401k Plan data: COUGHLAN COMPANIES LLC GROUP VISION PLAN plan

COUGHLAN COMPANIES LLC GROUP VISION PLAN 401k Plan overview

Plan Name	COUGHLAN COMPANIES LLC GROUP VISION PLAN
Plan identification number	505

COUGHLAN COMPANIES LLC GROUP VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

COUGHLAN COMPANIES LLC has sponsored the creation of one or more 401k plans.

Company Name: COUGHLAN COMPANIES LLC

Employer identification number (EIN): 824045107

NAIC Classification: 212390
NAIC Description: Other Nonmetallic Mineral Mining and Quarrying

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COUGHLAN COMPANIES LLC GROUP VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2019-01-01
505 2018-01-01 MARY JOHNSON MARY JOHNSON 2019-06-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2019-01-01
505	2018-01-01	MARY JOHNSON		MARY JOHNSON	2019-06-26

Plan Statistics for COUGHLAN COMPANIES LLC GROUP VISION PLAN

401k plan membership statisitcs for COUGHLAN COMPANIES LLC GROUP VISION PLAN

Measure Date Value
2019: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
2018: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 108
Total of all active and inactive participants 2018-01-01 108

Measure	Date	Value
2019: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
2018: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	108
Total of all active and inactive participants	2018-01-01	108

Form 5500 Responses for COUGHLAN COMPANIES LLC GROUP VISION PLAN

2019: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: COUGHLAN COMPANIES LLC GROUP VISION PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5947252

Policy instance

Insurance contract or identification number	5947252
Number of Individuals Covered	241
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,625
Total amount of fees paid to insurance company	USD $702
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,413
Amount paid for insurance broker fees	636
Additional information about fees paid to insurance broker	MARKETING ALLOWANCE
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5947252

Policy instance

Insurance contract or identification number	5947252
Number of Individuals Covered	236
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $2,105
Total amount of fees paid to insurance company	USD $1,053
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $21,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,946
Amount paid for insurance broker fees	1053
Additional information about fees paid to insurance broker	MARKETING ALLOWANCE
Insurance broker organization code?	3

Potentially related plans

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Company Name:	COUGHLAN COMPANIES LLC
Employer identification number (EIN):	824045107
NAIC Classification:	212390
NAIC Description:	Other Nonmetallic Mineral Mining and Quarrying