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CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 401k Plan overview

Plan NameCC JOHNSON & MALHOTRA PC HEALTH CARE PLAN
Plan identification number 501

CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN
Employer identification number (EIN):521150780
NAIC Classification:541330
NAIC Description:Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CC JOHNSON & MALHOTRA PC HEALTH CARE 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
5012017-01-01GEORGE JOSEPH
5012016-01-01GEORGE JOSEPH
5012015-01-01GEORGE JOSEPH
5012014-01-01GEORGE JOSEPH
5012013-01-01GEORGE JOSEPH
5012012-01-01GEORGE JOSEPH
5012011-01-01GEORGE JOSEPH
5012009-01-01GEORGE JOSEPH

Plan Statistics for CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN

401k plan membership statisitcs for CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN

Measure Date Value
2022: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0177
Total number of active participants reported on line 7a of the Form 55002022-01-0182
Total of all active and inactive participants2022-01-0182
Total participants2022-01-0182
2021: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0172
Total number of active participants reported on line 7a of the Form 55002021-01-0177
Total of all active and inactive participants2021-01-0177
Total participants2021-01-0177
2020: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0178
Total number of active participants reported on line 7a of the Form 55002020-01-0172
Total of all active and inactive participants2020-01-0172
Total participants2020-01-0172
2019: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0182
Total number of active participants reported on line 7a of the Form 55002019-01-0178
Total of all active and inactive participants2019-01-0178
Total participants2019-01-0178
2018: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0150
Total number of active participants reported on line 7a of the Form 55002018-01-0182
Total of all active and inactive participants2018-01-0182
Total participants2018-01-0182
2017: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0152
Total number of active participants reported on line 7a of the Form 55002017-01-0150
Total of all active and inactive participants2017-01-0150
Total participants2017-01-0150
2016: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0153
Total number of active participants reported on line 7a of the Form 55002016-01-0152
Total of all active and inactive participants2016-01-0152
Total participants2016-01-0152
2015: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0154
Total number of active participants reported on line 7a of the Form 55002015-01-0153
Total of all active and inactive participants2015-01-0153
Total participants2015-01-0153
2014: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0148
Total number of active participants reported on line 7a of the Form 55002014-01-0154
Total of all active and inactive participants2014-01-0154
Total participants2014-01-0154
2013: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0145
Total number of active participants reported on line 7a of the Form 55002013-01-0148
Total of all active and inactive participants2013-01-0148
Total participants2013-01-0148
2012: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0149
Total number of active participants reported on line 7a of the Form 55002012-01-0145
Total of all active and inactive participants2012-01-0145
Total participants2012-01-0145
2011: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0149
Total number of active participants reported on line 7a of the Form 55002011-01-0149
Total of all active and inactive participants2011-01-0149
Total participants2011-01-0149
2009: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0144
Total number of active participants reported on line 7a of the Form 55002009-01-0147
Total of all active and inactive participants2009-01-0147
Total participants2009-01-0147

Financial Data on CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN

Measure Date Value
2022 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$1,998
Total plan liabilities at beginning of year2022-12-31$-1,899
Total income from all sources2022-12-31$1,632,137
Expenses. Total of all expenses incurred2022-12-31$1,636,480
Benefits paid (including direct rollovers)2022-12-31$1,636,480
Total plan assets at end of year2022-12-31$2,605
Total plan assets at beginning of year2022-12-31$3,051
Total contributions received or receivable from participants2022-12-31$169,805
Net income (gross income less expenses)2022-12-31$-4,343
Net plan assets at end of year (total assets less liabilities)2022-12-31$607
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$4,950
Total contributions received or receivable from employer(s)2022-12-31$1,462,332
2021 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$-1,899
Total plan liabilities at beginning of year2021-12-31$-1,212
Total income from all sources2021-12-31$1,581,949
Expenses. Total of all expenses incurred2021-12-31$1,581,059
Benefits paid (including direct rollovers)2021-12-31$1,581,059
Total plan assets at end of year2021-12-31$3,051
Total plan assets at beginning of year2021-12-31$2,848
Total contributions received or receivable from participants2021-12-31$182,667
Net income (gross income less expenses)2021-12-31$890
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,950
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,060
Total contributions received or receivable from employer(s)2021-12-31$1,399,282
2020 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$-1,212
Total plan liabilities at beginning of year2020-12-31$-1,399
Total income from all sources2020-12-31$1,380,599
Expenses. Total of all expenses incurred2020-12-31$1,379,597
Benefits paid (including direct rollovers)2020-12-31$1,379,597
Total plan assets at end of year2020-12-31$2,848
Total plan assets at beginning of year2020-12-31$1,659
Total contributions received or receivable from participants2020-12-31$175,480
Net income (gross income less expenses)2020-12-31$1,002
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,060
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,058
Total contributions received or receivable from employer(s)2020-12-31$1,205,119
2019 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$-1,399
Total plan liabilities at beginning of year2019-12-31$-486
Total income from all sources2019-12-31$1,617,759
Expenses. Total of all expenses incurred2019-12-31$1,617,425
Benefits paid (including direct rollovers)2019-12-31$1,617,425
Total plan assets at end of year2019-12-31$1,659
Total plan assets at beginning of year2019-12-31$2,238
Total contributions received or receivable from participants2019-12-31$186,818
Net income (gross income less expenses)2019-12-31$334
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,058
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,724
Total contributions received or receivable from employer(s)2019-12-31$1,430,941
2018 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$-486
Total plan liabilities at beginning of year2018-12-31$528
Total income from all sources2018-12-31$1,206,143
Expenses. Total of all expenses incurred2018-12-31$1,203,867
Benefits paid (including direct rollovers)2018-12-31$1,203,867
Total plan assets at end of year2018-12-31$2,238
Total plan assets at beginning of year2018-12-31$976
Total contributions received or receivable from participants2018-12-31$178,956
Net income (gross income less expenses)2018-12-31$2,276
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,724
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$448
Total contributions received or receivable from employer(s)2018-12-31$1,027,187
2017 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$528
Total plan liabilities at beginning of year2017-12-31$3,832
Total income from all sources2017-12-31$833,555
Expenses. Total of all expenses incurred2017-12-31$829,759
Benefits paid (including direct rollovers)2017-12-31$829,759
Total plan assets at end of year2017-12-31$976
Total plan assets at beginning of year2017-12-31$484
Total contributions received or receivable from participants2017-12-31$124,415
Net income (gross income less expenses)2017-12-31$3,796
Net plan assets at end of year (total assets less liabilities)2017-12-31$448
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$-3,348
Total contributions received or receivable from employer(s)2017-12-31$709,140
2016 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$3,832
Total plan liabilities at beginning of year2016-12-31$-751
Total income from all sources2016-12-31$768,565
Expenses. Total of all expenses incurred2016-12-31$773,434
Benefits paid (including direct rollovers)2016-12-31$773,434
Total plan assets at end of year2016-12-31$484
Total plan assets at beginning of year2016-12-31$770
Total contributions received or receivable from participants2016-12-31$148,200
Net income (gross income less expenses)2016-12-31$-4,869
Net plan assets at end of year (total assets less liabilities)2016-12-31$-3,348
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,521
Total contributions received or receivable from employer(s)2016-12-31$620,365
2015 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$-751
Total plan liabilities at beginning of year2015-12-31$24,730
Total income from all sources2015-12-31$841,838
Expenses. Total of all expenses incurred2015-12-31$845,879
Benefits paid (including direct rollovers)2015-12-31$845,879
Total plan assets at end of year2015-12-31$770
Total plan assets at beginning of year2015-12-31$30,292
Total contributions received or receivable from participants2015-12-31$167,133
Net income (gross income less expenses)2015-12-31$-4,041
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,521
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,562
Total contributions received or receivable from employer(s)2015-12-31$674,705
2014 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$24,730
Total plan liabilities at beginning of year2014-12-31$26,691
Total income from all sources2014-12-31$774,433
Expenses. Total of all expenses incurred2014-12-31$771,110
Benefits paid (including direct rollovers)2014-12-31$771,110
Total plan assets at end of year2014-12-31$30,292
Total plan assets at beginning of year2014-12-31$28,930
Total contributions received or receivable from participants2014-12-31$162,352
Net income (gross income less expenses)2014-12-31$3,323
Net plan assets at end of year (total assets less liabilities)2014-12-31$5,562
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,239
Total contributions received or receivable from employer(s)2014-12-31$612,081
2013 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$26,691
Total plan liabilities at beginning of year2013-12-31$53,248
Total income from all sources2013-12-31$692,578
Expenses. Total of all expenses incurred2013-12-31$688,100
Benefits paid (including direct rollovers)2013-12-31$661,605
Total plan assets at end of year2013-12-31$28,930
Total plan assets at beginning of year2013-12-31$51,009
Total contributions received or receivable from participants2013-12-31$158,136
Expenses. Other expenses not covered elsewhere2013-12-31$26,495
Net income (gross income less expenses)2013-12-31$4,478
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,239
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$-2,239
Total contributions received or receivable from employer(s)2013-12-31$534,442
2012 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$53,248
Total plan liabilities at beginning of year2012-12-31$47,110
Total income from all sources2012-12-31$737,321
Expenses. Total of all expenses incurred2012-12-31$738,305
Benefits paid (including direct rollovers)2012-12-31$708,541
Total plan assets at end of year2012-12-31$51,009
Total plan assets at beginning of year2012-12-31$46,600
Total contributions received or receivable from participants2012-12-31$141,719
Expenses. Other expenses not covered elsewhere2012-12-31$29,764
Net income (gross income less expenses)2012-12-31$-984
Net plan assets at end of year (total assets less liabilities)2012-12-31$-2,239
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$-510
Total contributions received or receivable from employer(s)2012-12-31$595,602
2011 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$47,110
Total plan liabilities at beginning of year2011-12-31$35,745
Total income from all sources2011-12-31$656,604
Expenses. Total of all expenses incurred2011-12-31$657,859
Benefits paid (including direct rollovers)2011-12-31$633,335
Total plan assets at end of year2011-12-31$46,600
Total plan assets at beginning of year2011-12-31$36,489
Value of fidelity bond covering the plan2011-12-31$550,000
Total contributions received or receivable from participants2011-12-31$133,775
Expenses. Other expenses not covered elsewhere2011-12-31$24,524
Net income (gross income less expenses)2011-12-31$-1,255
Net plan assets at end of year (total assets less liabilities)2011-12-31$-510
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$744
Total contributions received or receivable from employer(s)2011-12-31$522,829
2010 : CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$35,745
Total plan liabilities at beginning of year2010-12-31$67,785
Total income from all sources2010-12-31$514,650
Expenses. Total of all expenses incurred2010-12-31$512,866
Benefits paid (including direct rollovers)2010-12-31$492,160
Total plan assets at end of year2010-12-31$36,489
Total plan assets at beginning of year2010-12-31$66,745
Value of fidelity bond covering the plan2010-12-31$550,000
Total contributions received or receivable from participants2010-12-31$125,795
Expenses. Other expenses not covered elsewhere2010-12-31$20,706
Net income (gross income less expenses)2010-12-31$1,784
Net plan assets at end of year (total assets less liabilities)2010-12-31$744
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$-1,040
Total contributions received or receivable from employer(s)2010-12-31$388,855

Form 5500 Responses for CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN

2022: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: CC JOHNSON & MALHOTRA PC HEALTH CARE 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 – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: CC JOHNSON & MALHOTRA PC HEALTH CARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00163277
Policy instance 1
Insurance contract or identification number00163277
Number of Individuals Covered82
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $17,356
Total amount of fees paid to insurance companyUSD $98,683
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,356
Amount paid for insurance broker fees17356
Additional information about fees paid to insurance brokerSERVICE
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00163277
Policy instance 1
Insurance contract or identification number00163277
Number of Individuals Covered77
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $16,250
Total amount of fees paid to insurance companyUSD $82,703
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,250
Amount paid for insurance broker fees16250
Additional information about fees paid to insurance brokerSERVICE
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00163277
Policy instance 1
Insurance contract or identification number00163277
Number of Individuals Covered72
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,905
Total amount of fees paid to insurance companyUSD $97,744
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,905
Amount paid for insurance broker fees16905
Additional information about fees paid to insurance brokerSERVICE
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00163277
Policy instance 1
Insurance contract or identification number00163277
Number of Individuals Covered78
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $17,716
Total amount of fees paid to insurance companyUSD $90,665
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,716
Additional information about fees paid to insurance brokerSERVICE
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00163277
Policy instance 1
Insurance contract or identification number00163277
Number of Individuals Covered82
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $17,651
Total amount of fees paid to insurance companyUSD $103,129
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,651
Additional information about fees paid to insurance brokerSERVICE
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered50
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,945
Total amount of fees paid to insurance companyUSD $69,084
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,945
Additional information about fees paid to insurance brokerSERVICE
Insurance broker namePAUL ARBO
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered53
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $18,805
Total amount of fees paid to insurance companyUSD $68,381
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,805
Additional information about fees paid to insurance brokerSERVICE
Insurance broker namePAUL ARBO
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered54
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,916
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,916
Additional information about fees paid to insurance brokerSERVICE
Insurance broker namePAUL ARBO
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered47
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $15,012
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,012
Additional information about fees paid to insurance brokerSERVICE
Insurance broker namePAUL ARBO
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered45
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $17,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,310
Additional information about fees paid to insurance brokerSERVICE
Insurance broker namePAUL K. ARBO
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered49
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,877
Welfare Benefit Premiums Paid to CarrierUSD $4,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number163277
Policy instance 1
Insurance contract or identification number163277
Number of Individuals Covered49
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,120
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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