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CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 401k Plan overview

Plan NameCANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN
Plan identification number 501

CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN Benefits

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

401k Sponsoring company profile

CANEY FORK ELECTRIC COOPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name:CANEY FORK ELECTRIC COOPERATIVE, INC.
Employer identification number (EIN):620148804
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01WILLIAM ROGERS
5012016-07-01WILLIAM ROGERS

Plan Statistics for CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN

401k plan membership statisitcs for CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN

Measure Date Value
2022: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01142
Total number of active participants reported on line 7a of the Form 55002022-07-01153
Total of all active and inactive participants2022-07-01153
Total participants2022-07-01153
2021: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01165
Total number of active participants reported on line 7a of the Form 55002021-07-01142
Total of all active and inactive participants2021-07-01142
Total participants2021-07-01142
2020: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01229
Total number of active participants reported on line 7a of the Form 55002020-07-01165
Total of all active and inactive participants2020-07-01165
Total participants2020-07-01165
2019: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01226
Total number of active participants reported on line 7a of the Form 55002019-07-01229
Total of all active and inactive participants2019-07-01229
Total participants2019-07-01229
2018: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01282
Total number of active participants reported on line 7a of the Form 55002018-07-01226
Total of all active and inactive participants2018-07-01226
Total participants2018-07-01226
2017: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01273
Total number of active participants reported on line 7a of the Form 55002017-07-01282
Total of all active and inactive participants2017-07-01282
Total participants2017-07-01282
2016: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01272
Total number of active participants reported on line 7a of the Form 55002016-07-01273
Total of all active and inactive participants2016-07-01273
Total participants2016-07-01273

Form 5500 Responses for CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN

2022: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: CANEY FORK ELECTRIC COOPERATIVE, INC. WELFARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01First time form 5500 has been submittedYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan 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 number00629998
Policy instance 1
Insurance contract or identification number00629998
Number of Individuals Covered153
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of fees paid to insurance companyUSD $59,301
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,185,974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees59301
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136-421246
Policy instance 2
Insurance contract or identification number136-421246
Number of Individuals Covered173
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of fees paid to insurance companyUSD $7,086
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7086
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00629998
Policy instance 1
Insurance contract or identification number00629998
Number of Individuals Covered142
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of fees paid to insurance companyUSD $53,436
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,029,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees53436
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136-421246
Policy instance 2
Insurance contract or identification number136-421246
Number of Individuals Covered169
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of fees paid to insurance companyUSD $5,924
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5924
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00629998
Policy instance 1
Insurance contract or identification number00629998
Number of Individuals Covered145
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of fees paid to insurance companyUSD $53,639
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $941,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees53639
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number136-421246
Policy instance 2
Insurance contract or identification number136-421246
Number of Individuals Covered165
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of fees paid to insurance companyUSD $6,321
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6321
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number126153
Policy instance 1
Insurance contract or identification number126153
Number of Individuals Covered229
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of fees paid to insurance companyUSD $34,755
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $851,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees34755
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number126153
Policy instance 1
Insurance contract or identification number126153
Number of Individuals Covered226
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of fees paid to insurance companyUSD $34,091
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $816,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees34091
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number126153
Policy instance 1
Insurance contract or identification number126153
Number of Individuals Covered282
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of fees paid to insurance companyUSD $50,610
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,060,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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