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COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameCOLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN
Plan identification number 501

COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN Benefits

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

401k Sponsoring company profile

COLORADO VALLEY TELEPHONE COOP INC has sponsored the creation of one or more 401k plans.

Company Name:COLORADO VALLEY TELEPHONE COOP INC
Employer identification number (EIN):741362636
NAIC Classification:517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01KELLY ALLISON
5012016-01-01KELLY ALLISON
5012015-01-01KELLY ALLISON
5012014-01-01KELLY ALLISON
5012013-01-01SCOTT MARTIN
5012012-01-01SCOTT MARTIN
5012011-01-01SCOTT MARTIN
5012009-01-01SCOTT MARTIN

Plan Statistics for COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN

401k plan membership statisitcs for COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2021: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0159
Total of all active and inactive participants2021-01-010
Total participants2021-01-010
2020: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0156
Total number of active participants reported on line 7a of the Form 55002020-01-0159
Total of all active and inactive participants2020-01-0159
Total participants2020-01-0159
2019: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0155
Total number of active participants reported on line 7a of the Form 55002019-01-0155
Total of all active and inactive participants2019-01-0155
Total participants2019-01-0155
Number of participants with account balances2019-01-010
2018: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0151
Total number of active participants reported on line 7a of the Form 55002018-01-0154
Total of all active and inactive participants2018-01-0154
Total participants2018-01-0154
2017: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0150
Total number of active participants reported on line 7a of the Form 55002017-01-0151
Total of all active and inactive participants2017-01-0151
Total participants2017-01-0151
2016: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0151
Total number of active participants reported on line 7a of the Form 55002016-01-0150
Total of all active and inactive participants2016-01-0150
Total participants2016-01-0150
2015: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0152
Total number of active participants reported on line 7a of the Form 55002015-01-0151
Total of all active and inactive participants2015-01-0151
Total participants2015-01-010
2014: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0151
Total number of active participants reported on line 7a of the Form 55002014-01-0152
Total of all active and inactive participants2014-01-0152
Total participants2014-01-010
2013: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0150
Total number of active participants reported on line 7a of the Form 55002013-01-0151
Total of all active and inactive participants2013-01-0151
Total participants2013-01-010
2012: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0156
Total number of active participants reported on line 7a of the Form 55002012-01-0150
Total of all active and inactive participants2012-01-0150
Total participants2012-01-010
2011: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0160
Total number of active participants reported on line 7a of the Form 55002011-01-0157
Total of all active and inactive participants2011-01-0157
Total participants2011-01-0157
2009: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0161
Total number of active participants reported on line 7a of the Form 55002009-01-0161
Total of all active and inactive participants2009-01-0161
Total participants2009-01-0161

Financial Data on COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2021 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-12-31$316,344
Expenses. Total of all expenses incurred2021-12-31$316,344
Benefits paid (including direct rollovers)2021-12-31$316,344
Total plan assets at end of year2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$316,344
2020 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-12-31$1,776,583
Expenses. Total of all expenses incurred2020-12-31$1,776,583
Benefits paid (including direct rollovers)2020-12-31$1,776,583
Total contributions received or receivable from participants2020-12-31$76,125
Total contributions received or receivable from employer(s)2020-12-31$1,700,458
2019 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2019 401k financial data
Total income from all sources2019-12-31$1,527,768
Expenses. Total of all expenses incurred2019-12-31$1,527,768
Benefits paid (including direct rollovers)2019-12-31$1,527,768
Total contributions received or receivable from participants2019-12-31$74,500
Total contributions received or receivable from employer(s)2019-12-31$1,453,268
2018 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2018 401k financial data
Total income from all sources2018-12-31$1,127,233
Expenses. Total of all expenses incurred2018-12-31$1,127,233
Benefits paid (including direct rollovers)2018-12-31$1,127,233
Total contributions received or receivable from participants2018-12-31$64,813
Total contributions received or receivable from employer(s)2018-12-31$1,062,420
2017 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,239,060
Expenses. Total of all expenses incurred2017-12-31$1,239,060
Benefits paid (including direct rollovers)2017-12-31$1,239,060
Total contributions received or receivable from participants2017-12-31$65,375
Total contributions received or receivable from employer(s)2017-12-31$1,173,685
2016 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,119,362
Expenses. Total of all expenses incurred2016-12-31$1,119,362
Benefits paid (including direct rollovers)2016-12-31$1,119,362
Total contributions received or receivable from participants2016-12-31$67,687
Total contributions received or receivable from employer(s)2016-12-31$1,051,675
2015 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,088,467
Expenses. Total of all expenses incurred2015-12-31$1,088,467
Benefits paid (including direct rollovers)2015-12-31$1,088,467
Total contributions received or receivable from participants2015-12-31$75,187
Total contributions received or receivable from employer(s)2015-12-31$1,013,280
2014 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,220,977
Expenses. Total of all expenses incurred2014-12-31$1,220,977
Benefits paid (including direct rollovers)2014-12-31$1,220,977
Total contributions received or receivable from participants2014-12-31$68,125
Total contributions received or receivable from employer(s)2014-12-31$1,152,852
2013 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2013 401k financial data
Total income from all sources2013-12-31$855,705
Expenses. Total of all expenses incurred2013-12-31$855,705
Benefits paid (including direct rollovers)2013-12-31$855,705
Total contributions received or receivable from participants2013-12-31$69,375
Total contributions received or receivable from employer(s)2013-12-31$786,330
2012 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k financial data
Total income from all sources2012-12-31$887,116
Expenses. Total of all expenses incurred2012-12-31$887,116
Benefits paid (including direct rollovers)2012-12-31$887,116
Total contributions received or receivable from participants2012-12-31$68,562
Total contributions received or receivable from employer(s)2012-12-31$818,554
2011 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k financial data
Total income from all sources2011-12-31$1,193,458
Expenses. Total of all expenses incurred2011-12-31$1,193,458
Benefits paid (including direct rollovers)2011-12-31$1,193,458
Total contributions received or receivable from participants2011-12-31$77,995
Total contributions received or receivable from employer(s)2011-12-31$1,115,463
2010 : COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2010 401k financial data
Total income from all sources2010-12-31$992,998
Expenses. Total of all expenses incurred2010-12-31$992,998
Benefits paid (including direct rollovers)2010-12-31$992,998
Total contributions received or receivable from participants2010-12-31$50,672
Total contributions received or receivable from employer(s)2010-12-31$942,326

Form 5500 Responses for COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN

2021: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: COLORADO VALLEY TELEPHONE COOPERATIVE, INC. EMPLOYEE MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberNR309974
Policy instance 1
Insurance contract or identification numberNR309974
Number of Individuals Covered59
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $569,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40568
Policy instance 2
Insurance contract or identification numberHCCLOT40568
Number of Individuals Covered59
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,469
Total amount of fees paid to insurance companyUSD $529
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $14,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $734
Amount paid for insurance broker fees529
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS567172
Policy instance 1
Insurance contract or identification numberUS567172
Number of Individuals Covered55
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $331,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40568
Policy instance 2
Insurance contract or identification numberHCCLOT40568
Number of Individuals Covered55
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,436
Total amount of fees paid to insurance companyUSD $517
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $14,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,436
Amount paid for insurance broker fees517
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS566910
Policy instance 1
Insurance contract or identification numberUS566910
Number of Individuals Covered51
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $296,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-4827
Policy instance 2
Insurance contract or identification number947-4827
Number of Individuals Covered51
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,271
Total amount of fees paid to insurance companyUSD $457
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $12,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,271
Amount paid for insurance broker fees457
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Insurance broker nameGPA

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