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CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameCHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN
Plan identification number 501

CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

CHARLES DEWEESE CONSTRUCTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:CHARLES DEWEESE CONSTRUCTION, INC.
Employer identification number (EIN):611244543
NAIC Classification:238100

Additional information about CHARLES DEWEESE CONSTRUCTION, INC.

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date: 2011-08-04
Company Identification Number: 1646388
Legal Registered Office Address: PO Box 504

Franklin
United States of America (USA)
42135

More information about CHARLES DEWEESE CONSTRUCTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-09-01TARA HOWARD2021-12-10
5012019-09-01AMBER LANHAM2021-03-01
5012018-09-01CHARLES DEWEESE2020-05-22
5012017-09-01
5012016-09-01JOHN VALIQUETTE2019-03-22

Plan Statistics for CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN

Measure Date Value
2020: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01182
Total number of active participants reported on line 7a of the Form 55002020-09-01152
Number of retired or separated participants receiving benefits2020-09-013
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01155
Number of employers contributing to the scheme2020-09-010
2019: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01129
Total number of active participants reported on line 7a of the Form 55002019-09-01121
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01121
Number of employers contributing to the scheme2019-09-010
2018: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01108
Total number of active participants reported on line 7a of the Form 55002018-09-01142
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01142
Number of employers contributing to the scheme2018-09-010
2017: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01106
Total number of active participants reported on line 7a of the Form 55002017-09-01108
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01108
Number of employers contributing to the scheme2017-09-010
2016: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01102
Total number of active participants reported on line 7a of the Form 55002016-09-01117
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01117
Number of employers contributing to the scheme2016-09-010

Form 5500 Responses for CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN

2020: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – InsuranceYes
2019: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2018: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: CHARLES DEWEESE CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01First time form 5500 has been submittedYes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26335
Policy instance 1
Insurance contract or identification numberW26335
Number of Individuals Covered298
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $48,029
Total amount of fees paid to insurance companyUSD $1,662
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,327,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,694
Amount paid for insurance broker fees1662
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number30790-1637
Policy instance 3
Insurance contract or identification number30790-1637
Number of Individuals Covered226
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $1,555
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,555
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number23001209CDC
Policy instance 2
Insurance contract or identification number23001209CDC
Number of Individuals Covered254
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $5,223
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,223
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number1005779
Policy instance 1
Insurance contract or identification number1005779
Number of Individuals Covered233
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $41,488
Total amount of fees paid to insurance companyUSD $3,348
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,167,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,488
Amount paid for insurance broker fees3348
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number30790-1637
Policy instance 3
Insurance contract or identification number30790-1637
Number of Individuals Covered168
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $1,414
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,414
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number23001209CDC
Policy instance 2
Insurance contract or identification number23001209CDC
Number of Individuals Covered201
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $4,812
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,812
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW26335
Policy instance 1
Insurance contract or identification numberW26335
Number of Individuals Covered207
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $31,220
Total amount of fees paid to insurance companyUSD $3,626
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,014,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,220
Amount paid for insurance broker fees3626
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number30790-1637
Policy instance 3
Insurance contract or identification number30790-1637
Number of Individuals Covered150
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,186
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )
Policy contract number23001209CDC
Policy instance 2
Insurance contract or identification number23001209CDC
Number of Individuals Covered166
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $4,011
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number102413
Policy instance 1
Insurance contract or identification number102413
Number of Individuals Covered156
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $26,640
Total amount of fees paid to insurance companyUSD $6,388
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $805,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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