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CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 401k Plan overview

Plan NameCORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN
Plan identification number 505

CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

CORAL RIDGE GOLF COURSE, INC. has sponsored the creation of one or more 401k plans.

Company Name:CORAL RIDGE GOLF COURSE, INC.
Employer identification number (EIN):590718880
NAIC Classification:713910
NAIC Description:Golf Courses and Country Clubs

Additional information about CORAL RIDGE GOLF COURSE, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1954-05-06
Company Identification Number: 178623
Legal Registered Office Address: 300 SOUTH ORANGE AVENUE

ORLANDO

32801

More information about CORAL RIDGE GOLF COURSE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-03-01MICHAEL DAYHOFF2023-11-16 MICHAEL DAYHOFF2023-11-16
5052021-03-01MICHAEL DAYHOFF2022-11-28 MICHAEL DAYHOFF2022-11-28
5052020-03-01MICHAEL DAYHOFF2021-11-24 MICHAEL DAYHOFF2021-11-24

Plan Statistics for CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN

401k plan membership statisitcs for CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN

Measure Date Value
2022: CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01102
Total of all active and inactive participants2022-03-010
Total participants2022-03-010
2021: CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01102
Total of all active and inactive participants2021-03-010
Total participants2021-03-010
2020: CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01102
Total of all active and inactive participants2020-03-010
Total participants2020-03-010

Form 5500 Responses for CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN

2022: CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: CORAL RIDGE GOLF COURSE EMPLOYEE WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01First time form 5500 has been submittedYes
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number29303
Policy instance 6
Insurance contract or identification number29303
Number of Individuals Covered49
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $24,043
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,043
Additional information about fees paid to insurance brokerCONSULTING SERVICES
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number29303
Policy instance 5
Insurance contract or identification number29303
Number of Individuals Covered22
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $14,037
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,037
Additional information about fees paid to insurance brokerCONSULTING SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number877908
Policy instance 4
Insurance contract or identification number877908
Number of Individuals Covered122
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $72
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number878043
Policy instance 3
Insurance contract or identification number878043
Number of Individuals Covered9
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $27
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $3,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number690106
Policy instance 2
Insurance contract or identification number690106
Number of Individuals Covered8
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $26
Other welfare benefits providedSHORT TERM DISIBILITY
Welfare Benefit Premiums Paid to CarrierUSD $3,817
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number938991
Policy instance 1
Insurance contract or identification number938991
Number of Individuals Covered54
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $3,795
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedPREPAID DENTAL
Welfare Benefit Premiums Paid to CarrierUSD $37,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,795
Additional information about fees paid to insurance brokerCONSULTING SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number877908
Policy instance 6
Insurance contract or identification number877908
Number of Individuals Covered115
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $878
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $7,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $878
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number878043
Policy instance 5
Insurance contract or identification number878043
Number of Individuals Covered12
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $905
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $905
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number690106
Policy instance 4
Insurance contract or identification number690106
Number of Individuals Covered12
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $767
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $767
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number29303
Policy instance 3
Insurance contract or identification number29303
Number of Individuals Covered45
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $19,198
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,198
Additional information about fees paid to insurance brokerBENEFITS CONSULTATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number29303
Policy instance 2
Insurance contract or identification number29303
Number of Individuals Covered24
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $12,570
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,570
Additional information about fees paid to insurance brokerBENEFITS CONSULTATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number938991
Policy instance 1
Insurance contract or identification number938991
Number of Individuals Covered57
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $3,494
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,494
Additional information about fees paid to insurance brokerBENEFITS CONSULTATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number938991
Policy instance 6
Insurance contract or identification number938991
Number of Individuals Covered52
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $3,088
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,088
Additional information about fees paid to insurance brokerBENEFITS CONSULTATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number877908
Policy instance 5
Insurance contract or identification number877908
Number of Individuals Covered102
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $783
Total amount of fees paid to insurance companyUSD $128
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $783
Amount paid for insurance broker fees128
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number690106
Policy instance 4
Insurance contract or identification number690106
Number of Individuals Covered15
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $886
Total amount of fees paid to insurance companyUSD $90
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $886
Amount paid for insurance broker fees90
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract number29303
Policy instance 3
Insurance contract or identification number29303
Number of Individuals Covered45
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $15,868
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,868
Additional information about fees paid to insurance brokerBENEFITS CONSULTATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number29303
Policy instance 2
Insurance contract or identification number29303
Number of Individuals Covered23
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $12,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,656
Additional information about fees paid to insurance brokerBENEFITS CONSULTATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number878043
Policy instance 1
Insurance contract or identification number878043
Number of Individuals Covered14
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $874
Total amount of fees paid to insurance companyUSD $87
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $874
Amount paid for insurance broker fees87
Additional information about fees paid to insurance brokerBROKER SERVICES
Insurance broker organization code?3

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