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THE CALLAWAY BANK HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameTHE CALLAWAY BANK HEALTH AND WELFARE PLAN
Plan identification number 501

THE CALLAWAY BANK HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

CALLAWAY SECURITY BANKS, INC has sponsored the creation of one or more 401k plans.

Company Name:CALLAWAY SECURITY BANKS, INC
Employer identification number (EIN):431214879
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CALLAWAY BANK HEALTH AND WELFARE 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
5012020-01-01
5012019-01-01
5012018-01-01MARSHA MOORE MARSHA MOORE2019-07-24
5012017-01-01MARSHA MOORE MARSHA MOORE2018-07-30
5012016-01-01MARSHA MOORE MARSHA MOORE2017-10-10
5012015-01-01MARSHA MOORE MARSHA MOORE2016-07-11
5012014-01-01MARSHA MOORE MARSHA MOORE2015-07-22
5012013-01-01MIKE HILL
5012012-01-01MICHAEL HILL MICHAEL HILL2013-08-19
5012011-01-01MICHAEL HILL
5012009-01-01MICHAEL S. HILL

Plan Statistics for THE CALLAWAY BANK HEALTH AND WELFARE PLAN

401k plan membership statisitcs for THE CALLAWAY BANK HEALTH AND WELFARE PLAN

Measure Date Value
2022: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0180
Total number of active participants reported on line 7a of the Form 55002022-01-0180
Number of retired or separated participants receiving benefits2022-01-011
Total of all active and inactive participants2022-01-0181
2021: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0180
Total number of active participants reported on line 7a of the Form 55002021-01-0182
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-0183
2020: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0164
Total number of active participants reported on line 7a of the Form 55002020-01-0180
Number of retired or separated participants receiving benefits2020-01-012
Total of all active and inactive participants2020-01-0182
2019: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0190
Total number of active participants reported on line 7a of the Form 55002019-01-0181
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0186
2018: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0183
Total number of active participants reported on line 7a of the Form 55002018-01-0187
Number of retired or separated participants receiving benefits2018-01-012
Total of all active and inactive participants2018-01-0189
2017: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0186
Total number of active participants reported on line 7a of the Form 55002017-01-0181
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0184
2016: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0188
Total number of active participants reported on line 7a of the Form 55002016-01-0186
Number of retired or separated participants receiving benefits2016-01-014
Total of all active and inactive participants2016-01-0190
2015: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0193
Total number of active participants reported on line 7a of the Form 55002015-01-0192
Number of retired or separated participants receiving benefits2015-01-012
Total of all active and inactive participants2015-01-0194
2014: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0191
Total number of active participants reported on line 7a of the Form 55002014-01-0186
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 participants2014-01-0186
2013: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01100
Total number of active participants reported on line 7a of the Form 55002013-01-0198
Number of retired or separated participants receiving benefits2013-01-011
Total of all active and inactive participants2013-01-0199
2012: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0197
Total number of active participants reported on line 7a of the Form 55002012-01-01102
Total of all active and inactive participants2012-01-01102
2011: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01105
Total number of active participants reported on line 7a of the Form 55002011-01-0198
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0199
2009: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01110
Total number of active participants reported on line 7a of the Form 55002009-01-01111
Total of all active and inactive participants2009-01-01111

Financial Data on THE CALLAWAY BANK HEALTH AND WELFARE PLAN

Measure Date Value
2022 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$180,895
Total plan liabilities at beginning of year2022-12-31$61,557
Total income from all sources2022-12-31$1,386,917
Expenses. Total of all expenses incurred2022-12-31$1,595,845
Benefits paid (including direct rollovers)2022-12-31$1,336,483
Total plan assets at end of year2022-12-31$393,627
Total plan assets at beginning of year2022-12-31$483,217
Value of fidelity bond covering the plan2022-12-31$2,000,000
Total contributions received or receivable from participants2022-12-31$342,244
Expenses. Other expenses not covered elsewhere2022-12-31$223,062
Other income received2022-12-31$351,163
Net income (gross income less expenses)2022-12-31$-208,928
Net plan assets at end of year (total assets less liabilities)2022-12-31$212,732
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$421,660
Total contributions received or receivable from employer(s)2022-12-31$693,510
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$36,300
2021 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$61,557
Total plan liabilities at beginning of year2021-12-31$92,420
Total income from all sources2021-12-31$920,771
Expenses. Total of all expenses incurred2021-12-31$1,068,396
Benefits paid (including direct rollovers)2021-12-31$807,983
Total plan assets at end of year2021-12-31$483,217
Total plan assets at beginning of year2021-12-31$661,705
Value of fidelity bond covering the plan2021-12-31$2,000,000
Total contributions received or receivable from participants2021-12-31$312,752
Expenses. Other expenses not covered elsewhere2021-12-31$214,131
Other income received2021-12-31$133,263
Net income (gross income less expenses)2021-12-31$-147,625
Net plan assets at end of year (total assets less liabilities)2021-12-31$421,660
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$569,285
Total contributions received or receivable from employer(s)2021-12-31$474,756
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$46,282
2020 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$92,420
Total plan liabilities at beginning of year2020-12-31$55,044
Total income from all sources2020-12-31$1,002,755
Expenses. Total of all expenses incurred2020-12-31$1,195,077
Benefits paid (including direct rollovers)2020-12-31$943,702
Total plan assets at end of year2020-12-31$416,995
Total plan assets at beginning of year2020-12-31$571,941
Value of fidelity bond covering the plan2020-12-31$2,000,000
Total contributions received or receivable from participants2020-12-31$118,882
Expenses. Other expenses not covered elsewhere2020-12-31$209,959
Other income received2020-12-31$117,747
Net income (gross income less expenses)2020-12-31$-192,322
Net plan assets at end of year (total assets less liabilities)2020-12-31$324,575
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$516,897
Total contributions received or receivable from employer(s)2020-12-31$766,126
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$41,416
2019 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$55,044
Total plan liabilities at beginning of year2019-12-31$143,686
Total income from all sources2019-12-31$1,171,542
Expenses. Total of all expenses incurred2019-12-31$972,091
Benefits paid (including direct rollovers)2019-12-31$717,065
Total plan assets at end of year2019-12-31$571,941
Total plan assets at beginning of year2019-12-31$461,132
Value of fidelity bond covering the plan2019-12-31$2,000,000
Total contributions received or receivable from participants2019-12-31$347,411
Expenses. Other expenses not covered elsewhere2019-12-31$210,608
Other income received2019-12-31$320,325
Net income (gross income less expenses)2019-12-31$199,451
Net plan assets at end of year (total assets less liabilities)2019-12-31$516,897
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$317,446
Total contributions received or receivable from employer(s)2019-12-31$503,806
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$44,418
2018 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$143,686
Total plan liabilities at beginning of year2018-12-31$10,689
Total income from all sources2018-12-31$1,125,726
Expenses. Total of all expenses incurred2018-12-31$1,546,590
Benefits paid (including direct rollovers)2018-12-31$1,304,626
Total plan assets at end of year2018-12-31$461,132
Total plan assets at beginning of year2018-12-31$748,999
Value of fidelity bond covering the plan2018-12-31$2,000,000
Total contributions received or receivable from participants2018-12-31$326,961
Expenses. Other expenses not covered elsewhere2018-12-31$200,747
Other income received2018-12-31$296,491
Net income (gross income less expenses)2018-12-31$-420,864
Net plan assets at end of year (total assets less liabilities)2018-12-31$317,446
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$738,310
Total contributions received or receivable from employer(s)2018-12-31$502,274
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$41,217
2017 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$10,689
Total plan liabilities at beginning of year2017-12-31$26,381
Total income from all sources2017-12-31$665,382
Expenses. Total of all expenses incurred2017-12-31$596,613
Benefits paid (including direct rollovers)2017-12-31$384,681
Total plan assets at end of year2017-12-31$748,999
Total plan assets at beginning of year2017-12-31$695,922
Total contributions received or receivable from participants2017-12-31$306,551
Expenses. Other expenses not covered elsewhere2017-12-31$174,347
Other income received2017-12-31$36,565
Net income (gross income less expenses)2017-12-31$68,769
Net plan assets at end of year (total assets less liabilities)2017-12-31$738,310
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$669,541
Total contributions received or receivable from employer(s)2017-12-31$322,266
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$37,585
2016 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$26,381
Total plan liabilities at beginning of year2016-12-31$25,470
Total income from all sources2016-12-31$853,662
Expenses. Total of all expenses incurred2016-12-31$770,366
Benefits paid (including direct rollovers)2016-12-31$552,228
Total plan assets at end of year2016-12-31$695,922
Total plan assets at beginning of year2016-12-31$611,715
Total contributions received or receivable from participants2016-12-31$305,300
Expenses. Other expenses not covered elsewhere2016-12-31$160,047
Other income received2016-12-31$60,231
Net income (gross income less expenses)2016-12-31$83,296
Net plan assets at end of year (total assets less liabilities)2016-12-31$669,541
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$586,245
Total contributions received or receivable from employer(s)2016-12-31$488,131
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$58,091
2015 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$25,470
Total plan liabilities at beginning of year2015-12-31$22,407
Total income from all sources2015-12-31$757,821
Expenses. Total of all expenses incurred2015-12-31$671,766
Benefits paid (including direct rollovers)2015-12-31$479,773
Total plan assets at end of year2015-12-31$611,715
Total plan assets at beginning of year2015-12-31$522,597
Total contributions received or receivable from participants2015-12-31$286,351
Expenses. Other expenses not covered elsewhere2015-12-31$148,379
Other income received2015-12-31$21,260
Net income (gross income less expenses)2015-12-31$86,055
Net plan assets at end of year (total assets less liabilities)2015-12-31$586,245
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$500,190
Total contributions received or receivable from employer(s)2015-12-31$450,210
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$43,614
2014 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$22,407
Total plan liabilities at beginning of year2014-12-31$25,660
Total income from all sources2014-12-31$691,714
Expenses. Total of all expenses incurred2014-12-31$537,517
Benefits paid (including direct rollovers)2014-12-31$336,101
Total plan assets at end of year2014-12-31$522,597
Total plan assets at beginning of year2014-12-31$371,653
Total contributions received or receivable from participants2014-12-31$239,787
Expenses. Other expenses not covered elsewhere2014-12-31$175,525
Net income (gross income less expenses)2014-12-31$154,197
Net plan assets at end of year (total assets less liabilities)2014-12-31$500,190
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$345,993
Total contributions received or receivable from employer(s)2014-12-31$451,927
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$25,891
2013 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$25,660
Total plan liabilities at beginning of year2013-12-31$46,238
Total income from all sources2013-12-31$705,661
Expenses. Total of all expenses incurred2013-12-31$599,558
Benefits paid (including direct rollovers)2013-12-31$398,383
Total plan assets at end of year2013-12-31$371,653
Total plan assets at beginning of year2013-12-31$286,128
Total contributions received or receivable from participants2013-12-31$231,864
Expenses. Other expenses not covered elsewhere2013-12-31$175,283
Net income (gross income less expenses)2013-12-31$106,103
Net plan assets at end of year (total assets less liabilities)2013-12-31$345,993
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$239,890
Total contributions received or receivable from employer(s)2013-12-31$473,797
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$25,892
2012 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$46,238
Total plan liabilities at beginning of year2012-12-31$47,400
Total income from all sources2012-12-31$664,553
Expenses. Total of all expenses incurred2012-12-31$627,668
Benefits paid (including direct rollovers)2012-12-31$435,905
Total plan assets at end of year2012-12-31$286,128
Total plan assets at beginning of year2012-12-31$250,405
Total contributions received or receivable from participants2012-12-31$207,081
Expenses. Other expenses not covered elsewhere2012-12-31$166,100
Contributions received from other sources (not participants or employers)2012-12-31$0
Net income (gross income less expenses)2012-12-31$36,885
Net plan assets at end of year (total assets less liabilities)2012-12-31$239,890
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$203,005
Total contributions received or receivable from employer(s)2012-12-31$457,472
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$25,663
2011 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$47,400
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$38,573
Total income from all sources (including contributions)2011-12-31$685,475
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$549,181
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$523,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$685,475
Value of total assets at end of year2011-12-31$250,405
Value of total assets at beginning of year2011-12-31$105,284
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$26,152
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$213,734
Total non interest bearing cash at end of year2011-12-31$250,405
Total non interest bearing cash at beginning of year2011-12-31$105,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$136,294
Value of net assets at end of year (total assets less liabilities)2011-12-31$203,005
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$66,711
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$162,934
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$471,741
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$360,095
Contract administrator fees2011-12-31$26,152
Liabilities. Value of benefit claims payable at end of year2011-12-31$47,400
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$38,573
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31WILLIAMS-KEEPERS LLC
Accountancy firm EIN2011-12-31431126847
2010 : THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$38,573
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$45,398
Total income from all sources (including contributions)2010-12-31$706,787
Total of all expenses incurred2010-12-31$637,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$610,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$706,385
Value of total assets at end of year2010-12-31$105,284
Value of total assets at beginning of year2010-12-31$42,772
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$26,567
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$221,519
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$35,245
Other income not declared elsewhere2010-12-31$402
Total non interest bearing cash at end of year2010-12-31$105,284
Total non interest bearing cash at beginning of year2010-12-31$7,527
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$69,337
Value of net assets at end of year (total assets less liabilities)2010-12-31$66,711
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-2,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$160,656
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$484,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$450,227
Contract administrator fees2010-12-31$26,567
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$38,573
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$45,398
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31WILLIAMS-KEEPERS LLC
Accountancy firm EIN2010-12-31431126847

Form 5500 Responses for THE CALLAWAY BANK HEALTH AND WELFARE PLAN

2022: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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: THE CALLAWAY BANK HEALTH AND WELFARE 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
2013: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: THE CALLAWAY BANK HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925618
Policy instance 1
Insurance contract or identification number925618
Number of Individuals Covered81
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,324
Welfare Benefit Premiums Paid to CarrierUSD $243,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7324
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925618
Policy instance 1
Insurance contract or identification number925618
Number of Individuals Covered81
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,976
Welfare Benefit Premiums Paid to CarrierUSD $218,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1976
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925618
Policy instance 1
Insurance contract or identification number925618
Number of Individuals Covered79
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,860
Welfare Benefit Premiums Paid to CarrierUSD $207,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2860
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925618
Policy instance 1
Insurance contract or identification number925618
Number of Individuals Covered81
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $212,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered90
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,047
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $201,552
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,047
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered83
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,230
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $174,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,958
Insurance broker organization code?3
Insurance broker nameCORESOURCE CORPORATE HEADQUARTERS
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered93
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,438
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,438
Insurance broker organization code?3
Insurance broker nameCORESOURCE (ERISCO)
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered90
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $16,765
Total amount of fees paid to insurance companyUSD $8,632
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $175,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,765
Insurance broker organization code?3
Amount paid for insurance broker fees8632
Additional information about fees paid to insurance brokerPPO/PRE-CERT FEES
Insurance broker nameHEALTHLINK
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered91
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $29,198
Total amount of fees paid to insurance companyUSD $0
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 $162,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,198
Insurance broker organization code?3
Insurance broker name
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered96
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $25,744
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $157,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,744
Insurance broker nameBMI HEALTHPLANS DIVISION
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered90
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 $162,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201045
Policy instance 1
Insurance contract or identification numberUNI-201045
Number of Individuals Covered95
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $152,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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