401k Plan data: CAMERON FABRICATING CORPORATION GROUP LIFE plan

CAMERON FABRICATING CORPORATION GROUP LIFE 401k Plan overview

Plan Name	CAMERON FABRICATING CORPORATION GROUP LIFE
Plan identification number	502

CAMERON FABRICATING CORPORATION GROUP LIFE Benefits

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

401k Sponsoring company profile

CAMERON FABRICATING EMPLOYEE HEALTH BENEFITS has sponsored the creation of one or more 401k plans.

Company Name: CAMERON FABRICATING EMPLOYEE HEALTH BENEFITS

Employer identification number (EIN): 161206646

NAIC Classification: 333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAMERON FABRICATING CORPORATION GROUP LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2020-01-01 STACY GABEL 2021-08-23
502 2020-01-01 STACY GABEL 2022-10-04
502 2019-01-01 STACY GABEL 2020-10-13
502 2018-01-01
502 2017-01-01
502 2016-01-01
502 2015-01-01
502 2014-01-01
502 2013-01-01 MATTHEW SHARPE
502 2012-01-01 TAMARA GURNSEY BERRY H. COKELY 2013-07-08
502 2011-01-01 TAMARA GURNSEY BERRY H. COKELY 2012-07-06
502 2009-02-01 TAMARA GURNSEY BERRY COKELY 2010-07-29
502 2009-02-01 TAMARA GURNSEY BERRY COKELY 2010-07-27

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2020-01-01	STACY GABEL	2021-08-23
502	2020-01-01	STACY GABEL	2022-10-04
502	2019-01-01	STACY GABEL	2020-10-13
502	2018-01-01
502	2017-01-01
502	2016-01-01
502	2015-01-01
502	2014-01-01
502	2013-01-01	MATTHEW SHARPE
502	2012-01-01	TAMARA GURNSEY		BERRY H. COKELY	2013-07-08
502	2011-01-01	TAMARA GURNSEY		BERRY H. COKELY	2012-07-06
502	2009-02-01	TAMARA GURNSEY		BERRY COKELY	2010-07-29
502	2009-02-01	TAMARA GURNSEY		BERRY COKELY	2010-07-27

Plan Statistics for CAMERON FABRICATING CORPORATION GROUP LIFE

401k plan membership statisitcs for CAMERON FABRICATING CORPORATION GROUP LIFE

Measure Date Value
2020: CAMERON FABRICATING CORPORATION GROUP LIFE 2020 401k membership
Total participants, beginning-of-year 2020-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 127
Total of all active and inactive participants 2020-01-01 127
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Number of employers contributing to the scheme 2020-01-01 0
2019: CAMERON FABRICATING CORPORATION GROUP LIFE 2019 401k membership
Total participants, beginning-of-year 2019-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 196
Total of all active and inactive participants 2019-01-01 196
2018: CAMERON FABRICATING CORPORATION GROUP LIFE 2018 401k membership
Total participants, beginning-of-year 2018-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 238
Total of all active and inactive participants 2018-01-01 238
2017: CAMERON FABRICATING CORPORATION GROUP LIFE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 213
Total of all active and inactive participants 2017-01-01 213
2016: CAMERON FABRICATING CORPORATION GROUP LIFE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 213
Total of all active and inactive participants 2016-01-01 213
2015: CAMERON FABRICATING CORPORATION GROUP LIFE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 192
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 222
Total of all active and inactive participants 2015-01-01 222
2014: CAMERON FABRICATING CORPORATION GROUP LIFE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 182
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 192
Total of all active and inactive participants 2014-01-01 192
2013: CAMERON FABRICATING CORPORATION GROUP LIFE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 209
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 182
Total of all active and inactive participants 2013-01-01 182
2012: CAMERON FABRICATING CORPORATION GROUP LIFE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 231
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 209
Total of all active and inactive participants 2012-01-01 209
2011: CAMERON FABRICATING CORPORATION GROUP LIFE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 231
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 231
2009: CAMERON FABRICATING CORPORATION GROUP LIFE 2009 401k membership
Total participants, beginning-of-year 2009-02-01 237
Total number of active participants reported on line 7a of the Form 5500 2009-02-01 183
Number of retired or separated participants receiving benefits 2009-02-01 0
Number of other retired or separated participants entitled to future benefits 2009-02-01 0
Total of all active and inactive participants 2009-02-01 183

Measure	Date	Value
2020: CAMERON FABRICATING CORPORATION GROUP LIFE 2020 401k membership
Total participants, beginning-of-year	2020-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	127
Total of all active and inactive participants	2020-01-01	127
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Number of employers contributing to the scheme	2020-01-01	0
2019: CAMERON FABRICATING CORPORATION GROUP LIFE 2019 401k membership
Total participants, beginning-of-year	2019-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	196
Total of all active and inactive participants	2019-01-01	196
2018: CAMERON FABRICATING CORPORATION GROUP LIFE 2018 401k membership
Total participants, beginning-of-year	2018-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	238
Total of all active and inactive participants	2018-01-01	238
2017: CAMERON FABRICATING CORPORATION GROUP LIFE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	213
Total of all active and inactive participants	2017-01-01	213
2016: CAMERON FABRICATING CORPORATION GROUP LIFE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	213
Total of all active and inactive participants	2016-01-01	213
2015: CAMERON FABRICATING CORPORATION GROUP LIFE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	192
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	222
Total of all active and inactive participants	2015-01-01	222
2014: CAMERON FABRICATING CORPORATION GROUP LIFE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	182
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	192
Total of all active and inactive participants	2014-01-01	192
2013: CAMERON FABRICATING CORPORATION GROUP LIFE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	209
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	182
Total of all active and inactive participants	2013-01-01	182
2012: CAMERON FABRICATING CORPORATION GROUP LIFE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	231
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	209
Total of all active and inactive participants	2012-01-01	209
2011: CAMERON FABRICATING CORPORATION GROUP LIFE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	231
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	231
2009: CAMERON FABRICATING CORPORATION GROUP LIFE 2009 401k membership
Total participants, beginning-of-year	2009-02-01	237
Total number of active participants reported on line 7a of the Form 5500	2009-02-01	183
Number of retired or separated participants receiving benefits	2009-02-01	0
Number of other retired or separated participants entitled to future benefits	2009-02-01	0
Total of all active and inactive participants	2009-02-01	183

Form 5500 Responses for CAMERON FABRICATING CORPORATION GROUP LIFE

2020: CAMERON FABRICATING CORPORATION GROUP LIFE 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	Yes
2020-01-01	This submission is the final filing	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: CAMERON FABRICATING CORPORATION GROUP LIFE 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: CAMERON FABRICATING CORPORATION GROUP LIFE 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: CAMERON FABRICATING CORPORATION GROUP LIFE 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: CAMERON FABRICATING CORPORATION GROUP LIFE 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: CAMERON FABRICATING CORPORATION GROUP LIFE 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: CAMERON FABRICATING CORPORATION GROUP LIFE 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CAMERON FABRICATING CORPORATION GROUP LIFE 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CAMERON FABRICATING CORPORATION GROUP LIFE 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CAMERON FABRICATING CORPORATION GROUP LIFE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: CAMERON FABRICATING CORPORATION GROUP LIFE 2009 form 5500 responses
2009-02-01	Type of plan entity	Single employer plan
2009-02-01	Submission has been amended	Yes
2009-02-01	This submission is the final filing	No
2009-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-02-01	Plan is a collectively bargained plan	No
2009-02-01	Plan funding arrangement – Insurance	Yes
2009-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	902808
Policy instance	1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	902808
Policy instance	1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number	902808
Policy instance	1
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	G000AQRW
Policy instance	1
COMPANION LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62243 )
Policy contract number	G000AQRW
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 71412 )
Policy contract number	G000AQRW
Policy instance	3

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Company Name:	CAMERON FABRICATING EMPLOYEE HEALTH BENEFITS
Employer identification number (EIN):	161206646
NAIC Classification:	333200