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KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameKIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN
Plan identification number 501

KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

KIT CARSON ELECTRIC COOPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name:KIT CARSON ELECTRIC COOPERATIVE, INC.
Employer identification number (EIN):850081882
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01HEATHER NICHOLS2024-08-22 HEATHER NICHOLS2024-08-22
5012022-01-01HEATHER NICHOLS2023-08-17 HEATHER NICHOLS2023-08-17
5012021-01-01CARMELLA SUAZO2022-08-04 CARMELLA SUAZO2022-08-04
5012020-01-01CARMELLA SUAZO2021-10-15 CARMELLA SUAZO2021-10-15
5012019-01-01CARMELLA SUAZO2021-10-22 CARMELLA SUAZO2021-10-22
5012018-01-01CARMELLA SUAZO2021-10-22 CARMELLA SUAZO2021-10-22
5012017-01-01LYNN GILLEY

Plan Statistics for KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN

Measure Date Value
2023: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01179
Total number of active participants reported on line 7a of the Form 55002023-01-01197
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01197
2022: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01146
Total number of active participants reported on line 7a of the Form 55002022-01-01179
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 participants2022-01-01179
2021: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01164
Total number of active participants reported on line 7a of the Form 55002021-01-01146
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 participants2021-01-01146
2020: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01170
Total number of active participants reported on line 7a of the Form 55002020-01-01164
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 participants2020-01-01164
2019: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01170
Total number of active participants reported on line 7a of the Form 55002019-01-01173
Total of all active and inactive participants2019-01-01173
2018: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01126
Total number of active participants reported on line 7a of the Form 55002018-01-01170
Total of all active and inactive participants2018-01-01170
2017: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01119
Total number of active participants reported on line 7a of the Form 55002017-01-01125
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01126

Form 5500 Responses for KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN

2023: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: KIT CARSON ELECTRIC COOPERATIVE, INC. WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF NEW MEXICO (National Association of Insurance Commissioners NAIC id number: 47287 )
Policy contract number0013375
Policy instance 4
Insurance contract or identification number0013375
Number of Individuals Covered178
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $5,761
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number637342
Policy instance 3
Insurance contract or identification number637342
Number of Individuals Covered48
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $5,510
Total amount of fees paid to insurance companyUSD $275
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,519
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 number926804
Policy instance 2
Insurance contract or identification number926804
Number of Individuals Covered197
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $509
Total amount of fees paid to insurance companyUSD $56,033
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,348,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OPTNET DBA VISION CARE DIRECT (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number3769
Policy instance 1
Insurance contract or identification number3769
Number of Individuals Covered82
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $760
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
IECP - MS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3769
Policy instance 1
Insurance contract or identification number3769
Number of Individuals Covered81
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,031
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,743
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 number926804
Policy instance 2
Insurance contract or identification number926804
Number of Individuals Covered179
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 $56,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,343,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number304010
Policy instance 3
Insurance contract or identification number304010
Number of Individuals Covered36
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,263
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NEW MEXICO (National Association of Insurance Commissioners NAIC id number: 47287 )
Policy contract number0013375
Policy instance 4
Insurance contract or identification number0013375
Number of Individuals Covered161
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,241
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
IECP - MS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3780
Policy instance 5
Insurance contract or identification number3780
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $46
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OPTNET DBA VISION CARE DIRECT (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number3769
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 2
OPTNET DBA VISION CARE DIRECT (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number3769
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 3
OPTNET DBA VISION CARE DIRECT (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number3769
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00621677
Policy instance 1
OPTNET DBA VISION CARE DIRECT (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number3769
Policy instance 2
PRESBYTERIAN HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 95330 )
Policy contract numberGR002362
Policy instance 1

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