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COLONIAL LIFE ACCIDENT AND INSURANCE 401k Plan overview

Plan NameCOLONIAL LIFE ACCIDENT AND INSURANCE
Plan identification number 502

COLONIAL LIFE ACCIDENT AND INSURANCE Benefits

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

401k Sponsoring company profile

KOCH FOUNDATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:KOCH FOUNDATION, INC.
Employer identification number (EIN):591885997
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about KOCH FOUNDATION, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1979-02-08
Company Identification Number: 745883
Legal Registered Office Address: 4421 NW 39TH AVE

GAINESVILLE

32606

More information about KOCH FOUNDATION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLONIAL LIFE ACCIDENT AND INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-15
5022021-05-15
5022020-05-15
5022019-05-15
5022018-05-15

Plan Statistics for COLONIAL LIFE ACCIDENT AND INSURANCE

401k plan membership statisitcs for COLONIAL LIFE ACCIDENT AND INSURANCE

Measure Date Value
2022: COLONIAL LIFE ACCIDENT AND INSURANCE 2022 401k membership
Total participants, beginning-of-year2022-05-152
Total number of active participants reported on line 7a of the Form 55002022-05-152
Total of all active and inactive participants2022-05-152
Total participants2022-05-152
2021: COLONIAL LIFE ACCIDENT AND INSURANCE 2021 401k membership
Total participants, beginning-of-year2021-05-152
Total number of active participants reported on line 7a of the Form 55002021-05-152
Total of all active and inactive participants2021-05-152
Total participants2021-05-152
2020: COLONIAL LIFE ACCIDENT AND INSURANCE 2020 401k membership
Total participants, beginning-of-year2020-05-152
Total number of active participants reported on line 7a of the Form 55002020-05-152
Total of all active and inactive participants2020-05-152
Total participants2020-05-152
2019: COLONIAL LIFE ACCIDENT AND INSURANCE 2019 401k membership
Total participants, beginning-of-year2019-05-152
Total number of active participants reported on line 7a of the Form 55002019-05-152
Total of all active and inactive participants2019-05-152
Total participants2019-05-152
Number of employers contributing to the scheme2019-05-150
2018: COLONIAL LIFE ACCIDENT AND INSURANCE 2018 401k membership
Total participants, beginning-of-year2018-05-152
Total number of active participants reported on line 7a of the Form 55002018-05-152
Total of all active and inactive participants2018-05-152
Total participants2018-05-152

Form 5500 Responses for COLONIAL LIFE ACCIDENT AND INSURANCE

2022: COLONIAL LIFE ACCIDENT AND INSURANCE 2022 form 5500 responses
2022-05-15Type of plan entitySingle employer plan
2022-05-15Submission has been amendedNo
2022-05-15This submission is the final filingNo
2022-05-15This return/report is a short plan year return/report (less than 12 months)No
2022-05-15Plan is a collectively bargained planNo
2022-05-15Plan funding arrangement – InsuranceYes
2022-05-15Plan benefit arrangement – InsuranceYes
2021: COLONIAL LIFE ACCIDENT AND INSURANCE 2021 form 5500 responses
2021-05-15Type of plan entitySingle employer plan
2021-05-15Submission has been amendedNo
2021-05-15This submission is the final filingNo
2021-05-15This return/report is a short plan year return/report (less than 12 months)No
2021-05-15Plan is a collectively bargained planNo
2021-05-15Plan funding arrangement – InsuranceYes
2021-05-15Plan benefit arrangement – InsuranceYes
2020: COLONIAL LIFE ACCIDENT AND INSURANCE 2020 form 5500 responses
2020-05-15Type of plan entitySingle employer plan
2020-05-15Submission has been amendedNo
2020-05-15This submission is the final filingNo
2020-05-15This return/report is a short plan year return/report (less than 12 months)No
2020-05-15Plan is a collectively bargained planNo
2020-05-15Plan funding arrangement – InsuranceYes
2020-05-15Plan benefit arrangement – InsuranceYes
2019: COLONIAL LIFE ACCIDENT AND INSURANCE 2019 form 5500 responses
2019-05-15Type of plan entitySingle employer plan
2019-05-15Submission has been amendedNo
2019-05-15This submission is the final filingNo
2019-05-15This return/report is a short plan year return/report (less than 12 months)No
2019-05-15Plan is a collectively bargained planNo
2019-05-15Plan funding arrangement – InsuranceYes
2019-05-15Plan benefit arrangement – InsuranceYes
2018: COLONIAL LIFE ACCIDENT AND INSURANCE 2018 form 5500 responses
2018-05-15Type of plan entitySingle employer plan
2018-05-15First time form 5500 has been submittedYes
2018-05-15Submission has been amendedNo
2018-05-15This submission is the final filingNo
2018-05-15This return/report is a short plan year return/report (less than 12 months)No
2018-05-15Plan is a collectively bargained planNo
2018-05-15Plan funding arrangement – InsuranceYes
2018-05-15Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4020541
Policy instance 1
Insurance contract or identification numberE4020541
Number of Individuals Covered2
Insurance policy start date2022-05-15
Insurance policy end date2023-05-14
Total amount of commissions paid to insurance brokerUSD $314
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT/INJURY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Amount paid for insurance broker fees0
Insurance broker organization code?3
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4020541
Policy instance 1
Insurance contract or identification numberE4020541
Number of Individuals Covered2
Insurance policy start date2021-05-15
Insurance policy end date2022-05-15
Total amount of commissions paid to insurance brokerUSD $305
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT/INJURY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?3
Amount paid for insurance broker fees0
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4020541
Policy instance 1
Insurance contract or identification numberE4020541
Number of Individuals Covered2
Insurance policy start date2020-05-15
Insurance policy end date2021-05-14
Total amount of commissions paid to insurance brokerUSD $377
Total amount of fees paid to insurance companyUSD $43
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Amount paid for insurance broker fees17
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4020541
Policy instance 1
Insurance contract or identification numberE4020541
Number of Individuals Covered2
Insurance policy start date2019-05-15
Insurance policy end date2020-05-15
Total amount of commissions paid to insurance brokerUSD $2,758
Total amount of fees paid to insurance companyUSD $18,381
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Amount paid for insurance broker fees72
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4020541
Policy instance 1
Insurance contract or identification numberE4020541
Number of Individuals Covered2
Insurance policy start date2018-05-15
Insurance policy end date2019-05-14
Total amount of commissions paid to insurance brokerUSD $255
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2

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