Form 55002013-01-01127
Number of retired or separated participants receiving benefits2013-01-013
Total of all active and inactive participants2013-01-01130
2012: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2012 401k membership
Total participants, beginning-of-year2012-01-01140
Total number of active participants reported on line 7a of the Form 55002012-01-01125
Number of retired or separated participants receiving benefits2012-01-016
Total of all active and inactive participants2012-01-01131
2011: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2011 401k membership
Total participants, beginning-of-year2011-01-01168
Total number of active participants reported on line 7a of the Form 55002011-01-01133
Number of retired or separated participants receiving benefits2011-01-017
Total of all active and inactive participants2011-01-01140
2010: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2010 401k membership
Total participants, beginning-of-year2010-01-01163
Total number of active participants reported on line 7a of the Form 55002010-01-01160
Number of retired or separated participants receiving benefits2010-01-018
Total of all active and inactive participants2010-01-01168
2009: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2009 401k membership
Total participants, beginning-of-year2009-01-01145
Total number of active participants reported on line 7a of the Form 55002009-01-01155
Number of retired or separated participants receiving benefits2009-01-016
Total of all active and inactive participants2009-01-01161
Total participants2009-01-010

Financial Data on HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES

Measure Date Value
2022 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$92,700
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$80,400
Total income from all sources (including contributions)2022-12-31$1,247,423
Total of all expenses incurred2022-12-31$1,385,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,344,257
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,247,423
Value of total assets at end of year2022-12-31$117,875
Value of total assets at beginning of year2022-12-31$243,438
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$41,029
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$285,601
Participant contributions at beginning of year2022-12-31$23,214
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$434,528
Administrative expenses (other) incurred2022-12-31$23,797
Total non interest bearing cash at end of year2022-12-31$117,875
Total non interest bearing cash at beginning of year2022-12-31$175,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-137,863
Value of net assets at end of year (total assets less liabilities)2022-12-31$25,175
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$163,038
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$122,737
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$527,294
Employer contributions (assets) at beginning of year2022-12-31$44,295
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,221,520
Contract administrator fees2022-12-31$17,232
Liabilities. Value of benefit claims payable at end of year2022-12-31$92,700
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$80,400
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KPM CPAS, PC
Accountancy firm EIN2022-12-31431109768
2021 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$80,400
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$17,400
Total income from all sources (including contributions)2021-12-31$747,837
Total of all expenses incurred2021-12-31$766,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$740,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$747,837
Value of total assets at end of year2021-12-31$243,438
Value of total assets at beginning of year2021-12-31$199,015
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$26,085
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$335,301
Participant contributions at end of year2021-12-31$23,214
Participant contributions at beginning of year2021-12-31$22,537
Administrative expenses (other) incurred2021-12-31$8,832
Total non interest bearing cash at end of year2021-12-31$175,929
Total non interest bearing cash at beginning of year2021-12-31$139,650
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-18,577
Value of net assets at end of year (total assets less liabilities)2021-12-31$163,038
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$181,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$153,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$412,536
Employer contributions (assets) at end of year2021-12-31$44,295
Employer contributions (assets) at beginning of year2021-12-31$36,828
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$586,602
Contract administrator fees2021-12-31$17,253
Liabilities. Value of benefit claims payable at end of year2021-12-31$80,400
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$17,400
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31KPM CPAS, PC
Accountancy firm EIN2021-12-31431109768
2020 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$17,400
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$72,000
Total income from all sources (including contributions)2020-12-31$1,057,799
Total of all expenses incurred2020-12-31$882,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$857,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,057,799
Value of total assets at end of year2020-12-31$199,015
Value of total assets at beginning of year2020-12-31$78,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$24,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$361,040
Participant contributions at end of year2020-12-31$22,537
Participant contributions at beginning of year2020-12-31$23,694
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$206,704
Administrative expenses (other) incurred2020-12-31$5,998
Total non interest bearing cash at end of year2020-12-31$139,650
Total non interest bearing cash at beginning of year2020-12-31$5,998
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$175,354
Value of net assets at end of year (total assets less liabilities)2020-12-31$181,615
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,261
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$152,675
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$490,055
Employer contributions (assets) at end of year2020-12-31$36,828
Employer contributions (assets) at beginning of year2020-12-31$48,569
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$705,054
Contract administrator fees2020-12-31$18,718
Liabilities. Value of benefit claims payable at end of year2020-12-31$17,400
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$72,000
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31KPM CPAS, PC
Accountancy firm EIN2020-12-31431109768
2019 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$72,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$72,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$105,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$105,000
Total income from all sources (including contributions)2019-12-31$820,785
Total income from all sources (including contributions)2019-12-31$820,785
Total of all expenses incurred2019-12-31$797,052
Total of all expenses incurred2019-12-31$797,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$771,436
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$771,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$820,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$820,785
Value of total assets at end of year2019-12-31$78,261
Value of total assets at end of year2019-12-31$78,261
Value of total assets at beginning of year2019-12-31$87,528
Value of total assets at beginning of year2019-12-31$87,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$25,616
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$25,616
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$361,246
Contributions received from participants2019-12-31$361,246
Participant contributions at end of year2019-12-31$23,694
Participant contributions at end of year2019-12-31$23,694
Participant contributions at beginning of year2019-12-31$23,122
Participant contributions at beginning of year2019-12-31$23,122
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$14,124
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$14,124
Administrative expenses (other) incurred2019-12-31$5,050
Administrative expenses (other) incurred2019-12-31$5,050
Total non interest bearing cash at end of year2019-12-31$5,998
Total non interest bearing cash at end of year2019-12-31$5,998
Total non interest bearing cash at beginning of year2019-12-31$25,853
Total non interest bearing cash at beginning of year2019-12-31$25,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$23,733
Value of net income/loss2019-12-31$23,733
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,261
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,261
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-17,472
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-17,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$164,284
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$164,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$445,415
Contributions received in cash from employer2019-12-31$445,415
Employer contributions (assets) at end of year2019-12-31$48,569
Employer contributions (assets) at end of year2019-12-31$48,569
Employer contributions (assets) at beginning of year2019-12-31$38,553
Employer contributions (assets) at beginning of year2019-12-31$38,553
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$607,152
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$607,152
Contract administrator fees2019-12-31$20,566
Contract administrator fees2019-12-31$20,566
Liabilities. Value of benefit claims payable at end of year2019-12-31$72,000
Liabilities. Value of benefit claims payable at end of year2019-12-31$72,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$105,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$105,000
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31KPM CPAS, PC
Accountancy firm name2019-12-31KPM CPAS, PC
Accountancy firm EIN2019-12-31431109768
Accountancy firm EIN2019-12-31431109768
2018 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$105,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$123,000
Total income from all sources (including contributions)2018-12-31$784,194
Total of all expenses incurred2018-12-31$816,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$775,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$784,194
Value of total assets at end of year2018-12-31$87,528
Value of total assets at beginning of year2018-12-31$137,941
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$40,948
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$347,872
Participant contributions at end of year2018-12-31$23,122
Participant contributions at beginning of year2018-12-31$23,122
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$16,122
Administrative expenses (other) incurred2018-12-31$13,002
Total non interest bearing cash at end of year2018-12-31$25,853
Total non interest bearing cash at beginning of year2018-12-31$75,256
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-32,413
Value of net assets at end of year (total assets less liabilities)2018-12-31$-17,472
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$14,941
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$158,810
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$420,200
Employer contributions (assets) at end of year2018-12-31$38,553
Employer contributions (assets) at beginning of year2018-12-31$39,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$616,849
Contract administrator fees2018-12-31$27,946
Liabilities. Value of benefit claims payable at end of year2018-12-31$105,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$123,000
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31KPM CPAS, PC
Accountancy firm EIN2018-12-31431109768
2017 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$123,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$84,000
Total income from all sources (including contributions)2017-12-31$1,415,156
Total of all expenses incurred2017-12-31$1,532,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,468,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,415,156
Value of total assets at end of year2017-12-31$137,941
Value of total assets at beginning of year2017-12-31$216,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$63,701
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$357,013
Participant contributions at end of year2017-12-31$23,122
Participant contributions at beginning of year2017-12-31$24,532
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$649,081
Administrative expenses (other) incurred2017-12-31$34,417
Total non interest bearing cash at end of year2017-12-31$75,256
Total non interest bearing cash at beginning of year2017-12-31$148,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-117,250
Value of net assets at end of year (total assets less liabilities)2017-12-31$14,941
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$132,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$147,780
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$409,062
Employer contributions (assets) at end of year2017-12-31$39,563
Employer contributions (assets) at beginning of year2017-12-31$43,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,320,925
Contract administrator fees2017-12-31$29,284
Liabilities. Value of benefit claims payable at end of year2017-12-31$123,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$84,000
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31KPM CPAS, PC
Accountancy firm EIN2017-12-31431109768
2016 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$84,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$96,982
Total income from all sources (including contributions)2016-12-31$841,881
Total of all expenses incurred2016-12-31$680,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$634,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$841,881
Value of total assets at end of year2016-12-31$216,191
Value of total assets at beginning of year2016-12-31$67,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$46,131
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$381,100
Participant contributions at end of year2016-12-31$24,532
Participant contributions at beginning of year2016-12-31$26,671
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$3,123
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$19,982
Administrative expenses (other) incurred2016-12-31$16,111
Total non interest bearing cash at end of year2016-12-31$148,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$161,548
Value of net assets at end of year (total assets less liabilities)2016-12-31$132,191
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$-29,357
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$144,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$457,658
Employer contributions (assets) at end of year2016-12-31$43,450
Employer contributions (assets) at beginning of year2016-12-31$40,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$489,225
Contract administrator fees2016-12-31$30,020
Liabilities. Value of benefit claims payable at end of year2016-12-31$84,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$77,000
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31KPM CPAS, PC
Accountancy firm EIN2016-12-31431109768
2015 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$96,982
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$53,479
Total income from all sources (including contributions)2015-12-31$931,876
Total of all expenses incurred2015-12-31$960,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$910,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$931,876
Value of total assets at end of year2015-12-31$67,625
Value of total assets at beginning of year2015-12-31$52,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$50,201
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$262,268
Participant contributions at end of year2015-12-31$26,671
Participant contributions at beginning of year2015-12-31$18,140
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$91,089
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$19,982
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$2,479
Administrative expenses (other) incurred2015-12-31$16,203
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-28,853
Value of net assets at end of year (total assets less liabilities)2015-12-31$-29,357
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$756
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$756
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$145,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$578,519
Employer contributions (assets) at end of year2015-12-31$40,954
Employer contributions (assets) at beginning of year2015-12-31$34,079
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$764,775
Contract administrator fees2015-12-31$33,998
Liabilities. Value of benefit claims payable at end of year2015-12-31$77,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$51,000
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31KPM CPAS, PC
Accountancy firm EIN2015-12-31431109768
2014 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$53,479
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$228,659
Total income from all sources (including contributions)2014-12-31$1,101,418
Total of all expenses incurred2014-12-31$939,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$888,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,101,415
Value of total assets at end of year2014-12-31$52,975
Value of total assets at beginning of year2014-12-31$66,163
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$51,396
Total interest from all sources2014-12-31$3
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$262,268
Participant contributions at end of year2014-12-31$18,140
Participant contributions at beginning of year2014-12-31$17,033
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$34,511
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$2,479
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$5,659
Administrative expenses (other) incurred2014-12-31$15,614
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$161,992
Value of net assets at end of year (total assets less liabilities)2014-12-31$-504
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-162,496
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$756
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$14,342
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$14,342
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$140,431
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$804,636
Employer contributions (assets) at end of year2014-12-31$34,079
Employer contributions (assets) at beginning of year2014-12-31$34,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$747,599
Contract administrator fees2014-12-31$35,782
Liabilities. Value of benefit claims payable at end of year2014-12-31$51,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$223,000
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31KPM CPAS, PC
Accountancy firm EIN2014-12-31431109768
2013 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$228,659
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$60,652
Total income from all sources (including contributions)2013-12-31$757,724
Total of all expenses incurred2013-12-31$919,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$880,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$757,720
Value of total assets at end of year2013-12-31$66,163
Value of total assets at beginning of year2013-12-31$59,723
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$39,038
Total interest from all sources2013-12-31$4
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$254,278
Participant contributions at end of year2013-12-31$17,033
Participant contributions at beginning of year2013-12-31$19,580
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$20,057
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$5,659
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,652
Administrative expenses (other) incurred2013-12-31$15,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-161,567
Value of net assets at end of year (total assets less liabilities)2013-12-31$-162,496
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$14,342
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$12,188
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$12,188
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$135,485
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$483,385
Employer contributions (assets) at end of year2013-12-31$34,788
Employer contributions (assets) at beginning of year2013-12-31$27,955
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$744,768
Contract administrator fees2013-12-31$23,988
Liabilities. Value of benefit claims payable at end of year2013-12-31$223,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$59,000
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31KPM CPAS, PC
Accountancy firm EIN2013-12-31431109768
2012 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$60,652
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$50,751
Total income from all sources (including contributions)2012-12-31$782,187
Total of all expenses incurred2012-12-31$787,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$765,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$782,184
Value of total assets at end of year2012-12-31$59,723
Value of total assets at beginning of year2012-12-31$54,893
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$22,008
Total interest from all sources2012-12-31$3
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$230,948
Participant contributions at end of year2012-12-31$19,580
Participant contributions at beginning of year2012-12-31$23,243
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$28,432
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,652
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$2,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-5,071
Value of net assets at end of year (total assets less liabilities)2012-12-31$-929
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$12,188
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$8,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$8,063
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$120,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$522,804
Employer contributions (assets) at end of year2012-12-31$27,955
Employer contributions (assets) at beginning of year2012-12-31$23,587
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$644,864
Contract administrator fees2012-12-31$22,008
Liabilities. Value of benefit claims payable at end of year2012-12-31$59,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$48,000
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BKD, LLP
Accountancy firm EIN2012-12-31440160260
2011 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$50,751
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$123,000
Total income from all sources (including contributions)2011-12-31$663,240
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$601,384
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$578,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$663,235
Value of total assets at end of year2011-12-31$54,893
Value of total assets at beginning of year2011-12-31$65,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$22,610
Total interest from all sources2011-12-31$5
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$225,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$240,516
Participant contributions at end of year2011-12-31$23,243
Participant contributions at beginning of year2011-12-31$26,987
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$32,597
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$2,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$61,856
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,142
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-57,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$8,063
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$17,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$17,333
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$5
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$105,964
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$390,122
Employer contributions (assets) at end of year2011-12-31$23,587
Employer contributions (assets) at beginning of year2011-12-31$20,966
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$472,810
Contract administrator fees2011-12-31$22,610
Liabilities. Value of benefit claims payable at end of year2011-12-31$48,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$123,000
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BKD, LLP
Accountancy firm EIN2011-12-31440160260
2010 : HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$123,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$110,600
Total income from all sources (including contributions)2010-12-31$863,451
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,038,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,011,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$863,443
Value of total assets at end of year2010-12-31$65,286
Value of total assets at beginning of year2010-12-31$228,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$26,908
Total interest from all sources2010-12-31$8
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$225,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$286,672
Participant contributions at end of year2010-12-31$26,987
Participant contributions at beginning of year2010-12-31$29,018
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$26,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-175,144
Value of net assets at end of year (total assets less liabilities)2010-12-31$-57,714
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$117,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$17,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$168,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$168,185
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$8
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$125,426
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$550,117
Employer contributions (assets) at end of year2010-12-31$20,966
Employer contributions (assets) at beginning of year2010-12-31$30,827
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$886,261
Contract administrator fees2010-12-31$26,908
Liabilities. Value of benefit claims payable at end of year2010-12-31$123,000
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$110,600
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BKD, LLP
Accountancy firm EIN2010-12-31440160260

Form 5500 Responses for HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES

2022: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 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 funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HEALTH CARE PLAN FOR THE EMPLOYEES OF C.B. MANAGEMENT CO., INC AND AFFILIATES 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33403
Policy instance 1
Insurance contract or identification numberHCL33403
Number of Individuals Covered100
Insurance policy start date2022-01-01
Insurance policy end date2022-09-30
Welfare Benefit Premiums Paid to CarrierUSD $122,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33403
Policy instance 1
Insurance contract or identification numberHCL33403
Number of Individuals Covered103
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $153,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33403
Policy instance 1
Insurance contract or identification numberHCL33403
Number of Individuals Covered103
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $152,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33403
Policy instance 1
Insurance contract or identification numberHCL33403
Number of Individuals Covered121
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $164,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33403
Policy instance 1
Insurance contract or identification numberHCL33403
Number of Individuals Covered126
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $13,002
Welfare Benefit Premiums Paid to CarrierUSD $158,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,002
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL33403
Policy instance 2
Insurance contract or identification numberHCL33403
Number of Individuals Covered129
Insurance policy start date2017-10-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,473
Welfare Benefit Premiums Paid to CarrierUSD $40,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,473
Insurance broker organization code?3
Insurance broker nameABNEY, WILLIAM J
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201624
Policy instance 1
Insurance contract or identification numberUNI-201624
Number of Individuals Covered129
Insurance policy start date2017-01-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $11,944
Welfare Benefit Premiums Paid to CarrierUSD $107,514
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,944
Insurance broker organization code?3
Insurance broker nameABNEY, WILLIAM J
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201624
Policy instance 1
Insurance contract or identification numberUNI-201624
Number of Individuals Covered134
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $16,203
Welfare Benefit Premiums Paid to CarrierUSD $145,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,203
Insurance broker organization code?3
Insurance broker nameABNEY, WILLIAM J
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201624
Policy instance 1
Insurance contract or identification numberUNI-201624
Number of Individuals Covered134
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $15,614
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $140,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,614
Insurance broker organization code?3
Insurance broker nameABNEY, WILLIAM J
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201624
Policy instance 1
Insurance contract or identification numberUNI-201624
Number of Individuals Covered130
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $15,050
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $135,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,050
Insurance broker organization code?3
Insurance broker nameABNEY, WILLIAM J
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number593879
Policy instance 1
Insurance contract or identification number593879
Number of Individuals Covered151
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,313
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,313
Insurance broker organization code?3
Insurance broker nameWILLIAM J ABNEY
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201624
Policy instance 3
Insurance contract or identification numberUNI-201624
Number of Individuals Covered132
Insurance policy start date2012-10-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $31,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSS-60964
Policy instance 2
Insurance contract or identification numberSS-60964
Number of Individuals Covered132
Insurance policy start date2012-01-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $12,041
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $77,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,041
Insurance broker organization code?3
Insurance broker nameWILLIAM ABNEY
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSS-60964
Policy instance 2
Insurance contract or identification numberSS-60964
Number of Individuals Covered133
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $10,601
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $95,363
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 number593879
Policy instance 1
Insurance contract or identification number593879
Number of Individuals Covered151
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,126
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )
Policy contract numberSS-60964
Policy instance 2
Insurance contract or identification numberSS-60964
Number of Individuals Covered160
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,552
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $112,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,552
Insurance broker organization code?3
Insurance broker nameWILLIAM ABNEY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number091982
Policy instance 1
Insurance contract or identification number091982
Number of Individuals Covered156
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,704
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,704
Insurance broker organization code?3
Insurance broker nameWILLIAM J ABNEY

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