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EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameEVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN
Plan identification number 501

EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:EVERGY, INC.
Employer identification number (EIN):822733395
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01THERESA DODSON,DIRECTOR,BENEFITS2023-10-15
5012021-01-01KELLY MURPHY,DIR HR OPERATIONS2022-11-28 KELLY MURPHY,DIR HR OPERATIONS2022-11-28
5012020-01-01KELLY MURPHY,DIR HR OPERATIONS2021-10-14 KELLY MURPHY,DIR HR OPERATIONS2021-10-14
5012019-01-01KELLY MURPHY,SR DIR HR STRAT & OPS2020-10-15 KELLY MURPHY,SR DIR HR STRAT & OPS2020-10-15
5012018-01-01KELLY MURPHY,SR DIRECTOR OF HR2019-10-11 KELLY MURPHY,SR DIRECTOR OF HR2019-10-11

Plan Statistics for EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN

401k plan membership statisitcs for EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN

Measure Date Value
2022: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,512
Total number of active participants reported on line 7a of the Form 55002022-01-011,195
Number of retired or separated participants receiving benefits2022-01-011,429
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,624
2021: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,583
Total number of active participants reported on line 7a of the Form 55002021-01-011,197
Number of retired or separated participants receiving benefits2021-01-011,316
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,513
2020: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,695
Total number of active participants reported on line 7a of the Form 55002020-01-011,295
Number of retired or separated participants receiving benefits2020-01-011,271
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,566
2019: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,756
Total number of active participants reported on line 7a of the Form 55002019-01-011,502
Number of retired or separated participants receiving benefits2019-01-0111
Number of other retired or separated participants entitled to future benefits2019-01-011,143
Total of all active and inactive participants2019-01-012,656
2018: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,747
Total number of active participants reported on line 7a of the Form 55002018-01-011,604
Number of retired or separated participants receiving benefits2018-01-0113
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,617

Financial Data on EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN

Measure Date Value
2022 : EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-3,758,152
Total unrealized appreciation/depreciation of assets2022-12-31$-3,758,152
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,060,088
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,938,896
Total income from all sources (including contributions)2022-12-31$21,001,498
Total loss/gain on sale of assets2022-12-31$-156,013
Total of all expenses incurred2022-12-31$26,802,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$26,270,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$25,567,862
Value of total assets at end of year2022-12-31$46,788,513
Value of total assets at beginning of year2022-12-31$52,468,726
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$532,141
Total interest from all sources2022-12-31$1,009,536
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$187,732
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$187,732
Administrative expenses professional fees incurred2022-12-31$59,916
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$15,000,000
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$4,135,815
Participant contributions at end of year2022-12-31$176,634
Participant contributions at beginning of year2022-12-31$208,086
Assets. Other investments not covered elsewhere at end of year2022-12-31$7,290,590
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$6,292,872
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$794,103
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$721,838
Administrative expenses (other) incurred2022-12-31$165,973
Liabilities. Value of operating payables at end of year2022-12-31$192,098
Liabilities. Value of operating payables at beginning of year2022-12-31$156,789
Total non interest bearing cash at end of year2022-12-31$425,033
Total non interest bearing cash at beginning of year2022-12-31$308,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-5,801,405
Value of net assets at end of year (total assets less liabilities)2022-12-31$43,728,425
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$49,529,830
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 in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,196,278
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$11,599,292
Interest earned on other investments2022-12-31$148,065
Income. Interest from US Government securities2022-12-31$231,804
Income. Interest from corporate debt instruments2022-12-31$629,667
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$650,197
Asset value of US Government securities at end of year2022-12-31$10,239,658
Asset value of US Government securities at beginning of year2022-12-31$10,858,351
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,849,467
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$21,432,047
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$25,620,565
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$18,666,217
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$22,480,015
Contract administrator fees2022-12-31$306,252
Liabilities. Value of benefit claims payable at end of year2022-12-31$2,867,990
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$2,782,107
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
Aggregate proceeds on sale of assets2022-12-31$8,287,687
Aggregate carrying amount (costs) on sale of assets2022-12-31$8,443,700
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2022-12-31431947695
2021 : EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-1,508,620
Total unrealized appreciation/depreciation of assets2021-12-31$-1,508,620
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,938,896
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,683,843
Total income from all sources (including contributions)2021-12-31$27,819,431
Total loss/gain on sale of assets2021-12-31$42,190
Total of all expenses incurred2021-12-31$28,873,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$27,804,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$26,631,826
Value of total assets at end of year2021-12-31$52,468,726
Value of total assets at beginning of year2021-12-31$52,267,256
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,068,494
Total interest from all sources2021-12-31$1,002,104
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$144,858
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$144,858
Administrative expenses professional fees incurred2021-12-31$36,520
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
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$5,049,156
Participant contributions at end of year2021-12-31$208,086
Participant contributions at beginning of year2021-12-31$236,275
Assets. Other investments not covered elsewhere at end of year2021-12-31$6,292,872
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$7,970,045
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$721,838
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$752,531
Administrative expenses (other) incurred2021-12-31$232,799
Liabilities. Value of operating payables at end of year2021-12-31$156,789
Liabilities. Value of operating payables at beginning of year2021-12-31$279,398
Total non interest bearing cash at end of year2021-12-31$308,272
Total non interest bearing cash at beginning of year2021-12-31$413,105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,053,583
Value of net assets at end of year (total assets less liabilities)2021-12-31$49,529,830
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$50,583,413
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 in registered invesment companies (eg mutual funds) at end of year2021-12-31$11,599,292
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$10,826,684
Interest earned on other investments2021-12-31$161,578
Income. Interest from US Government securities2021-12-31$276,761
Income. Interest from corporate debt instruments2021-12-31$563,765
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$630,467
Asset value of US Government securities at end of year2021-12-31$10,858,351
Asset value of US Government securities at beginning of year2021-12-31$10,924,014
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,507,073
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$21,582,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$27,174,053
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$22,480,015
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$21,144,602
Contract administrator fees2021-12-31$799,175
Liabilities. Value of benefit claims payable at end of year2021-12-31$2,782,107
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,404,445
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
Aggregate proceeds on sale of assets2021-12-31$7,141,125
Aggregate carrying amount (costs) on sale of assets2021-12-31$7,098,935
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2021-12-31431947695
2020 : EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$1,427,696
Total unrealized appreciation/depreciation of assets2020-12-31$1,427,696
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,683,843
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,642,542
Total income from all sources (including contributions)2020-12-31$32,967,764
Total loss/gain on sale of assets2020-12-31$-77,207
Total of all expenses incurred2020-12-31$26,942,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$25,757,216
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$29,520,231
Value of total assets at end of year2020-12-31$52,267,256
Value of total assets at beginning of year2020-12-31$47,201,105
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,185,698
Total interest from all sources2020-12-31$1,105,384
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$105,943
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$105,943
Administrative expenses professional fees incurred2020-12-31$37,558
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
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$4,856,988
Participant contributions at end of year2020-12-31$236,275
Participant contributions at beginning of year2020-12-31$227,930
Assets. Other investments not covered elsewhere at end of year2020-12-31$7,970,045
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$9,716,405
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$752,531
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$684,572
Administrative expenses (other) incurred2020-12-31$345,556
Liabilities. Value of operating payables at end of year2020-12-31$279,398
Liabilities. Value of operating payables at beginning of year2020-12-31$286,751
Total non interest bearing cash at end of year2020-12-31$413,105
Total non interest bearing cash at beginning of year2020-12-31$149,349
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$6,024,850
Value of net assets at end of year (total assets less liabilities)2020-12-31$50,583,413
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$44,558,563
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 in registered invesment companies (eg mutual funds) at end of year2020-12-31$10,826,684
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,910,739
Interest earned on other investments2020-12-31$178,472
Income. Interest from US Government securities2020-12-31$312,061
Income. Interest from corporate debt instruments2020-12-31$614,851
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$3,935,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$3,935,968
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$608,561
Asset value of US Government securities at end of year2020-12-31$10,924,014
Asset value of US Government securities at beginning of year2020-12-31$6,900,216
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$885,717
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$24,663,243
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$25,148,655
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$21,144,602
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$20,675,926
Contract administrator fees2020-12-31$802,584
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,404,445
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,355,791
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
Aggregate proceeds on sale of assets2020-12-31$7,392,362
Aggregate carrying amount (costs) on sale of assets2020-12-31$7,469,569
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2020-12-31431947695
2019 : EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,431,953
Total unrealized appreciation/depreciation of assets2019-12-31$1,431,953
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,642,542
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,834,249
Total income from all sources (including contributions)2019-12-31$35,099,561
Total loss/gain on sale of assets2019-12-31$-133,435
Total of all expenses incurred2019-12-31$29,272,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$28,100,930
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$31,553,836
Value of total assets at end of year2019-12-31$47,201,105
Value of total assets at beginning of year2019-12-31$42,565,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,171,389
Total interest from all sources2019-12-31$1,118,870
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$153,362
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$153,362
Administrative expenses professional fees incurred2019-12-31$37,272
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
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$5,095,371
Participant contributions at end of year2019-12-31$227,930
Participant contributions at beginning of year2019-12-31$222,638
Assets. Other investments not covered elsewhere at end of year2019-12-31$9,716,405
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$10,360,372
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$684,572
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$791,937
Administrative expenses (other) incurred2019-12-31$309,706
Liabilities. Value of operating payables at end of year2019-12-31$286,751
Liabilities. Value of operating payables at beginning of year2019-12-31$496,519
Total non interest bearing cash at end of year2019-12-31$149,349
Total non interest bearing cash at beginning of year2019-12-31$203,725
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$5,827,242
Value of net assets at end of year (total assets less liabilities)2019-12-31$44,558,563
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$38,731,321
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 in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,910,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,935,763
Interest earned on other investments2019-12-31$178,394
Income. Interest from US Government securities2019-12-31$270,414
Income. Interest from corporate debt instruments2019-12-31$670,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$3,935,968
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$3,149,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$3,149,974
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$537,094
Asset value of US Government securities at end of year2019-12-31$6,900,216
Asset value of US Government securities at beginning of year2019-12-31$4,563,259
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$974,975
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$26,458,465
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$27,563,836
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$20,675,926
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$19,337,902
Contract administrator fees2019-12-31$824,411
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,355,791
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$3,337,730
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
Aggregate proceeds on sale of assets2019-12-31$47,483,998
Aggregate carrying amount (costs) on sale of assets2019-12-31$47,617,433
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2019-12-31431947695
2018 : EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-462,283
Total unrealized appreciation/depreciation of assets2018-12-31$-462,283
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,834,249
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,667,310
Total income from all sources (including contributions)2018-12-31$32,685,662
Total loss/gain on sale of assets2018-12-31$-95,017
Total of all expenses incurred2018-12-31$30,279,752
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$28,801,741
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$32,551,432
Value of total assets at end of year2018-12-31$42,565,570
Value of total assets at beginning of year2018-12-31$39,992,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,478,011
Total interest from all sources2018-12-31$952,327
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$145,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$145,071
Administrative expenses professional fees incurred2018-12-31$72,400
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
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$5,116,464
Participant contributions at end of year2018-12-31$222,638
Participant contributions at beginning of year2018-12-31$194,355
Assets. Other investments not covered elsewhere at end of year2018-12-31$10,360,372
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$9,079,955
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$791,937
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$855,841
Other income not declared elsewhere2018-12-31$6,798
Administrative expenses (other) incurred2018-12-31$546,831
Liabilities. Value of operating payables at end of year2018-12-31$496,519
Liabilities. Value of operating payables at beginning of year2018-12-31$287,421
Total non interest bearing cash at end of year2018-12-31$203,725
Total non interest bearing cash at beginning of year2018-12-31$48,740
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$2,405,910
Value of net assets at end of year (total assets less liabilities)2018-12-31$38,731,321
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$36,325,411
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 in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,935,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,348,430
Interest earned on other investments2018-12-31$145,833
Income. Interest from US Government securities2018-12-31$159,518
Income. Interest from corporate debt instruments2018-12-31$646,976
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$3,149,974
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,032,833
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,032,833
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$369,685
Asset value of US Government securities at end of year2018-12-31$4,563,259
Asset value of US Government securities at beginning of year2018-12-31$4,705,271
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-412,666
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$27,434,968
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$28,432,056
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$19,337,902
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$17,727,296
Contract administrator fees2018-12-31$858,780
Liabilities. Value of benefit claims payable at end of year2018-12-31$3,337,730
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$3,379,889
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
Aggregate proceeds on sale of assets2018-12-31$4,774,743
Aggregate carrying amount (costs) on sale of assets2018-12-31$4,869,760
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 name2018-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2018-12-31431947695

Form 5500 Responses for EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN

2022: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE 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 planYes
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: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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 planYes
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: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE 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 planYes
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: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE 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 planYes
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: EVERGY, INC. JOINT TRUSTEED HEALTH AND WELFARE 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 planYes
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

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 3
Insurance contract or identification numberEXRK
Number of Individuals Covered1697
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 $24,927
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 $498,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees24927
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336126&2499100
Policy instance 2
Insurance contract or identification number3336126&2499100
Number of Individuals Covered0
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 $-42
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 $-1,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees-42
Additional information about fees paid to insurance brokerSERVICE/GEN AGENT FEES
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0240695
Policy instance 1
Insurance contract or identification number0240695
Number of Individuals Covered3627
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 $159,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number72038-1
Policy instance 3
Insurance contract or identification number72038-1
Number of Individuals Covered1763
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 $22,842
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 $456,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees22842
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336126
Policy instance 2
Insurance contract or identification number3336126
Number of Individuals Covered0
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 $862
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 $-14,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees862
Additional information about fees paid to insurance brokerSERVICE/GEN AGENT FEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756739,757094
Policy instance 1
Insurance contract or identification number756739,757094
Number of Individuals Covered2526
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $146
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $130
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336126
Policy instance 3
Insurance contract or identification number3336126
Number of Individuals Covered4076
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 $19,884
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 $399,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19884
Additional information about fees paid to insurance brokerSERVICE/GEN AGENT FEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756739,757094
Policy instance 2
Insurance contract or identification number756739,757094
Number of Individuals Covered2595
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $128
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $128
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2499100
Policy instance 1
Insurance contract or identification number2499100
Number of Individuals Covered201
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 $1,183
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 $24,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1183
Additional information about fees paid to insurance brokerSVC/GEN AGENT FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336126
Policy instance 3
Insurance contract or identification number3336126
Number of Individuals Covered4652
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 $16,714
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 $364,416
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16714
Additional information about fees paid to insurance brokerSERVICE/GEN AGENT FEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756739
Policy instance 2
Insurance contract or identification number756739
Number of Individuals Covered2708
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,873
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,873
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2499100
Policy instance 1
Insurance contract or identification number2499100
Number of Individuals Covered174
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 $979
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 $21,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees979
Additional information about fees paid to insurance brokerSVC/GEN AGENT FEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756739
Policy instance 3
Insurance contract or identification number756739
Number of Individuals Covered2559
Insurance policy start date2018-10-01
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 BenefitYes
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
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 numberHCL31724
Policy instance 2
Insurance contract or identification numberHCL31724
Number of Individuals Covered1619
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 $226,732
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 number0139063U
Policy instance 1
Insurance contract or identification number0139063U
Number of Individuals Covered1624
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 $7,531
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $355,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7531
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3

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