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CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 401k Plan overview

Plan NameCRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN
Plan identification number 504

CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN Benefits

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

401k Sponsoring company profile

CRUTCHFIELD CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:CRUTCHFIELD CORPORATION
Employer identification number (EIN):540960335
NAIC Classification:443142
NAIC Description:Electronics Stores

Additional information about CRUTCHFIELD CORPORATION

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1974-02-26
Company Identification Number: 0151069
Legal Registered Office Address: 1 CRUTCHFIELD PK
P.O. CALLER 1
CHARLOTTESVILLE
United States of America (USA)
22911

More information about CRUTCHFIELD CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-10-01RICHARD STAVITSKI2023-07-07
5042020-10-01RICHARD STAVITSKI2022-07-13
5042019-10-01
5042018-10-01
5042017-10-01
5042016-10-01RICHARD STAVITSKI
5042015-10-01RICHARD STAVITSKI
5042014-10-01RICHARD STAVITSKI
5042013-10-01RICHARD STAVITSKI RICHARD STAVITSKI2015-06-09
5042012-10-01RICHARD STAVITSKI RICHARD STAVITSKI2014-07-01
5042011-10-01RICHARD STAVITSKI
5042010-10-01RICHARD STAVITSKI
5042009-10-01RICHARD STAVITSKI

Plan Statistics for CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN

401k plan membership statisitcs for CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN

Measure Date Value
2021: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01615
Total number of active participants reported on line 7a of the Form 55002021-10-01605
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01605
2020: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01561
Total number of active participants reported on line 7a of the Form 55002020-10-01615
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01615
2019: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01533
Total number of active participants reported on line 7a of the Form 55002019-10-01561
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01561
2018: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01525
Total number of active participants reported on line 7a of the Form 55002018-10-01533
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01533
2017: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01465
Total number of active participants reported on line 7a of the Form 55002017-10-01525
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01525
2016: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01422
Total number of active participants reported on line 7a of the Form 55002016-10-01465
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 participants2016-10-01465
2015: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01421
Total number of active participants reported on line 7a of the Form 55002015-10-01422
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 participants2015-10-01422
2014: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01418
Total number of active participants reported on line 7a of the Form 55002014-10-01421
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 participants2014-10-01421
2013: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01401
Total number of active participants reported on line 7a of the Form 55002013-10-01418
Total of all active and inactive participants2013-10-01418
2012: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01445
Total number of active participants reported on line 7a of the Form 55002012-10-01401
Total of all active and inactive participants2012-10-01401
2011: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01417
Total number of active participants reported on line 7a of the Form 55002011-10-01445
Total of all active and inactive participants2011-10-01445
Total participants2011-10-01445
2010: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-01454
Total number of active participants reported on line 7a of the Form 55002010-10-01417
Total of all active and inactive participants2010-10-01417
Total participants2010-10-01417
2009: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01462
Total number of active participants reported on line 7a of the Form 55002009-10-01448
Number of other retired or separated participants entitled to future benefits2009-10-016
Total of all active and inactive participants2009-10-01454
Total participants2009-10-01454

Financial Data on CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN

Measure Date Value
2022 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-09-30$7,269,199
Total of all expenses incurred2022-09-30$7,266,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$7,136,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$7,269,199
Value of total assets at end of year2022-09-30$67,074
Value of total assets at beginning of year2022-09-30$64,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$129,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30No
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$1,230,073
Total non interest bearing cash at end of year2022-09-30$67,074
Total non interest bearing cash at beginning of year2022-09-30$64,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$2,564
Value of net assets at end of year (total assets less liabilities)2022-09-30$67,074
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$64,510
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$1,110,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$6,039,126
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$6,026,045
Contract administrator fees2022-09-30$129,945
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-09-30No
Did the plan have assets held for investment2022-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30HANTZMON WIEBEL LLP
Accountancy firm EIN2022-09-30540618213
2021 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-09-30$6,353,448
Total of all expenses incurred2021-09-30$6,348,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$6,282,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$6,353,448
Value of total assets at end of year2021-09-30$64,510
Value of total assets at beginning of year2021-09-30$59,516
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$65,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Was this plan covered by a fidelity bond2021-09-30No
If this is an individual account plan, was there a blackout period2021-09-30No
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$1,093,755
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-09-30$40,047
Total non interest bearing cash at end of year2021-09-30$64,510
Total non interest bearing cash at beginning of year2021-09-30$19,469
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$4,994
Value of net assets at end of year (total assets less liabilities)2021-09-30$64,510
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$59,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$993,987
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$5,259,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$5,288,761
Contract administrator fees2021-09-30$65,706
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-09-30No
Did the plan have assets held for investment2021-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30HANTZMON WIEBEL LLP
Accountancy firm EIN2021-09-30540618213
2020 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-09-30$5,995,621
Total of all expenses incurred2020-09-30$5,952,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$5,778,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$5,368,818
Value of total assets at end of year2020-09-30$59,516
Value of total assets at beginning of year2020-09-30$16,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$174,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Was this plan covered by a fidelity bond2020-09-30No
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$998,092
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-09-30$40,047
Other income not declared elsewhere2020-09-30$626,803
Total non interest bearing cash at end of year2020-09-30$19,469
Total non interest bearing cash at beginning of year2020-09-30$16,254
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$43,262
Value of net assets at end of year (total assets less liabilities)2020-09-30$59,516
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$16,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$1,106,496
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$4,370,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$4,671,632
Contract administrator fees2020-09-30$174,231
Did the plan have assets held for investment2020-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30WAY & COMPANY, PLC
Accountancy firm EIN2020-09-30201667313
2019 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2019 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$32,654
Total income from all sources (including contributions)2019-09-30$5,060,216
Total of all expenses incurred2019-09-30$5,033,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$4,964,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$4,674,672
Value of total assets at end of year2019-09-30$16,254
Value of total assets at beginning of year2019-09-30$22,598
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$69,459
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Was this plan covered by a fidelity bond2019-09-30No
If this is an individual account plan, was there a blackout period2019-09-30No
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$1,013,222
Other income not declared elsewhere2019-09-30$385,544
Total non interest bearing cash at end of year2019-09-30$16,254
Total non interest bearing cash at beginning of year2019-09-30$22,598
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$26,310
Value of net assets at end of year (total assets less liabilities)2019-09-30$16,254
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$-10,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$1,011,991
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$3,661,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$3,952,456
Contract administrator fees2019-09-30$69,459
Liabilities. Value of benefit claims payable at beginning of year2019-09-30$32,654
Did the plan have assets held for investment2019-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30WAY & COMPANY, PLC
Accountancy firm EIN2019-09-30201667313
2018 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$32,654
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$40,727
Total income from all sources (including contributions)2018-09-30$4,864,992
Total of all expenses incurred2018-09-30$4,949,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$4,723,206
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$4,556,943
Value of total assets at end of year2018-09-30$22,598
Value of total assets at beginning of year2018-09-30$114,777
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$225,892
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30No
If this is an individual account plan, was there a blackout period2018-09-30No
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$919,691
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-09-30$93,247
Other income not declared elsewhere2018-09-30$308,049
Administrative expenses (other) incurred2018-09-30$30
Liabilities. Value of operating payables at beginning of year2018-09-30$290
Total non interest bearing cash at end of year2018-09-30$22,598
Total non interest bearing cash at beginning of year2018-09-30$21,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-84,106
Value of net assets at end of year (total assets less liabilities)2018-09-30$-10,056
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$74,050
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$881,100
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$3,637,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$3,842,106
Contract administrator fees2018-09-30$225,862
Liabilities. Value of benefit claims payable at end of year2018-09-30$32,654
Liabilities. Value of benefit claims payable at beginning of year2018-09-30$40,437
Did the plan have assets held for investment2018-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30WAY & COMPANY, PLC
Accountancy firm EIN2018-09-30201667313
2017 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$40,727
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$431
Total income from all sources (including contributions)2017-09-30$4,069,238
Total of all expenses incurred2017-09-30$4,012,571
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$3,847,899
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$3,722,238
Value of total assets at end of year2017-09-30$114,777
Value of total assets at beginning of year2017-09-30$17,814
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$164,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Was this plan covered by a fidelity bond2017-09-30No
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$833,382
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-09-30$93,247
Other income not declared elsewhere2017-09-30$347,000
Liabilities. Value of operating payables at end of year2017-09-30$290
Total non interest bearing cash at end of year2017-09-30$21,530
Total non interest bearing cash at beginning of year2017-09-30$17,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$56,667
Value of net assets at end of year (total assets less liabilities)2017-09-30$74,050
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$17,383
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$634,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$2,888,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$3,213,425
Contract administrator fees2017-09-30$164,672
Liabilities. Value of benefit claims payable at end of year2017-09-30$40,437
Liabilities. Value of benefit claims payable at beginning of year2017-09-30$431
Did the plan have assets held for investment2017-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30WAY & COMPANY, PLC
Accountancy firm EIN2017-09-30201667313
2016 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$431
Total income from all sources (including contributions)2016-09-30$4,448,641
Total of all expenses incurred2016-09-30$4,463,182
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$4,274,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$3,316,512
Value of total assets at end of year2016-09-30$17,814
Value of total assets at beginning of year2016-09-30$31,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$188,463
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30No
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$918,793
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-09-30$11,900
Other income not declared elsewhere2016-09-30$1,132,129
Total non interest bearing cash at end of year2016-09-30$17,814
Total non interest bearing cash at beginning of year2016-09-30$20,024
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$-14,541
Value of net assets at end of year (total assets less liabilities)2016-09-30$17,383
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$31,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$454,256
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$2,397,719
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$3,820,463
Contract administrator fees2016-09-30$188,463
Liabilities. Value of benefit claims payable at end of year2016-09-30$431
Did the plan have assets held for investment2016-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30WAY & COMPANY, PLC
Accountancy firm EIN2016-09-30201667313
2015 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-09-30$3,359,234
Total of all expenses incurred2015-09-30$3,355,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$3,074,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,033,310
Value of total assets at end of year2015-09-30$31,924
Value of total assets at beginning of year2015-09-30$27,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$280,927
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30No
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$867,151
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$11,900
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$12,535
Other income not declared elsewhere2015-09-30$325,924
Administrative expenses (other) incurred2015-09-30$85,036
Total non interest bearing cash at end of year2015-09-30$20,024
Total non interest bearing cash at beginning of year2015-09-30$15,328
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$4,061
Value of net assets at end of year (total assets less liabilities)2015-09-30$31,924
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$27,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$430,268
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$2,166,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$2,643,978
Contract administrator fees2015-09-30$195,891
Did the plan have assets held for investment2015-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30WAY & COMPANY, PLC
Accountancy firm EIN2015-09-30201667313
2014 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-09-30$3,483,652
Total of all expenses incurred2014-09-30$3,483,223
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$3,194,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$3,330,901
Value of total assets at end of year2014-09-30$27,863
Value of total assets at beginning of year2014-09-30$27,434
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$288,326
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30No
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$892,115
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$12,535
Other income not declared elsewhere2014-09-30$152,751
Administrative expenses (other) incurred2014-09-30$95,000
Total non interest bearing cash at end of year2014-09-30$15,328
Total non interest bearing cash at beginning of year2014-09-30$27,434
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$429
Value of net assets at end of year (total assets less liabilities)2014-09-30$27,863
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$27,434
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$415,460
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$2,438,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$2,779,437
Contract administrator fees2014-09-30$193,326
Did the plan have assets held for investment2014-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30WAY & COMPANY, PLC
Accountancy firm EIN2014-09-30201667313
2013 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-09-30$3,052,695
Total of all expenses incurred2013-09-30$3,071,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$2,834,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$3,006,668
Value of total assets at end of year2013-09-30$27,434
Value of total assets at beginning of year2013-09-30$45,829
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$236,290
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Was this plan covered by a fidelity bond2013-09-30No
If this is an individual account plan, was there a blackout period2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$975,752
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-09-30$25,698
Other income not declared elsewhere2013-09-30$46,027
Administrative expenses (other) incurred2013-09-30$46,027
Total non interest bearing cash at end of year2013-09-30$27,434
Total non interest bearing cash at beginning of year2013-09-30$20,131
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-18,395
Value of net assets at end of year (total assets less liabilities)2013-09-30$27,434
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$45,829
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$480,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$2,030,916
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$2,354,148
Contract administrator fees2013-09-30$190,263
Did the plan have assets held for investment2013-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30WAY & COMPANY, PLC
Accountancy firm EIN2013-09-30201667313
2012 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-09-30$3,662,140
Total of all expenses incurred2012-09-30$3,667,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$2,998,802
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$3,303,398
Value of total assets at end of year2012-09-30$45,829
Value of total assets at beginning of year2012-09-30$50,991
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$668,500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$939,898
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-09-30$25,698
Other income not declared elsewhere2012-09-30$358,742
Administrative expenses (other) incurred2012-09-30$475,717
Total non interest bearing cash at end of year2012-09-30$20,131
Total non interest bearing cash at beginning of year2012-09-30$50,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$-5,162
Value of net assets at end of year (total assets less liabilities)2012-09-30$45,829
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$50,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$2,363,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$2,998,802
Contract administrator fees2012-09-30$192,783
Did the plan have assets held for investment2012-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30WAY & COMPANY, PLC
Accountancy firm EIN2012-09-30201667313
2011 : CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-09-30$3,203,010
Total of all expenses incurred2011-09-30$3,202,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$2,727,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$2,872,165
Value of total assets at end of year2011-09-30$50,991
Value of total assets at beginning of year2011-09-30$50,561
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$474,944
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$937,267
Other income not declared elsewhere2011-09-30$330,845
Administrative expenses (other) incurred2011-09-30$280,167
Total non interest bearing cash at end of year2011-09-30$50,991
Total non interest bearing cash at beginning of year2011-09-30$50,561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$430
Value of net assets at end of year (total assets less liabilities)2011-09-30$50,991
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$50,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$1,934,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$2,727,636
Contract administrator fees2011-09-30$194,777
Did the plan have assets held for investment2011-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30WAY & COMPANY, PLC
Accountancy firm EIN2011-09-30201667313

Form 5500 Responses for CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN

2021: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan is a collectively bargained planYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan is a collectively bargained planYes
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan is a collectively bargained planYes
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan is a collectively bargained planYes
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan is a collectively bargained planYes
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – General assets of the sponsorYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: CRUTCHFIELD CORPORATION EMPLOYEE HEALTH PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan is a collectively bargained planYes
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342138
Policy instance 1
Insurance contract or identification number3342138
Number of Individuals Covered997
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $13,835
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,110,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,835
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342138
Policy instance 1
Insurance contract or identification number3342138
Number of Individuals Covered1006
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $993,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342138
Policy instance 1
Insurance contract or identification number3342138
Number of Individuals Covered578
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Welfare Benefit Premiums Paid to CarrierUSD $1,106,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342138
Policy instance 1
Insurance contract or identification number3342138
Number of Individuals Covered533
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Welfare Benefit Premiums Paid to CarrierUSD $1,011,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0210009-SL
Policy instance 1
Insurance contract or identification number0210009-SL
Number of Individuals Covered525
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Welfare Benefit Premiums Paid to CarrierUSD $881,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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