401k Plan data: BEACH TIMBER WELFARE BENEFITS PLAN plan

BEACH TIMBER WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	BEACH TIMBER WELFARE BENEFITS PLAN
Plan identification number	502

BEACH TIMBER WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

BEACH TIMBER COMPANY has sponsored the creation of one or more 401k plans.

Company Name: BEACH TIMBER COMPANY

Employer identification number (EIN): 581534474

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEACH TIMBER WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2022-04-01 SANDRA COLE 2023-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2022-04-01	SANDRA COLE	2023-10-13

Plan Statistics for BEACH TIMBER WELFARE BENEFITS PLAN

401k plan membership statisitcs for BEACH TIMBER WELFARE BENEFITS PLAN

Measure Date Value
2022: BEACH TIMBER WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-04-01 156
Total number of active participants reported on line 7a of the Form 5500 2022-04-01 212
Number of retired or separated participants receiving benefits 2022-04-01 0
Number of other retired or separated participants entitled to future benefits 2022-04-01 0
Total of all active and inactive participants 2022-04-01 212
Number of employers contributing to the scheme 2022-04-01 0

Measure	Date	Value
2022: BEACH TIMBER WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-04-01	156
Total number of active participants reported on line 7a of the Form 5500	2022-04-01	212
Number of retired or separated participants receiving benefits	2022-04-01	0
Number of other retired or separated participants entitled to future benefits	2022-04-01	0
Total of all active and inactive participants	2022-04-01	212
Number of employers contributing to the scheme	2022-04-01	0

Form 5500 Responses for BEACH TIMBER WELFARE BENEFITS PLAN

2022: BEACH TIMBER WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-04-01	Type of plan entity	Single employer plan
2022-04-01	First time form 5500 has been submitted	Yes
2022-04-01	Plan funding arrangement – Insurance	Yes
2022-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )

Policy contract number

L05491

Policy instance

Insurance contract or identification number	L05491
Number of Individuals Covered	191
Insurance policy start date	2022-04-01
Insurance policy end date	2023-03-31
Total amount of commissions paid to insurance broker	USD $72,067
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,123,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $72,067
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 )

Policy contract number

CM10001468

Policy instance

Insurance contract or identification number	CM10001468
Number of Individuals Covered	172
Insurance policy start date	2022-04-01
Insurance policy end date	2023-03-31
Total amount of commissions paid to insurance broker	USD $2,158
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $23,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,158
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E5792510

Policy instance

Insurance contract or identification number	E5792510
Number of Individuals Covered	50
Insurance policy start date	2022-04-01
Insurance policy end date	2023-03-31
Total amount of commissions paid to insurance broker	USD $21,358
Total amount of fees paid to insurance company	USD $4,595
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to Carrier	USD $35,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,982
Amount paid for insurance broker fees	45
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

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Company Name:	BEACH TIMBER COMPANY
Employer identification number (EIN):	581534474
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services