401k Plan data: HIGHLAND TELEPHONE COOPERATIVE WELFARE plan

HIGHLAND TELEPHONE COOPERATIVE WELFARE 401k Plan overview

Plan Name	HIGHLAND TELEPHONE COOPERATIVE WELFARE
Plan identification number	501

HIGHLAND TELEPHONE COOPERATIVE WELFARE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HIGHLAND TELEPHONE CO-OPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name: HIGHLAND TELEPHONE CO-OPERATIVE, INC.

Employer identification number (EIN): 620549541

NAIC Classification: 517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIGHLAND TELEPHONE COOPERATIVE WELFARE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01
501 2023-01-01 STEVE ARMES

Form 5500 Responses for HIGHLAND TELEPHONE COOPERATIVE WELFARE

2023: HIGHLAND TELEPHONE COOPERATIVE WELFARE 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

130318

Policy instance

Insurance contract or identification number	130318
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $41,641
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

136-421368

Policy instance

Insurance contract or identification number	136-421368
Number of Individuals Covered	255
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $12,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

G 168043

Policy instance

Insurance contract or identification number	G 168043
Number of Individuals Covered	98
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL 163221

Policy instance

Insurance contract or identification number	GL 163221
Number of Individuals Covered	109
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $12,255
Total amount of fees paid to insurance company	USD $2
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 132521

Policy instance

Insurance contract or identification number	LTD 132521
Number of Individuals Covered	98
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $9,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

VAR 209425

Policy instance

Insurance contract or identification number	VAR 209425
Number of Individuals Covered	125
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HIGHLAND TELEPHONE CO-OPERATIVE, INC.
Employer identification number (EIN):	620549541
NAIC Classification:	517000