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CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameCONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN
Plan identification number 502

CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

CONEWAGO HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name:CONEWAGO HOLDINGS, INC.
Employer identification number (EIN):821956321
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01

Plan Statistics for CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN

401k plan membership statisitcs for CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN

Measure Date Value
2022: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01253
Total number of active participants reported on line 7a of the Form 55002022-01-01318
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01319
2021: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01246
Total number of active participants reported on line 7a of the Form 55002021-01-01253
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01253
2020: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01241
Total number of active participants reported on line 7a of the Form 55002020-01-01246
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01246
2019: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01232
Total number of active participants reported on line 7a of the Form 55002019-01-01240
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01241
2018: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01252
Total number of active participants reported on line 7a of the Form 55002018-01-01231
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01232

Financial Data on CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN

Measure Date Value
2022 : CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$282,810
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$243,000
Total income from all sources (including contributions)2022-12-31$4,188,723
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,578,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,527,772
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,172,240
Value of total assets at end of year2022-12-31$1,140,193
Value of total assets at beginning of year2022-12-31$490,019
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,050,587
Total interest from all sources2022-12-31$16,483
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
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$500,000
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$1,075,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$3,669
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$39,970
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$267,362
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$243,000
Administrative expenses (other) incurred2022-12-31$946,872
Liabilities. Value of operating payables at end of year2022-12-31$968
Liabilities. Value of operating payables at beginning of year2022-12-31$0
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$610,364
Value of net assets at end of year (total assets less liabilities)2022-12-31$857,383
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$247,019
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$1,136,524
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$450,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$450,049
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$16,483
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,527,772
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$3,096,466
Contract administrator fees2022-12-31$103,715
Liabilities. Value of benefit claims payable at end of year2022-12-31$14,480
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
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 name2022-12-31YOUNG OAKES BROWN AND CO PC
Accountancy firm EIN2022-12-31251589048
2021 : CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$243,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$196,000
Total income from all sources (including contributions)2021-12-31$4,128,886
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$4,199,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,079,180
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,519,628
Value of total assets at end of year2021-12-31$490,019
Value of total assets at beginning of year2021-12-31$513,856
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$120,543
Total interest from all sources2021-12-31$74
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
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$500,000
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$989,504
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$39,970
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$56,985
Other income not declared elsewhere2021-12-31$609,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-70,837
Value of net assets at end of year (total assets less liabilities)2021-12-31$247,019
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$317,856
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$450,049
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$456,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$456,871
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$74
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$748,089
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$2,530,124
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,331,091
Contract administrator fees2021-12-31$120,543
Liabilities. Value of benefit claims payable at end of year2021-12-31$243,000
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$196,000
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31STAMBAUGH NESS, INC.
Accountancy firm EIN2021-12-31232846715
2020 : CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$196,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$199,000
Total income from all sources (including contributions)2020-12-31$3,754,434
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$3,280,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,137,495
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,370,047
Value of total assets at end of year2020-12-31$513,856
Value of total assets at beginning of year2020-12-31$43,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$143,264
Total interest from all sources2020-12-31$183
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
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$500,000
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$890,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$56,985
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$884
Other income not declared elsewhere2020-12-31$384,204
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$473,675
Value of net assets at end of year (total assets less liabilities)2020-12-31$317,856
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-155,819
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$456,871
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$42,297
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$42,297
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$183
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$654,189
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$2,479,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,483,306
Contract administrator fees2020-12-31$143,264
Liabilities. Value of benefit claims payable at end of year2020-12-31$196,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$199,000
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2020-12-31STAMBAUGH NESS, INC.
Accountancy firm EIN2020-12-31232846715
2019 : CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$199,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$170,000
Total income from all sources (including contributions)2019-12-31$3,147,163
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,321,732
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,170,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,916,417
Value of total assets at end of year2019-12-31$43,181
Value of total assets at beginning of year2019-12-31$188,750
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$151,165
Total interest from all sources2019-12-31$3,311
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$151,165
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
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$842,094
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$884
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$835
Other income not declared elsewhere2019-12-31$227,435
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-174,569
Value of net assets at end of year (total assets less liabilities)2019-12-31$-155,819
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$18,750
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$42,297
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$187,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$187,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,311
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$630,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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$2,074,323
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,540,400
Liabilities. Value of benefit claims payable at end of year2019-12-31$199,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$170,000
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31STAMBAUGH NESS, INC.
Accountancy firm EIN2019-12-31232846715
2018 : CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$170,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$143,171
Total income from all sources (including contributions)2018-12-31$2,584,418
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$3,003,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,815,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,429,650
Value of total assets at end of year2018-12-31$188,750
Value of total assets at beginning of year2018-12-31$580,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$187,749
Total interest from all sources2018-12-31$10,055
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
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$500,000
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$809,862
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$835
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$494
Other income not declared elsewhere2018-12-31$144,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-418,602
Value of net assets at end of year (total assets less liabilities)2018-12-31$18,750
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$437,352
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$187,915
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$580,029
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$580,029
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$10,055
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$667,738
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$1,619,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,147,533
Contract administrator fees2018-12-31$187,749
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$170,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$143,171
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31STAMBAUGH NESS, INC.
Accountancy firm EIN2018-12-31232846715

Form 5500 Responses for CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN

2022: CONEWAGO HOLDINGS, INC. GROUP HEALTH 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 funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
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: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
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: CONEWAGO HOLDINGS, INC. GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30400047
Policy instance 1
Insurance contract or identification number30400047
Number of Individuals Covered318
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
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 $945,972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30400047
Policy instance 1
Insurance contract or identification number30400047
Number of Individuals Covered253
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
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 $748,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30400047
Policy instance 1
Insurance contract or identification number30400047
Number of Individuals Covered246
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
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 $654,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberKBP
Policy instance 1
Insurance contract or identification numberKBP
Number of Individuals Covered240
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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
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 $630,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberKBP
Policy instance 1
Insurance contract or identification numberKBP
Number of Individuals Covered232
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
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 $667,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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