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CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN
Plan identification number 501

CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

CONTROLLED ENVIRONMENT SYSTEMS, LLC has sponsored the creation of one or more 401k plans.

Company Name:CONTROLLED ENVIRONMENT SYSTEMS, LLC
Employer identification number (EIN):844017671
NAIC Classification:238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-03-15MEG DAVIDSON2024-12-26
5012022-03-15MIRIAM ECHEVARRIA2023-12-19

Plan Statistics for CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN

Measure Date Value
2023: CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-15286
Total number of active participants reported on line 7a of the Form 55002023-03-15169
Number of retired or separated participants receiving benefits2023-03-15116
Number of other retired or separated participants entitled to future benefits2023-03-152
Total of all active and inactive participants2023-03-15287
2022: CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-15136
Total number of active participants reported on line 7a of the Form 55002022-03-15169
Number of retired or separated participants receiving benefits2022-03-15116
Number of other retired or separated participants entitled to future benefits2022-03-151
Total of all active and inactive participants2022-03-15286

Form 5500 Responses for CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN

2023: CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-03-15Type of plan entitySingle employer plan
2023-03-15Submission has been amendedNo
2023-03-15This submission is the final filingNo
2023-03-15This return/report is a short plan year return/report (less than 12 months)No
2023-03-15Plan is a collectively bargained planNo
2023-03-15Plan funding arrangement – InsuranceYes
2023-03-15Plan funding arrangement – General assets of the sponsorYes
2023-03-15Plan benefit arrangement – InsuranceYes
2023-03-15Plan benefit arrangement – General assets of the sponsorYes
2022: CONTROLLED ENVIRONMNET SYSTEMS HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-03-15Type of plan entitySingle employer plan
2022-03-15First time form 5500 has been submittedYes
2022-03-15Submission has been amendedNo
2022-03-15This submission is the final filingNo
2022-03-15This return/report is a short plan year return/report (less than 12 months)No
2022-03-15Plan is a collectively bargained planNo
2022-03-15Plan funding arrangement – InsuranceYes
2022-03-15Plan funding arrangement – General assets of the sponsorYes
2022-03-15Plan benefit arrangement – InsuranceYes
2022-03-15Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30090866
Policy instance 6
Insurance contract or identification number30090866
Number of Individuals Covered128
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $680
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $9,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number03L7220
Policy instance 5
Insurance contract or identification number03L7220
Number of Individuals Covered188
Insurance policy start date2023-03-15
Insurance policy end date2024-03-14
Total amount of commissions paid to insurance brokerUSD $30,422
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
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 $1,215,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract numberG000040041
Policy instance 4
Insurance contract or identification numberG000040041
Number of Individuals Covered142
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $484
Total amount of fees paid to insurance companyUSD $0
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 providedAD&D
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 $3,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 119311
Policy instance 3
Insurance contract or identification numberLTD 119311
Number of Individuals Covered23
Insurance policy start date2023-03-15
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $393
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $2,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1034129
Policy instance 2
Insurance contract or identification number1034129
Number of Individuals Covered48
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $663
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
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 $7,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALTUS DENTAL INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 52632 )
Policy contract number2042_1
Policy instance 1
Insurance contract or identification number2042_1
Number of Individuals Covered194
Insurance policy start date2023-03-15
Insurance policy end date2024-03-14
Total amount of commissions paid to insurance brokerUSD $5,395
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $94,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30090866
Policy instance 6
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number03L7220
Policy instance 5
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61700 )
Policy contract numberG000040041
Policy instance 4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 119311
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1034129
Policy instance 2
ALTUS DENTAL INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 52632 )
Policy contract number2042_1
Policy instance 1

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