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CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN 401k Plan overview

Plan NameCIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN
Plan identification number 520

CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

CIGNA CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:CIGNA CORPORATION
Employer identification number (EIN):824991898
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5202022-01-01

Plan Statistics for CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN

401k plan membership statisitcs for CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN

Measure Date Value
2022: CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0153,771
Total number of active participants reported on line 7a of the Form 55002022-01-0158,573
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0158,573

Form 5500 Responses for CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS PLAN

2022: CIGNA HEALTH, STD/LTD, AND CERTAIN VOLUNTARY BENEFITS 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 – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberHC 960010
Policy instance 1
Insurance contract or identification numberHC 960010
Number of Individuals Covered18736
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 $0
Other welfare benefits providedHOSPITAL CARE
Welfare Benefit Premiums Paid to CarrierUSD $3,984,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ARAG INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 34738 )
Policy contract number18585-0001-001
Policy instance 2
Insurance contract or identification number18585-0001-001
Number of Individuals Covered9336
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $91,425
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $914,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,425
Amount paid for insurance broker fees0
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberCI 960046
Policy instance 3
Insurance contract or identification numberCI 960046
Number of Individuals Covered21090
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 $0
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $4,295,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2455306 2465170
Policy instance 4
Insurance contract or identification number2455306 2465170
Number of Individuals Covered21432
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 $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedPREPAID DENTAL
Welfare Benefit Premiums Paid to CarrierUSD $6,494,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLK546200
Policy instance 5
Insurance contract or identification numberFLK546200
Number of Individuals Covered65847
Insurance policy start date2022-08-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,904,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberAI 960034
Policy instance 6
Insurance contract or identification numberAI 960034
Number of Individuals Covered22923
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 $0
Other welfare benefits providedACCIDENTAL INJURY
Welfare Benefit Premiums Paid to CarrierUSD $3,971,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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