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WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 401k Plan overview

Plan NameWICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN
Plan identification number 501

WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN Benefits

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

401k Sponsoring company profile

WICKERSHAM CONSTRUCTION & ENGINEERING, INC. has sponsored the creation of one or more 401k plans.

Company Name:WICKERSHAM CONSTRUCTION & ENGINEERING, INC.
Employer identification number (EIN):232225439
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01BRADFORD B. SMITH
5012016-01-01BRADFORD B. SMITH
5012015-01-01BRADFORD B. SMITH
5012014-01-01BRADFORD B. SMITH

Plan Statistics for WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN

401k plan membership statisitcs for WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN

Measure Date Value
2022: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0157
Total number of active participants reported on line 7a of the Form 55002022-01-0165
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0165
2021: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0162
Total number of active participants reported on line 7a of the Form 55002021-01-0157
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0157
2020: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0165
Total number of active participants reported on line 7a of the Form 55002020-01-0162
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0162
2019: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0155
Total number of active participants reported on line 7a of the Form 55002019-01-0164
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0165
2018: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0155
Total number of active participants reported on line 7a of the Form 55002018-01-0155
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0155
2017: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0146
Total number of active participants reported on line 7a of the Form 55002017-01-0155
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0155
2016: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0155
Total number of active participants reported on line 7a of the Form 55002016-01-0146
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0146
2015: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0158
Total number of active participants reported on line 7a of the Form 55002015-01-0155
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0155
2014: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0177
Total number of active participants reported on line 7a of the Form 55002014-01-0158
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0158

Financial Data on WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN

Measure Date Value
2022 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$46,757
Total plan liabilities at beginning of year2022-12-31$44,341
Total income from all sources2022-12-31$799,500
Expenses. Total of all expenses incurred2022-12-31$728,327
Benefits paid (including direct rollovers)2022-12-31$415,163
Total plan assets at end of year2022-12-31$83,033
Total plan assets at beginning of year2022-12-31$9,444
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$117,781
Expenses. Other expenses not covered elsewhere2022-12-31$301,439
Other income received2022-12-31$134
Net income (gross income less expenses)2022-12-31$71,173
Net plan assets at end of year (total assets less liabilities)2022-12-31$36,276
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-34,897
Total contributions received or receivable from employer(s)2022-12-31$681,585
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$11,725
2021 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$44,341
Total plan liabilities at beginning of year2021-12-31$23,302
Total income from all sources2021-12-31$503,937
Expenses. Total of all expenses incurred2021-12-31$643,639
Benefits paid (including direct rollovers)2021-12-31$437,985
Total plan assets at end of year2021-12-31$9,444
Total plan assets at beginning of year2021-12-31$128,107
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$93,772
Expenses. Other expenses not covered elsewhere2021-12-31$202,838
Contributions received from other sources (not participants or employers)2021-12-31$4,699
Other income received2021-12-31$92
Net income (gross income less expenses)2021-12-31$-139,702
Net plan assets at end of year (total assets less liabilities)2021-12-31$-34,897
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$104,805
Total contributions received or receivable from employer(s)2021-12-31$405,374
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,816
2020 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$23,302
Total plan liabilities at beginning of year2020-12-31$40,279
Total income from all sources2020-12-31$586,409
Expenses. Total of all expenses incurred2020-12-31$492,439
Benefits paid (including direct rollovers)2020-12-31$261,821
Total plan assets at end of year2020-12-31$128,107
Total plan assets at beginning of year2020-12-31$51,114
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$107,496
Expenses. Other expenses not covered elsewhere2020-12-31$222,965
Contributions received from other sources (not participants or employers)2020-12-31$12,070
Other income received2020-12-31$295
Net income (gross income less expenses)2020-12-31$93,970
Net plan assets at end of year (total assets less liabilities)2020-12-31$104,805
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$10,835
Total contributions received or receivable from employer(s)2020-12-31$466,548
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$7,653
2019 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$40,279
Total plan liabilities at beginning of year2019-12-31$26,398
Total income from all sources2019-12-31$492,431
Expenses. Total of all expenses incurred2019-12-31$479,016
Benefits paid (including direct rollovers)2019-12-31$238,260
Total plan assets at end of year2019-12-31$51,114
Total plan assets at beginning of year2019-12-31$23,818
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$92,764
Expenses. Other expenses not covered elsewhere2019-12-31$190,370
Contributions received from other sources (not participants or employers)2019-12-31$10,554
Other income received2019-12-31$77
Net income (gross income less expenses)2019-12-31$13,415
Net plan assets at end of year (total assets less liabilities)2019-12-31$10,835
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$-2,580
Total contributions received or receivable from employer(s)2019-12-31$389,036
Value of corrective distributions2019-12-31$24,826
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$25,560
2018 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$26,398
Total plan liabilities at beginning of year2018-12-31$13,929
Total income from all sources2018-12-31$482,511
Expenses. Total of all expenses incurred2018-12-31$560,347
Benefits paid (including direct rollovers)2018-12-31$243,442
Total plan assets at end of year2018-12-31$23,818
Total plan assets at beginning of year2018-12-31$89,185
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$95,740
Expenses. Other expenses not covered elsewhere2018-12-31$190,681
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$205
Net income (gross income less expenses)2018-12-31$-77,836
Net plan assets at end of year (total assets less liabilities)2018-12-31$-2,580
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$75,256
Total contributions received or receivable from employer(s)2018-12-31$386,566
Value of corrective distributions2018-12-31$93,807
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$32,417
2017 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$13,929
Total plan liabilities at beginning of year2017-12-31$27,258
Total income from all sources2017-12-31$427,461
Expenses. Total of all expenses incurred2017-12-31$391,188
Benefits paid (including direct rollovers)2017-12-31$191,225
Total plan assets at end of year2017-12-31$89,185
Total plan assets at beginning of year2017-12-31$66,241
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$100,102
Expenses. Other expenses not covered elsewhere2017-12-31$145,795
Other income received2017-12-31$220
Net income (gross income less expenses)2017-12-31$36,273
Net plan assets at end of year (total assets less liabilities)2017-12-31$75,256
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$38,983
Total contributions received or receivable from employer(s)2017-12-31$327,139
Value of corrective distributions2017-12-31$26,879
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$27,289
2016 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$27,258
Total plan liabilities at beginning of year2016-12-31$36,538
Total income from all sources2016-12-31$386,921
Expenses. Total of all expenses incurred2016-12-31$319,783
Benefits paid (including direct rollovers)2016-12-31$155,764
Total plan assets at end of year2016-12-31$66,241
Total plan assets at beginning of year2016-12-31$8,383
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$98,477
Expenses. Other expenses not covered elsewhere2016-12-31$123,171
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$34
Net income (gross income less expenses)2016-12-31$67,138
Net plan assets at end of year (total assets less liabilities)2016-12-31$38,983
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$-28,155
Total contributions received or receivable from employer(s)2016-12-31$288,410
Value of corrective distributions2016-12-31$14,528
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$26,320
2015 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$36,538
Total plan liabilities at beginning of year2015-12-31$50,106
Total income from all sources2015-12-31$364,159
Expenses. Total of all expenses incurred2015-12-31$370,075
Benefits paid (including direct rollovers)2015-12-31$208,095
Total plan assets at end of year2015-12-31$8,383
Total plan assets at beginning of year2015-12-31$27,867
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$84,445
Expenses. Other expenses not covered elsewhere2015-12-31$117,598
Other income received2015-12-31$58
Net income (gross income less expenses)2015-12-31$-5,916
Net plan assets at end of year (total assets less liabilities)2015-12-31$-28,155
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$-22,239
Total contributions received or receivable from employer(s)2015-12-31$279,656
Value of corrective distributions2015-12-31$18,093
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$26,289
2014 : WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$50,106
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$342,219
Expenses. Total of all expenses incurred2014-12-31$372,110
Benefits paid (including direct rollovers)2014-12-31$226,913
Total plan assets at end of year2014-12-31$27,867
Total plan assets at beginning of year2014-12-31$7,652
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$56,843
Expenses. Other expenses not covered elsewhere2014-12-31$113,786
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$67
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$-29,891
Net plan assets at end of year (total assets less liabilities)2014-12-31$-22,239
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$7,652
Total contributions received or receivable from employer(s)2014-12-31$285,309
Value of corrective distributions2014-12-31$6,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$25,411

Form 5500 Responses for WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN

2022: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: WICKERSHAM CONSTRUCTION & ENGINEERING, INC. EMPLOYEE HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500099
Policy instance 1
Insurance contract or identification number30500099
Number of Individuals Covered65
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitNo
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 $256,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500099
Policy instance 1
Insurance contract or identification number30500099
Number of Individuals Covered57
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitNo
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 $169,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500099
Policy instance 1
Insurance contract or identification number30500099
Number of Individuals Covered62
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitNo
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 $18,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered65
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitNo
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 $159,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered55
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 BenefitNo
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 $119,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
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 $153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 2
Insurance contract or identification numberVERIS
Number of Individuals Covered55
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
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 $91,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
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 $87,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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