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C.M. HIGH, INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameC.M. HIGH, INC. GROUP HEALTH PLAN
Plan identification number 501

C.M. HIGH, INC. GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

C.M. HIGH, INC. has sponsored the creation of one or more 401k plans.

Company Name:C.M. HIGH, INC.
Employer identification number (EIN):232416507
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C.M. HIGH, INC. GROUP 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
5012017-01-01ZACH HERSHEY
5012016-10-01ZACH HERSHEY
5012015-10-01ZACH HERSHEY
5012014-10-01ZACH HERSHEY
5012013-10-01ZACH HERSHEY
5012012-10-01ZACH HERSHEY
5012011-10-01SCOTT R. MACNAIR

Plan Statistics for C.M. HIGH, INC. GROUP HEALTH PLAN

401k plan membership statisitcs for C.M. HIGH, INC. GROUP HEALTH PLAN

Measure Date Value
2022: C.M. HIGH, INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0174
Total number of active participants reported on line 7a of the Form 55002022-01-0173
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 participants2022-01-0173
2021: C.M. HIGH, INC. GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0177
Total number of active participants reported on line 7a of the Form 55002021-01-0173
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 participants2021-01-0173
2020: C.M. HIGH, INC. GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0177
Total number of active participants reported on line 7a of the Form 55002020-01-0177
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 participants2020-01-0177
2019: C.M. HIGH, INC. GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0176
Total number of active participants reported on line 7a of the Form 55002019-01-0177
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0177
2018: C.M. HIGH, INC. GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0177
Total number of active participants reported on line 7a of the Form 55002018-01-0175
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0176
2017: C.M. HIGH, INC. GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0181
Total number of active participants reported on line 7a of the Form 55002017-01-0176
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0177
2016: C.M. HIGH, INC. GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0182
Total number of active participants reported on line 7a of the Form 55002016-10-0181
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-0181
2015: C.M. HIGH, INC. GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0187
Total number of active participants reported on line 7a of the Form 55002015-10-0182
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-0182
2014: C.M. HIGH, INC. GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0182
Total number of active participants reported on line 7a of the Form 55002014-10-0187
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-0187
2013: C.M. HIGH, INC. GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0182
Total number of active participants reported on line 7a of the Form 55002013-10-0182
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-0182
2012: C.M. HIGH, INC. GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-0179
Total number of active participants reported on line 7a of the Form 55002012-10-0182
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-0182
2011: C.M. HIGH, INC. GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-0174
Total number of active participants reported on line 7a of the Form 55002011-10-0178
Number of retired or separated participants receiving benefits2011-10-011
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-0179

Financial Data on C.M. HIGH, INC. GROUP HEALTH PLAN

Measure Date Value
2022 : C.M. HIGH, INC. GROUP HEALTH PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$113,036
Total plan liabilities at beginning of year2022-12-31$821,513
Total income from all sources2022-12-31$1,642,199
Expenses. Total of all expenses incurred2022-12-31$1,509,571
Benefits paid (including direct rollovers)2022-12-31$783,879
Total plan assets at end of year2022-12-31$245,664
Total plan assets at beginning of year2022-12-31$821,513
Value of fidelity bond covering the plan2022-12-31$25,000
Total contributions received or receivable from participants2022-12-31$119,860
Expenses. Other expenses not covered elsewhere2022-12-31$470,905
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$874
Net income (gross income less expenses)2022-12-31$132,628
Net plan assets at end of year (total assets less liabilities)2022-12-31$132,628
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$1,521,465
Value of corrective distributions2022-12-31$247,488
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$7,299
2021 : C.M. HIGH, INC. GROUP HEALTH PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$821,513
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,441,649
Expenses. Total of all expenses incurred2021-12-31$1,662,076
Benefits paid (including direct rollovers)2021-12-31$1,243,178
Total plan assets at end of year2021-12-31$821,513
Total plan assets at beginning of year2021-12-31$220,427
Value of fidelity bond covering the plan2021-12-31$25,000
Total contributions received or receivable from participants2021-12-31$119,625
Expenses. Other expenses not covered elsewhere2021-12-31$368,163
Other income received2021-12-31$247
Net income (gross income less expenses)2021-12-31$-220,427
Net plan assets at end of year (total assets less liabilities)2021-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$220,427
Total contributions received or receivable from employer(s)2021-12-31$1,321,777
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$50,735
2020 : C.M. HIGH, INC. GROUP HEALTH PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$6,423
Total income from all sources2020-12-31$1,209,239
Expenses. Total of all expenses incurred2020-12-31$1,099,827
Benefits paid (including direct rollovers)2020-12-31$720,590
Total plan assets at end of year2020-12-31$220,427
Total plan assets at beginning of year2020-12-31$117,438
Value of fidelity bond covering the plan2020-12-31$25,000
Total contributions received or receivable from participants2020-12-31$127,074
Expenses. Other expenses not covered elsewhere2020-12-31$330,888
Other income received2020-12-31$457
Net income (gross income less expenses)2020-12-31$109,412
Net plan assets at end of year (total assets less liabilities)2020-12-31$220,427
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$111,015
Total contributions received or receivable from employer(s)2020-12-31$1,081,708
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$48,349
2019 : C.M. HIGH, INC. GROUP HEALTH PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$6,423
Total plan liabilities at beginning of year2019-12-31$7,099
Total income from all sources2019-12-31$1,070,860
Expenses. Total of all expenses incurred2019-12-31$1,084,306
Benefits paid (including direct rollovers)2019-12-31$761,086
Total plan assets at end of year2019-12-31$117,438
Total plan assets at beginning of year2019-12-31$131,560
Value of fidelity bond covering the plan2019-12-31$25,000
Total contributions received or receivable from participants2019-12-31$169,090
Expenses. Other expenses not covered elsewhere2019-12-31$270,866
Other income received2019-12-31$487
Net income (gross income less expenses)2019-12-31$-13,446
Net plan assets at end of year (total assets less liabilities)2019-12-31$111,015
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$124,461
Total contributions received or receivable from employer(s)2019-12-31$901,283
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$52,354
2018 : C.M. HIGH, INC. GROUP HEALTH PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$7,099
Total plan liabilities at beginning of year2018-12-31$17,333
Total income from all sources2018-12-31$1,005,499
Expenses. Total of all expenses incurred2018-12-31$987,989
Benefits paid (including direct rollovers)2018-12-31$671,884
Total plan assets at end of year2018-12-31$131,560
Total plan assets at beginning of year2018-12-31$124,284
Value of fidelity bond covering the plan2018-12-31$25,000
Total contributions received or receivable from participants2018-12-31$199,645
Expenses. Other expenses not covered elsewhere2018-12-31$242,280
Other income received2018-12-31$445
Net income (gross income less expenses)2018-12-31$17,510
Net plan assets at end of year (total assets less liabilities)2018-12-31$124,461
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$106,951
Total contributions received or receivable from employer(s)2018-12-31$805,409
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$73,825
2017 : C.M. HIGH, INC. GROUP HEALTH PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$17,333
Total plan liabilities at beginning of year2017-12-31$38,850
Total income from all sources2017-12-31$933,689
Expenses. Total of all expenses incurred2017-12-31$848,824
Benefits paid (including direct rollovers)2017-12-31$553,780
Total plan assets at end of year2017-12-31$124,284
Total plan assets at beginning of year2017-12-31$60,936
Value of fidelity bond covering the plan2017-12-31$25,000
Total contributions received or receivable from participants2017-12-31$201,320
Expenses. Other expenses not covered elsewhere2017-12-31$210,860
Other income received2017-12-31$359
Net income (gross income less expenses)2017-12-31$84,865
Net plan assets at end of year (total assets less liabilities)2017-12-31$106,951
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$22,086
Total contributions received or receivable from employer(s)2017-12-31$732,010
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$84,184
2016 : C.M. HIGH, INC. GROUP HEALTH PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$38,850
Total plan liabilities at beginning of year2016-12-31$21,764
Total income from all sources2016-12-31$111,482
Expenses. Total of all expenses incurred2016-12-31$322,480
Benefits paid (including direct rollovers)2016-12-31$247,652
Total plan assets at end of year2016-12-31$60,936
Total plan assets at beginning of year2016-12-31$254,848
Value of fidelity bond covering the plan2016-12-31$25,000
Total contributions received or receivable from participants2016-12-31$39,220
Expenses. Other expenses not covered elsewhere2016-12-31$53,131
Other income received2016-12-31$82
Net income (gross income less expenses)2016-12-31$-210,998
Net plan assets at end of year (total assets less liabilities)2016-12-31$22,086
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$233,084
Total contributions received or receivable from employer(s)2016-12-31$72,180
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$21,697
Total plan liabilities at end of year2016-09-30$21,764
Total plan liabilities at beginning of year2016-09-30$0
Total income from all sources2016-09-30$902,780
Expenses. Total of all expenses incurred2016-09-30$865,373
Benefits paid (including direct rollovers)2016-09-30$584,785
Total plan assets at end of year2016-09-30$254,848
Total plan assets at beginning of year2016-09-30$195,677
Value of fidelity bond covering the plan2016-09-30$25,000
Total contributions received or receivable from participants2016-09-30$146,050
Expenses. Other expenses not covered elsewhere2016-09-30$189,420
Other income received2016-09-30$544
Net income (gross income less expenses)2016-09-30$37,407
Net plan assets at end of year (total assets less liabilities)2016-09-30$233,084
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$195,677
Total contributions received or receivable from employer(s)2016-09-30$756,186
Expenses. Administrative service providers (salaries,fees and commissions)2016-09-30$91,168
2015 : C.M. HIGH, INC. GROUP HEALTH PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-09-30$50,250
Total income from all sources2015-09-30$1,007,761
Expenses. Total of all expenses incurred2015-09-30$812,084
Benefits paid (including direct rollovers)2015-09-30$549,993
Total plan assets at end of year2015-09-30$195,677
Total plan assets at beginning of year2015-09-30$50,250
Value of fidelity bond covering the plan2015-09-30$25,000
Total contributions received or receivable from participants2015-09-30$79,490
Expenses. Other expenses not covered elsewhere2015-09-30$169,547
Other income received2015-09-30$194
Net income (gross income less expenses)2015-09-30$195,677
Net plan assets at end of year (total assets less liabilities)2015-09-30$195,677
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$0
Total contributions received or receivable from employer(s)2015-09-30$928,077
Expenses. Administrative service providers (salaries,fees and commissions)2015-09-30$92,544
2014 : C.M. HIGH, INC. GROUP HEALTH PLAN 2014 401k financial data
Total plan liabilities at end of year2014-09-30$50,250
Total plan liabilities at beginning of year2014-09-30$6,129
Total income from all sources2014-09-30$830,162
Expenses. Total of all expenses incurred2014-09-30$839,767
Benefits paid (including direct rollovers)2014-09-30$613,909
Total plan assets at end of year2014-09-30$50,250
Total plan assets at beginning of year2014-09-30$15,734
Value of fidelity bond covering the plan2014-09-30$100,000
Total contributions received or receivable from participants2014-09-30$22,820
Expenses. Other expenses not covered elsewhere2014-09-30$139,872
Other income received2014-09-30$129
Net income (gross income less expenses)2014-09-30$-9,605
Net plan assets at end of year (total assets less liabilities)2014-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$9,605
Total contributions received or receivable from employer(s)2014-09-30$807,213
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$85,986
2013 : C.M. HIGH, INC. GROUP HEALTH PLAN 2013 401k financial data
Total plan liabilities at end of year2013-09-30$6,129
Total plan liabilities at beginning of year2013-09-30$48,963
Total income from all sources2013-09-30$798,452
Expenses. Total of all expenses incurred2013-09-30$863,086
Benefits paid (including direct rollovers)2013-09-30$644,604
Total plan assets at end of year2013-09-30$15,734
Total plan assets at beginning of year2013-09-30$123,202
Value of fidelity bond covering the plan2013-09-30$1,000,000
Total contributions received or receivable from participants2013-09-30$3,880
Expenses. Other expenses not covered elsewhere2013-09-30$131,869
Other income received2013-09-30$27,323
Net income (gross income less expenses)2013-09-30$-64,634
Net plan assets at end of year (total assets less liabilities)2013-09-30$9,605
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$74,239
Total contributions received or receivable from employer(s)2013-09-30$767,249
Expenses. Administrative service providers (salaries,fees and commissions)2013-09-30$86,613
2012 : C.M. HIGH, INC. GROUP HEALTH PLAN 2012 401k financial data
Total plan liabilities at end of year2012-09-30$48,963
Total income from all sources2012-09-30$724,831
Expenses. Total of all expenses incurred2012-09-30$650,592
Benefits paid (including direct rollovers)2012-09-30$468,024
Total plan assets at end of year2012-09-30$123,202
Expenses. Other expenses not covered elsewhere2012-09-30$105,478
Other income received2012-09-30$59,258
Net income (gross income less expenses)2012-09-30$74,239
Net plan assets at end of year (total assets less liabilities)2012-09-30$74,239
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$0
Total contributions received or receivable from employer(s)2012-09-30$665,573
Expenses. Administrative service providers (salaries,fees and commissions)2012-09-30$77,090

Form 5500 Responses for C.M. HIGH, INC. GROUP HEALTH PLAN

2022: C.M. HIGH, INC. GROUP 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: C.M. HIGH, INC. GROUP 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: C.M. HIGH, INC. GROUP 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: C.M. HIGH, INC. GROUP 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: C.M. HIGH, INC. GROUP 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: C.M. HIGH, INC. GROUP 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: C.M. HIGH, INC. GROUP HEALTH PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: C.M. HIGH, INC. GROUP HEALTH PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: C.M. HIGH, INC. GROUP HEALTH PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: C.M. HIGH, INC. GROUP HEALTH PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: C.M. HIGH, INC. GROUP HEALTH PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: C.M. HIGH, INC. GROUP HEALTH PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01First time form 5500 has been submittedYes
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL30800003
Policy instance 1
Insurance contract or identification numberSL30800003
Number of Individuals Covered73
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 $427,100
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 numberSL30800003
Policy instance 1
Insurance contract or identification numberSL30800003
Number of Individuals Covered73
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 $368,163
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 numberSL30800003
Policy instance 1
Insurance contract or identification numberSL30800003
Number of Individuals Covered77
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 $330,888
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered77
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 $270,867
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered77
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 $210,860
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered82
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
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 $189,421
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered87
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
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 $106,878
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 numberGENESIS
Policy instance 2
Insurance contract or identification numberGENESIS
Number of Individuals Covered87
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
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 $62,670
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered82
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
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 $139,872
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered82
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
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 $131,869
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 numberGENESIS
Policy instance 1
Insurance contract or identification numberGENESIS
Number of Individuals Covered79
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
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 $105,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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