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

Plan NameCOCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN
Plan identification number 503

COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

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 LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01
5032016-01-01
5032015-03-01TURA SYNHORST TURA SYNHORST2016-08-29
5032014-03-01TURA SYNHORST TURA SYNHORST2015-07-20
5032013-04-01TURA SYNHORST TURA SYNHORST2014-05-14
5032012-04-01TURA SYNHORST TURA SYNHORST2013-05-30

Plan Statistics for COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN

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

Measure Date Value
2017: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01959
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 LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,016
Total number of active participants reported on line 7a of the Form 55002016-01-01959
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 participants2016-01-01959
2015: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01722
Total number of active participants reported on line 7a of the Form 55002015-03-011,016
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-011,016
2014: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01165
Total number of active participants reported on line 7a of the Form 55002014-03-01722
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01722
2013: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01163
Total number of active participants reported on line 7a of the Form 55002013-04-01165
Total of all active and inactive participants2013-04-01165
2012: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01142
Total number of active participants reported on line 7a of the Form 55002012-04-01163
Total of all active and inactive participants2012-04-01163

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

2017: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE 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 LIFE INSURANCE 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 LIFE INSURANCE PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – InsuranceYes
2014: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: COCA COLA BOTTLING COMPANY HIGH COUNTRY GROUP LIFE INSURANCE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5998736
Policy instance 1
Insurance contract or identification number5998736
Number of Individuals Covered1299
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $12,188
Total amount of fees paid to insurance companyUSD $476
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $125,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,172
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker nameWELLS FARGO INSURANCE
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5998736
Policy instance 1
Insurance contract or identification number5998736
Number of Individuals Covered1016
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,053
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $28,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,053
Insurance broker organization code?3
Insurance broker nameBLACK HILLS AGENCY INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05998736
Policy instance 1
Insurance contract or identification numberKM05998736
Number of Individuals Covered722
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $1,817
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $18,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,817
Insurance broker organization code?3
Insurance broker nameBLACK HILLS AGENCY INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05998736
Policy instance 1
Insurance contract or identification numberKM05998736
Number of Individuals Covered165
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $1,214
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $11,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,214
Insurance broker organization code?3
Insurance broker nameBLACK HILLS AGENCY INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000A1QU
Policy instance 1
Insurance contract or identification numberG000A1QU
Number of Individuals Covered163
Insurance policy start date2012-03-01
Insurance policy end date2013-03-01
Total amount of commissions paid to insurance brokerUSD $806
Total amount of fees paid to insurance companyUSD $165
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $8,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $806
Amount paid for insurance broker fees165
Insurance broker organization code?3
Insurance broker nameHAY HUGGINS PLAN SERVICES INC

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