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COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 401k Plan overview

Plan NameCOCA COLA PUERTO RICO BOTTLERS-HEALTH 2021
Plan identification number 501

COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 Benefits

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

401k Sponsoring company profile

COCA COLA PUERTO RICO BOTTLERS has sponsored the creation of one or more 401k plans.

Company Name:COCA COLA PUERTO RICO BOTTLERS
Employer identification number (EIN):660600251
NAIC Classification:424800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01
5012022-04-01
5012021-04-01

Plan Statistics for COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021

401k plan membership statisitcs for COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021

Measure Date Value
2023: COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 2023 401k membership
Total participants, beginning-of-year2023-04-011,277
Total number of active participants reported on line 7a of the Form 55002023-04-011,286
Total of all active and inactive participants2023-04-011,286
Total participants2023-04-011,286
2022: COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 2022 401k membership
Total participants, beginning-of-year2022-04-011,277
Total number of active participants reported on line 7a of the Form 55002022-04-011,284
Total of all active and inactive participants2022-04-011,284
Total participants2022-04-011,284
2021: COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 2021 401k membership
Total participants, beginning-of-year2021-04-011,166
Total number of active participants reported on line 7a of the Form 55002021-04-011,277
Total of all active and inactive participants2021-04-011,277
Total participants2021-04-011,277

Form 5500 Responses for COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021

2023: COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Submission has been amendedNo
2023-04-01This submission is the final filingNo
2023-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-04-01Plan is a collectively bargained planNo
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – InsuranceYes
2022: COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – InsuranceYes
2021: COCA COLA PUERTO RICO BOTTLERS-HEALTH 2021 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004648
Policy instance 1
Insurance contract or identification numberSP0004648
Number of Individuals Covered1284
Insurance policy start date2023-04-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $12,400
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedINDEMNITY CONTRACT, MAJOR MEDICAL, ORGAN &TISSUE TRANSPLANT, QUICK HELP, TELECONSULTA
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 $1,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004648
Policy instance 1
Insurance contract or identification numberSP0004648
Number of Individuals Covered1284
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $100,506
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedINDEMPNITY CONTRACT, MAJOR MEDICAL, ORGAN & TISSUE TRANSPLANT, QUICK HELP, TELECONSULTA
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100,506
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004648
Policy instance 1
Insurance contract or identification numberSP0004648
Number of Individuals Covered1166
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $67,366
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedINDEMPNITY CONTRACT, MAJOR MEDICAL, ORGAN & TISSUE TRANSPLANT, QUICK HELP, TELECONSULTA
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 $500,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $67,366
Additional information about fees paid to insurance brokerBROKER
Insurance broker organization code?3

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