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ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 401k Plan overview

Plan NameETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
Plan identification number 502

ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

ETEX TELEPHONE COOPERATIVE INC. has sponsored the creation of one or more 401k plans.

Company Name:ETEX TELEPHONE COOPERATIVE INC.
Employer identification number (EIN):750860868
NAIC Classification:517000

Additional information about ETEX TELEPHONE COOPERATIVE INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1952-02-18
Company Identification Number: 0010927601
Legal Registered Office Address: PO BOX 130

GILMER
United States of America (USA)
75644

More information about ETEX TELEPHONE COOPERATIVE INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01CHARLIE CANO2024-10-09
5022022-01-01CHARLIE CANO2023-10-10
5022021-02-01
5022021-02-01CHARLIE CANO
5022020-02-01
5022019-02-01
5022018-02-01
5022017-02-01CHARLIE CANO
5022016-02-01CHARLIE CANO
5022015-02-01CHARLIE CANO
5022014-02-01CHARLIE CANO
5022013-02-01CHARLIE CANO
5022012-02-01CHARLIE CANO
5022011-02-01DANNY KELLAR
5022010-02-01DANNY KELLAR
5022009-02-01DANNY KELLAR

Financial Data on ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

Measure Date Value
2015 : ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-01-31$2,404,395
Total of all expenses incurred2015-01-31$2,404,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$2,323,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$2,404,395
Value of total assets at end of year2015-01-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$81,011
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Was this plan covered by a fidelity bond2015-01-31No
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$87,003
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Value of interest in common/collective trusts at end of year2015-01-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$329,756
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31No
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$2,317,392
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$1,993,628
Contract administrator fees2015-01-31$81,011
Did the plan have assets held for investment2015-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31CURTIS BLAKELY & CO., PC
Accountancy firm EIN2015-01-31751546734

Form 5500 Responses for ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

2023: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes
2010: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – General assets of the sponsorYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: ETEX TELEPHONE COOPERATIVE INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – General assets of the sponsorYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40650
Policy instance 1
Insurance contract or identification numberHCCLOT40650
Number of Individuals Covered134
Insurance policy start date2023-02-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRANSPLANT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $26,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCLI 50,811
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40650
Policy instance 1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40650
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5912246
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40650
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5912246
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40650
Policy instance 1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number9476482
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05912246
Policy instance 2
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-4950
Policy instance 1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7722
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201880
Policy instance 2
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7722
Policy instance 1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-5857
Policy instance 1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-1151
Policy instance 1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-0165
Policy instance 1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number280-8268
Policy instance 1

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