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CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN
Plan identification number 501

CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name:CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC
Employer identification number (EIN):820714527
NAIC Classification:332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01KELLI LARSEN2023-04-10
5012020-11-01KELLI LARSEN2022-05-09

Plan Statistics for CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN

Measure Date Value
2021: CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-01340
Total number of active participants reported on line 7a of the Form 55002021-11-01300
Total of all active and inactive participants2021-11-01300
2020: CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01226
Total number of active participants reported on line 7a of the Form 55002020-11-01337
Number of retired or separated participants receiving benefits2020-11-013
Total of all active and inactive participants2020-11-01340

Form 5500 Responses for CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN

2021: CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: CONSOLIDATED MACHINE & TOOL HOLDINGS, LLC HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01First time form 5500 has been submittedYes
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberAGC0000464352
Policy instance 6
Insurance contract or identification numberAGC0000464352
Number of Individuals Covered251
Insurance policy start date2022-02-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $13,450
Other welfare benefits providedACC, CRITICAL ILLNESS, INDEMNITY
Welfare Benefit Premiums Paid to CarrierUSD $25,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,355
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0BS8W
Policy instance 5
Insurance contract or identification numberGUC 0BS8W
Number of Individuals Covered134
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $7,072
Total amount of fees paid to insurance companyUSD $3,538
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,072
Insurance broker organization code?3
Amount paid for insurance broker fees3538
Additional information about fees paid to insurance brokerOTHER COMPENSATION
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BS8W
Policy instance 4
Insurance contract or identification numberGLUG0BS8W
Number of Individuals Covered300
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $4,995
Total amount of fees paid to insurance companyUSD $4,952
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $49,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,995
Insurance broker organization code?3
Amount paid for insurance broker fees4952
Additional information about fees paid to insurance brokerOTHER COMPENSATION
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BS8W
Policy instance 3
Insurance contract or identification numberGLTD0BS8W
Number of Individuals Covered300
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $7,422
Total amount of fees paid to insurance companyUSD $7,672
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,218
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7672
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $7,422
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00578085
Policy instance 2
Insurance contract or identification number00578085
Number of Individuals Covered235
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $21,357
Total amount of fees paid to insurance companyUSD $9,475
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,357
Amount paid for insurance broker fees9475
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00630652
Policy instance 1
Insurance contract or identification number00630652
Number of Individuals Covered279
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,349,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUC 0BS8W
Policy instance 5
Insurance contract or identification numberGUC 0BS8W
Number of Individuals Covered136
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $5,204
Total amount of fees paid to insurance companyUSD $1,760
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,204
Amount paid for insurance broker fees1041
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BS8W
Policy instance 4
Insurance contract or identification numberGLUG0BS8W
Number of Individuals Covered337
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $4,614
Total amount of fees paid to insurance companyUSD $2,930
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $46,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,614
Amount paid for insurance broker fees1926
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTD0BS8W
Policy instance 3
Insurance contract or identification numberGLTD0BS8W
Number of Individuals Covered337
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $6,605
Total amount of fees paid to insurance companyUSD $3,358
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,605
Amount paid for insurance broker fees1926
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00578085
Policy instance 2
Insurance contract or identification number00578085
Number of Individuals Covered273
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $24,443
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $209,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,443
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00630652
Policy instance 1
Insurance contract or identification number00630652
Number of Individuals Covered321
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,267,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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