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COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 401k Plan overview

Plan NameCOSERV ELECTRIC GROUP HEALTH BENEFIT PLAN
Plan identification number 501

COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DENTON COUNTY ELECTRIC COOP, INC. DBA COSERV ELECTRIC has sponsored the creation of one or more 401k plans.

Company Name:DENTON COUNTY ELECTRIC COOP, INC. DBA COSERV ELECTRIC
Employer identification number (EIN):750233075
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DENISE SMITHERS2023-10-02 BRENT BISHOP2023-10-02
5012021-01-01DENISE SMITHERS2022-10-06 BRENT BISHOP2022-10-06
5012020-01-01DENISE SMITHERS2021-10-11 BRENT BISHOP2021-10-11
5012019-01-01DENISE SMITHERS2020-10-02 BRENT BISHOP2020-10-02
5012018-01-01DENISE SMITHERS2019-10-01 BRENT BISHOP2019-10-01
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01DENISE SMITHERS
5012011-01-01DENISE SMITHERS
5012009-01-01DENISE SMITHERS

Plan Statistics for COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN

401k plan membership statisitcs for COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN

Measure Date Value
2022: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01514
Total number of active participants reported on line 7a of the Form 55002022-01-01492
Number of retired or separated participants receiving benefits2022-01-0160
Total of all active and inactive participants2022-01-01552
2021: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01506
Total number of active participants reported on line 7a of the Form 55002021-01-01470
Number of retired or separated participants receiving benefits2021-01-0144
Total of all active and inactive participants2021-01-01514
2020: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01494
Total number of active participants reported on line 7a of the Form 55002020-01-01463
Number of retired or separated participants receiving benefits2020-01-0143
Total of all active and inactive participants2020-01-01506
2019: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01498
Total number of active participants reported on line 7a of the Form 55002019-01-01453
Number of retired or separated participants receiving benefits2019-01-0141
Total of all active and inactive participants2019-01-01494
2018: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01487
Total number of active participants reported on line 7a of the Form 55002018-01-01460
Number of retired or separated participants receiving benefits2018-01-0138
Total of all active and inactive participants2018-01-01498
2017: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01460
Total number of active participants reported on line 7a of the Form 55002017-01-01457
Number of retired or separated participants receiving benefits2017-01-0130
Total of all active and inactive participants2017-01-01487
2016: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01425
Total number of active participants reported on line 7a of the Form 55002016-01-01434
Number of retired or separated participants receiving benefits2016-01-0126
Total of all active and inactive participants2016-01-01460
2015: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01348
Total number of active participants reported on line 7a of the Form 55002015-01-01402
Number of retired or separated participants receiving benefits2015-01-0123
Total of all active and inactive participants2015-01-01425
2014: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01345
Total number of active participants reported on line 7a of the Form 55002014-01-01340
Number of retired or separated participants receiving benefits2014-01-018
Total of all active and inactive participants2014-01-01348
2013: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,005
Total number of active participants reported on line 7a of the Form 55002013-01-01338
Number of retired or separated participants receiving benefits2013-01-017
Total of all active and inactive participants2013-01-01345
2012: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01350
Total number of active participants reported on line 7a of the Form 55002012-01-01999
Number of retired or separated participants receiving benefits2012-01-016
Total of all active and inactive participants2012-01-011,005
2011: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01340
Total number of active participants reported on line 7a of the Form 55002011-01-01332
Number of other retired or separated participants entitled to future benefits2011-01-0118
Total of all active and inactive participants2011-01-01350
2009: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01255
Total number of active participants reported on line 7a of the Form 55002009-01-01263
Number of other retired or separated participants entitled to future benefits2009-01-0117
Total of all active and inactive participants2009-01-01280

Financial Data on COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN

Measure Date Value
2022 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$810,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$651,532
Total income from all sources (including contributions)2022-12-31$8,902,572
Total of all expenses incurred2022-12-31$8,889,688
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$8,691,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$8,881,565
Value of total assets at end of year2022-12-31$5,923,647
Value of total assets at beginning of year2022-12-31$5,751,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$198,380
Total interest from all sources2022-12-31$21,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,449,395
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$12,782
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$5,665
Administrative expenses (other) incurred2022-12-31$5,665
Liabilities. Value of operating payables at end of year2022-12-31$489,001
Liabilities. Value of operating payables at beginning of year2022-12-31$286,574
Total non interest bearing cash at end of year2022-12-31$1,807,082
Total non interest bearing cash at beginning of year2022-12-31$5,716,146
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$12,884
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,112,750
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,099,866
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$4,008,225
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$21,007
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,400,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$7,432,170
Employer contributions (assets) at end of year2022-12-31$95,558
Employer contributions (assets) at beginning of year2022-12-31$35,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$7,290,347
Contract administrator fees2022-12-31$192,715
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$316,231
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$364,958
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BOLINGER, SEGARS, GILBERT AND MOSS
Accountancy firm EIN2022-12-31750882037
2021 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$651,532
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$317,231
Total income from all sources (including contributions)2021-12-31$8,478,438
Total of all expenses incurred2021-12-31$8,385,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$8,175,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$8,478,438
Value of total assets at end of year2021-12-31$5,751,398
Value of total assets at beginning of year2021-12-31$5,324,182
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$209,794
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,346,967
Liabilities. Value of operating payables at end of year2021-12-31$286,574
Liabilities. Value of operating payables at beginning of year2021-12-31$284
Total non interest bearing cash at end of year2021-12-31$5,716,146
Total non interest bearing cash at beginning of year2021-12-31$5,233,606
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$92,915
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,099,866
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,006,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,110,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$7,131,471
Employer contributions (assets) at end of year2021-12-31$35,252
Employer contributions (assets) at beginning of year2021-12-31$90,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$7,064,788
Contract administrator fees2021-12-31$209,794
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$364,958
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$316,947
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2021-12-31750882037
2020 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$317,231
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$367,411
Total income from all sources (including contributions)2020-12-31$8,489,297
Total of all expenses incurred2020-12-31$7,001,276
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$6,750,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$8,489,297
Value of total assets at end of year2020-12-31$5,324,182
Value of total assets at beginning of year2020-12-31$3,886,341
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$250,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,369,430
Liabilities. Value of operating payables at end of year2020-12-31$284
Liabilities. Value of operating payables at beginning of year2020-12-31$284
Total non interest bearing cash at end of year2020-12-31$5,233,606
Total non interest bearing cash at beginning of year2020-12-31$3,735,514
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,488,021
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,006,951
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,518,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,039,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$7,119,867
Employer contributions (assets) at end of year2020-12-31$90,576
Employer contributions (assets) at beginning of year2020-12-31$150,827
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$5,711,738
Contract administrator fees2020-12-31$250,455
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$316,947
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$367,127
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2020-12-31750882037
2019 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$367,411
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$108,660
Total income from all sources (including contributions)2019-12-31$6,985,155
Total of all expenses incurred2019-12-31$7,887,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$7,635,248
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$6,985,155
Value of total assets at end of year2019-12-31$3,886,341
Value of total assets at beginning of year2019-12-31$4,529,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$252,080
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,217,508
Liabilities. Value of operating payables at end of year2019-12-31$284
Liabilities. Value of operating payables at beginning of year2019-12-31$284
Total non interest bearing cash at end of year2019-12-31$3,735,514
Total non interest bearing cash at beginning of year2019-12-31$4,424,093
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-902,173
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,518,930
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,421,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,024,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,767,647
Employer contributions (assets) at end of year2019-12-31$150,827
Employer contributions (assets) at beginning of year2019-12-31$105,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,610,863
Contract administrator fees2019-12-31$252,080
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$367,127
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$108,376
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2019-12-31750882037
2018 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$108,660
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$542,065
Total income from all sources (including contributions)2018-12-31$8,559,311
Total of all expenses incurred2018-12-31$6,583,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$6,282,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$8,559,311
Value of total assets at end of year2018-12-31$4,529,763
Value of total assets at beginning of year2018-12-31$2,987,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$301,480
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,415,994
Liabilities. Value of operating payables at end of year2018-12-31$284
Liabilities. Value of operating payables at beginning of year2018-12-31$236
Total non interest bearing cash at end of year2018-12-31$4,424,093
Total non interest bearing cash at beginning of year2018-12-31$2,804,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,975,348
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,421,103
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,445,755
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,138,500
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$7,143,317
Employer contributions (assets) at end of year2018-12-31$105,670
Employer contributions (assets) at beginning of year2018-12-31$183,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,143,983
Contract administrator fees2018-12-31$301,480
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$108,376
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$541,829
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BOLINGER,SEGARS, GILBERT & MOSS
Accountancy firm EIN2018-12-31750882037
2017 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$542,065
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$465,004
Total income from all sources (including contributions)2017-12-31$8,369,818
Total of all expenses incurred2017-12-31$7,354,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,128,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,360,768
Value of total assets at end of year2017-12-31$2,987,820
Value of total assets at beginning of year2017-12-31$1,895,704
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$226,537
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,399,833
Other income not declared elsewhere2017-12-31$9,050
Liabilities. Value of operating payables at end of year2017-12-31$236
Liabilities. Value of operating payables at beginning of year2017-12-31$32,102
Total non interest bearing cash at end of year2017-12-31$2,804,286
Total non interest bearing cash at beginning of year2017-12-31$1,849,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,015,055
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,445,755
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,430,700
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,104,206
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$6,960,935
Employer contributions (assets) at end of year2017-12-31$183,534
Employer contributions (assets) at beginning of year2017-12-31$46,486
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$6,024,020
Contract administrator fees2017-12-31$226,537
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$541,829
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$432,902
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BOLINGER SEGARS GILBERT AND MOSS
Accountancy firm EIN2017-12-31750882037
2016 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$465,004
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$266,248
Total income from all sources (including contributions)2016-12-31$7,684,979
Total of all expenses incurred2016-12-31$6,817,824
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,587,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$7,684,979
Value of total assets at end of year2016-12-31$1,895,704
Value of total assets at beginning of year2016-12-31$829,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$229,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$13,950
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,273,771
Liabilities. Value of operating payables at end of year2016-12-31$32,102
Liabilities. Value of operating payables at beginning of year2016-12-31$30,350
Total non interest bearing cash at end of year2016-12-31$1,849,218
Total non interest bearing cash at beginning of year2016-12-31$757,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$867,155
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,430,700
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$563,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,125,428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$6,411,208
Employer contributions (assets) at end of year2016-12-31$46,486
Employer contributions (assets) at beginning of year2016-12-31$72,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,462,447
Contract administrator fees2016-12-31$215,999
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$432,902
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$235,898
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2016-12-31750882037
2015 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$266,248
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$379,753
Total income from all sources (including contributions)2015-12-31$6,539,250
Total of all expenses incurred2015-12-31$6,631,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$6,386,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$6,539,250
Value of total assets at end of year2015-12-31$829,793
Value of total assets at beginning of year2015-12-31$1,035,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$244,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$13,950
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,124,806
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$45,289
Administrative expenses (other) incurred2015-12-31$700
Liabilities. Value of operating payables at end of year2015-12-31$30,350
Liabilities. Value of operating payables at beginning of year2015-12-31$9,451
Total non interest bearing cash at end of year2015-12-31$757,530
Total non interest bearing cash at beginning of year2015-12-31$673,226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-92,395
Value of net assets at end of year (total assets less liabilities)2015-12-31$563,545
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$655,940
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$932,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$5,414,444
Employer contributions (assets) at end of year2015-12-31$72,263
Employer contributions (assets) at beginning of year2015-12-31$317,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,454,144
Contract administrator fees2015-12-31$230,209
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$235,898
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$370,302
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2015-12-31750882037
2014 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$379,753
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$248,814
Total income from all sources (including contributions)2014-12-31$5,754,255
Total of all expenses incurred2014-12-31$5,273,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,046,951
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,754,255
Value of total assets at end of year2014-12-31$1,035,693
Value of total assets at beginning of year2014-12-31$423,885
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$226,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$27,793
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$985,602
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$45,289
Liabilities. Value of operating payables at end of year2014-12-31$9,451
Liabilities. Value of operating payables at beginning of year2014-12-31$17,830
Total non interest bearing cash at end of year2014-12-31$673,226
Total non interest bearing cash at beginning of year2014-12-31$366,116
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$480,869
Value of net assets at end of year (total assets less liabilities)2014-12-31$655,940
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$175,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$787,543
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,768,653
Employer contributions (assets) at end of year2014-12-31$317,178
Employer contributions (assets) at beginning of year2014-12-31$57,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,259,408
Contract administrator fees2014-12-31$198,642
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$370,302
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$230,984
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2014-12-31750882037
2013 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$248,814
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$200,873
Total income from all sources (including contributions)2013-12-31$5,462,741
Total of all expenses incurred2013-12-31$5,674,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$5,297,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$5,462,741
Value of total assets at end of year2013-12-31$423,885
Value of total assets at beginning of year2013-12-31$587,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$376,232
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$143,113
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$893,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$47,000
Liabilities. Value of operating payables at end of year2013-12-31$17,830
Liabilities. Value of operating payables at beginning of year2013-12-31$20,762
Total non interest bearing cash at end of year2013-12-31$366,116
Total non interest bearing cash at beginning of year2013-12-31$536,575
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-211,407
Value of net assets at end of year (total assets less liabilities)2013-12-31$175,071
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$386,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$680,392
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,569,692
Employer contributions (assets) at end of year2013-12-31$57,769
Employer contributions (assets) at beginning of year2013-12-31$3,776
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$4,617,524
Contract administrator fees2013-12-31$233,119
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$230,984
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$180,111
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2013-12-31750882037
2012 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$200,873
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$225,035
Total income from all sources (including contributions)2012-12-31$4,620,938
Total of all expenses incurred2012-12-31$4,996,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,727,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,620,938
Value of total assets at end of year2012-12-31$587,351
Value of total assets at beginning of year2012-12-31$986,837
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$268,367
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$88,653
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$752,599
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$47,000
Liabilities. Value of operating payables at end of year2012-12-31$20,762
Liabilities. Value of operating payables at beginning of year2012-12-31$10,628
Total non interest bearing cash at end of year2012-12-31$536,575
Total non interest bearing cash at beginning of year2012-12-31$845,881
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-375,324
Value of net assets at end of year (total assets less liabilities)2012-12-31$386,478
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$761,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$786,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$3,868,339
Employer contributions (assets) at end of year2012-12-31$3,776
Employer contributions (assets) at beginning of year2012-12-31$140,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,941,398
Contract administrator fees2012-12-31$179,714
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$180,111
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$214,407
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2012-12-31750882037
2011 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$225,035
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$131,059
Total income from all sources (including contributions)2011-12-31$4,491,946
Total of all expenses incurred2011-12-31$4,627,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,324,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,491,946
Value of total assets at end of year2011-12-31$986,837
Value of total assets at beginning of year2011-12-31$1,028,755
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$303,013
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$112,655
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$719,338
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$82,000
Liabilities. Value of operating payables at end of year2011-12-31$10,628
Liabilities. Value of operating payables at beginning of year2011-12-31$7,221
Total non interest bearing cash at end of year2011-12-31$845,881
Total non interest bearing cash at beginning of year2011-12-31$840,912
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-135,894
Value of net assets at end of year (total assets less liabilities)2011-12-31$761,802
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$897,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$743,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$3,772,608
Employer contributions (assets) at end of year2011-12-31$140,956
Employer contributions (assets) at beginning of year2011-12-31$105,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,581,469
Contract administrator fees2011-12-31$190,358
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$214,407
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$123,838
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BOLINGER,SEGARS,GILBERT AND MOSS
Accountancy firm EIN2011-12-31750082037
2010 : COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$131,059
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$108,958
Total income from all sources (including contributions)2010-12-31$4,444,462
Total of all expenses incurred2010-12-31$4,208,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,990,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,444,462
Value of total assets at end of year2010-12-31$1,028,755
Value of total assets at beginning of year2010-12-31$770,826
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$218,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$51,190
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$716,306
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$82,000
Administrative expenses (other) incurred2010-12-31$41
Liabilities. Value of operating payables at end of year2010-12-31$7,221
Liabilities. Value of operating payables at beginning of year2010-12-31$1,329
Total non interest bearing cash at end of year2010-12-31$840,912
Total non interest bearing cash at beginning of year2010-12-31$685,728
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$235,828
Value of net assets at end of year (total assets less liabilities)2010-12-31$897,696
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$661,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$582,911
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$3,728,156
Employer contributions (assets) at end of year2010-12-31$105,843
Employer contributions (assets) at beginning of year2010-12-31$85,098
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,407,473
Contract administrator fees2010-12-31$167,019
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$123,838
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$107,629
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BOLINGER,SEGARS,GILBERT & MOSS
Accountancy firm EIN2010-12-31750882037

Form 5500 Responses for COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN

2022: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COSERV ELECTRIC GROUP HEALTH 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
2019: COSERV ELECTRIC GROUP HEALTH 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
2018: COSERV ELECTRIC GROUP HEALTH 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
2017: COSERV ELECTRIC GROUP HEALTH 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
2016: COSERV ELECTRIC GROUP HEALTH 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
2015: COSERV ELECTRIC GROUP HEALTH 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
2014: COSERV ELECTRIC GROUP HEALTH 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
2013: COSERV ELECTRIC GROUP HEALTH 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
2012: COSERV ELECTRIC GROUP HEALTH 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
2011: COSERV ELECTRIC GROUP HEALTH 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
2009: COSERV ELECTRIC GROUP HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered477
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $11,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered1025
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $767
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees767
Additional information about fees paid to insurance brokerCONSULTING FEES
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered1127
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $118,941
Total amount of fees paid to insurance companyUSD $65,060
Welfare Benefit Premiums Paid to CarrierUSD $1,231,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $118,941
Amount paid for insurance broker fees65060
Additional information about fees paid to insurance brokerCONSULTING FEES OR AMOUNTS PAID ON VOLUME
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5729728
Policy instance 1
Insurance contract or identification number5729728
Number of Individuals Covered1156
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $123,039
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $638,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $123,039
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5729728
Policy instance 1
Insurance contract or identification number5729728
Number of Individuals Covered953
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $111,888
Total amount of fees paid to insurance companyUSD $50
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $623,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $111,888
Amount paid for insurance broker fees50
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered1071
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $111,400
Total amount of fees paid to insurance companyUSD $52,430
Welfare Benefit Premiums Paid to CarrierUSD $980,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $111,400
Amount paid for insurance broker fees52430
Additional information about fees paid to insurance brokerCONSULTING FEES OR AMOUNTS PAID ON VOLUME
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered951
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $694
Total amount of fees paid to insurance companyUSD $0
Dental 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 $694
Insurance broker organization code?3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered470
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $6,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5729728
Policy instance 1
Insurance contract or identification number5729728
Number of Individuals Covered943
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $107,061
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $590,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $107,061
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered1051
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $111,680
Total amount of fees paid to insurance companyUSD $3,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $111,680
Amount paid for insurance broker fees3328
Additional information about fees paid to insurance brokerSPECIAL PROGAMS
Insurance broker organization code?3
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered900
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $672
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees672
Additional information about fees paid to insurance brokerCONSULTING FEE
Insurance broker organization code?3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered468
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $6,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407365
Policy instance 5
Insurance contract or identification number407365
Number of Individuals Covered852
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $881,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered1035
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $107,769
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $107,769
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered903
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $672
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees672
Additional information about fees paid to insurance brokerCONSULTING
Insurance broker organization code?3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered468
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $43,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered927
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $100,226
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $563,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $100,226
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberESL-30372
Policy instance 5
Insurance contract or identification numberESL-30372
Number of Individuals Covered415
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $44,522
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $890,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,522
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered1064
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $109,671
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109,671
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered939
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
E4 LLC (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered465
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $25,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberESL-30372
Policy instance 5
Insurance contract or identification numberESL-30372
Number of Individuals Covered418
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $50,240
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,004,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,240
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered947
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $101,497
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $565,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,744
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberEXL-30306
Policy instance 5
Insurance contract or identification numberEXL-30306
Number of Individuals Covered413
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $149,143
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $994,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $149,143
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
E4 HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered462
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $24,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered979
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered1065
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered927
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $95,067
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $532,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,053
Insurance broker organization code?3
Insurance broker nameBRANDON MUND
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered800
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $74,518
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $418,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,614
Insurance broker organization code?3
Insurance broker nameBRANDON MUND
DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )
Policy contract number17249
Policy instance 3
Insurance contract or identification number17249
Number of Individuals Covered822
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
E4 HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNONE
Policy instance 4
Insurance contract or identification numberNONE
Number of Individuals Covered400
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedWELLNESS AND EAP CARRIER
Welfare Benefit Premiums Paid to CarrierUSD $16,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberEXL-30306
Policy instance 5
Insurance contract or identification numberEXL-30306
Number of Individuals Covered373
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $117,293
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $781,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $117,293
Insurance broker nameLOCKTON COMPANIES
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number120317
Policy instance 2
Insurance contract or identification number120317
Number of Individuals Covered973
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,000
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,000
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered1163
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $69,921
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $356,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,853
Insurance broker organization code?3
Insurance broker nameNATIONAL FINANCIAL PARTNERS
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract numberS2650
Policy instance 2
Insurance contract or identification numberS2650
Number of Individuals Covered328
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $61,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker name
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberS2650
Policy instance 3
Insurance contract or identification numberS2650
Number of Individuals Covered328
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $711,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTEMAX (National Association of Insurance Commissioners NAIC id number: 6212 )
Policy contract numberS2650
Policy instance 4
Insurance contract or identification numberS2650
Number of Individuals Covered328
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3333955
Policy instance 2
Insurance contract or identification number3333955
Number of Individuals Covered310
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $43,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker name
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberS2650
Policy instance 3
Insurance contract or identification numberS2650
Number of Individuals Covered310
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $602,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered1036
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $67,023
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,642
Insurance broker organization code?3
Insurance broker nameBRANDON MUND
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered1005
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $63,865
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $285,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,433
Insurance broker organization code?3
Insurance broker nameBRANDON MUND
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3333955
Policy instance 2
Insurance contract or identification number3333955
Number of Individuals Covered764
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $106,119
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $707,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $106,119
Insurance broker organization code?3
Insurance broker nameWILLIS OF TEXAS INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3333955
Policy instance 2
Insurance contract or identification number3333955
Number of Individuals Covered758
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $103,162
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $687,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered986
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $21,636
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $77,299
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 number167006160049
Policy instance 2
Insurance contract or identification number167006160049
Number of Individuals Covered321
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $584,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05729728
Policy instance 1
Insurance contract or identification numberKM05729728
Number of Individuals Covered966
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $55,385
Total amount of fees paid to insurance companyUSD $5,406
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $295,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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