401k Plan data: COLT SERVICES, LP WELFARE BENEFIT PLAN plan

COLT SERVICES, LP WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	COLT SERVICES, LP WELFARE BENEFIT PLAN
Plan identification number	501

COLT SERVICES, LP WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

COLT SERVICES, LP has sponsored the creation of one or more 401k plans.

Company Name: COLT SERVICES, LP

Employer identification number (EIN): 030498223

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLT SERVICES, LP WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-12-01
501 2020-12-01
501 2019-12-01 LINDSEY WATSON 2021-09-17

Plan Statistics for COLT SERVICES, LP WELFARE BENEFIT PLAN

401k plan membership statisitcs for COLT SERVICES, LP WELFARE BENEFIT PLAN

Measure Date Value
2021: COLT SERVICES, LP WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-12-01 148
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 146
Number of retired or separated participants receiving benefits 2021-12-01 2
Total of all active and inactive participants 2021-12-01 148
Total participants 2021-12-01 148
2020: COLT SERVICES, LP WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-12-01 159
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 148
Number of retired or separated participants receiving benefits 2020-12-01 2
Total of all active and inactive participants 2020-12-01 150
Total participants 2020-12-01 150
2019: COLT SERVICES, LP WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-12-01 100
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 162
Number of retired or separated participants receiving benefits 2019-12-01 0
Number of other retired or separated participants entitled to future benefits 2019-12-01 0
Total of all active and inactive participants 2019-12-01 162
Number of employers contributing to the scheme 2019-12-01 0

Measure	Date	Value
2021: COLT SERVICES, LP WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-12-01	148
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	146
Number of retired or separated participants receiving benefits	2021-12-01	2
Total of all active and inactive participants	2021-12-01	148
Total participants	2021-12-01	148
2020: COLT SERVICES, LP WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-12-01	159
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	148
Number of retired or separated participants receiving benefits	2020-12-01	2
Total of all active and inactive participants	2020-12-01	150
Total participants	2020-12-01	150
2019: COLT SERVICES, LP WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-12-01	100
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	162
Number of retired or separated participants receiving benefits	2019-12-01	0
Number of other retired or separated participants entitled to future benefits	2019-12-01	0
Total of all active and inactive participants	2019-12-01	162
Number of employers contributing to the scheme	2019-12-01	0

Form 5500 Responses for COLT SERVICES, LP WELFARE BENEFIT PLAN

2021: COLT SERVICES, LP WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Submission has been amended	No
2021-12-01	This submission is the final filing	No
2021-12-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-12-01	Plan is a collectively bargained plan	No
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2020: COLT SERVICES, LP WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Submission has been amended	No
2020-12-01	This submission is the final filing	No
2020-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-12-01	Plan is a collectively bargained plan	No
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2019: COLT SERVICES, LP WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	First time form 5500 has been submitted	Yes
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00620632

Policy instance

Insurance contract or identification number	00620632
Number of Individuals Covered	170
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $7,997
Total amount of fees paid to insurance company	USD $54,978
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,163,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,082
Amount paid for insurance broker fees	40271
Additional information about fees paid to insurance broker	BENEFIT ADVISOR FEES & INCENTIVE COMPENSATION PAYMENT
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00431969

Policy instance

Insurance contract or identification number	00431969
Number of Individuals Covered	144
Insurance policy start date	2021-12-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $-2
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $-13
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $-2
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00620632

Policy instance

Insurance contract or identification number	00620632
Number of Individuals Covered	176
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $53,767
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,075,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	39897
Additional information about fees paid to insurance broker	BENEFIT ADVISOR FEES
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00431969

Policy instance

Insurance contract or identification number	00431969
Number of Individuals Covered	144
Insurance policy start date	2020-12-01
Insurance policy end date	2021-11-30
Total amount of commissions paid to insurance broker	USD $6,605
Total amount of fees paid to insurance company	USD $3,485
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $45,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,657
Amount paid for insurance broker fees	3485
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

431969

Policy instance

Insurance contract or identification number	431969
Number of Individuals Covered	162
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $9,874
Total amount of fees paid to insurance company	USD $5,716
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $124,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	COLT SERVICES, LP
Employer identification number (EIN):	030498223
NAIC Classification:	332900