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COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 401k Plan overview

Plan NameCOCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN
Plan identification number 502

COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

COCA-COLA BOTTLING COMPANY HIGH COUNTRY has sponsored the creation of one or more 401k plans.

Company Name:COCA-COLA BOTTLING COMPANY HIGH COUNTRY
Employer identification number (EIN):460259684
NAIC Classification:312110
NAIC Description: Soft Drink and Ice Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01
5022016-01-01
5022015-01-01TURA SYNHORST TURA SYNHORST2016-08-01
5022014-01-01TURA SYNHORST TURA SYNHORST2015-06-15
5022013-01-01TURA SYNHORST TURA SYNHORST2014-05-08
5022012-01-01TURA SYNHORST TURA SYNHORST2013-05-29
5022011-01-01TURA SYNHORST TURA SYNHORST2012-07-22
5022010-01-01TURA SYNHORST TURA SYNHORST2011-06-17
5022009-05-01TURA SYNHORST TURA SYNHORST2010-07-29

Plan Statistics for COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN

401k plan membership statisitcs for COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN

Measure Date Value
2017: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01685
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,457
Total number of active participants reported on line 7a of the Form 55002016-01-01685
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 participants2016-01-01685
2015: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01845
Total number of active participants reported on line 7a of the Form 55002015-01-011,455
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 participants2015-01-011,457
2014: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01353
Total number of active participants reported on line 7a of the Form 55002014-01-01845
Number of retired or separated participants receiving benefits2014-01-014
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01849
2013: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01355
Total number of active participants reported on line 7a of the Form 55002013-01-01353
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01353
2012: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01392
Total number of active participants reported on line 7a of the Form 55002012-01-01355
Number of retired or separated participants receiving benefits2012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01359
2011: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01363
Total number of active participants reported on line 7a of the Form 55002011-01-01392
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01392
2010: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01346
Total number of active participants reported on line 7a of the Form 55002010-01-01363
Number of retired or separated participants receiving benefits2010-01-012
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01365
2009: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01347
Total number of active participants reported on line 7a of the Form 55002009-05-01346
Number of retired or separated participants receiving benefits2009-05-012
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-01348

Form 5500 Responses for COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN

2017: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP DENTAL PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered1402
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,158
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $435,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,158
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES, LLC
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered1455
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,667
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $284,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,667
Insurance broker organization code?3
Insurance broker nameBLACK HILLS AGENCY INC.
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered845
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,019
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,019
Insurance broker organization code?3
Insurance broker nameBLACK HILLS AGENCY INC.
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered353
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,298
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,298
Insurance broker nameBLACK HILLS AGENCY INC.
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered359
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,300
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $100,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,300
Insurance broker nameBLACK HILLS AGENCY INC.
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered373
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,264
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 54097 )
Policy contract number2192
Policy instance 1
Insurance contract or identification number2192
Number of Individuals Covered356
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,243
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,243
Insurance broker organization code?3
Insurance broker nameKATHERINE RANDALL, BH AGENCY INC

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