401k Plan data: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN plan

SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 401k Plan overview

Plan Name	SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN
Plan identification number	501

SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

SIERRA-CEDAR COMPANIES, LLC has sponsored the creation of one or more 401k plans.

Company Name: SIERRA-CEDAR COMPANIES, LLC

Employer identification number (EIN): 851055558

NAIC Classification: 541511
NAIC Description: Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01

Plan Statistics for SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN

401k plan membership statisitcs for SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN

Measure Date Value
2022: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 245
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 239
Number of retired or separated participants receiving benefits 2022-01-01 6
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 245
2021: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 239
Number of retired or separated participants receiving benefits 2021-01-01 8
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 247
2020: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 492
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 250
Number of retired or separated participants receiving benefits 2020-01-01 22
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 272

Measure	Date	Value
2022: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	245
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	239
Number of retired or separated participants receiving benefits	2022-01-01	6
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	245
2021: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	239
Number of retired or separated participants receiving benefits	2021-01-01	8
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	247
2020: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	492
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	250
Number of retired or separated participants receiving benefits	2020-01-01	22
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	272

Financial Data on SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN

Measure	Date	Value
2022 : SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$278,950
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$321,400
Total income from all sources (including contributions)	2022-12-31	$3,072,542
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$2,906,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$2,676,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$3,072,542
Value of total assets at end of year	2022-12-31	$5,080,122
Value of total assets at beginning of year	2022-12-31	$4,956,152
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$229,385
Total interest from all sources	2022-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,179,735
Participant contributions at end of year	2022-12-31	$88,519
Participant contributions at beginning of year	2022-12-31	$84,715
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$93,252
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$161,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$121,792
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$278,950
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$321,400
Total non interest bearing cash at end of year	2022-12-31	$4,798,394
Total non interest bearing cash at beginning of year	2022-12-31	$4,673,630
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$166,420
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$4,801,172
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$4,634,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$720,201
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$799,555
Employer contributions (assets) at end of year	2022-12-31	$32,207
Employer contributions (assets) at beginning of year	2022-12-31	$76,015
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,956,536
Contract administrator fees	2022-12-31	$229,385
Did the plan have assets held for investment	2022-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2022-12-31	431947695
2021 : SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$321,400
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$660,791
Total income from all sources (including contributions)	2021-12-31	$4,136,642
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$3,024,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,816,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,136,642
Value of total assets at end of year	2021-12-31	$4,956,152
Value of total assets at beginning of year	2021-12-31	$4,183,105
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$207,373
Total interest from all sources	2021-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$934,795
Participant contributions at end of year	2021-12-31	$84,715
Participant contributions at beginning of year	2021-12-31	$86,849
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$252,712
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$121,792
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$301,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$321,400
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$640,050
Liabilities. Value of operating payables at end of year	2021-12-31	$0
Liabilities. Value of operating payables at beginning of year	2021-12-31	$17,037
Total non interest bearing cash at end of year	2021-12-31	$4,673,630
Total non interest bearing cash at beginning of year	2021-12-31	$3,708,814
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,112,438
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$4,634,752
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$3,522,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$880,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$2,949,135
Employer contributions (assets) at end of year	2021-12-31	$76,015
Employer contributions (assets) at beginning of year	2021-12-31	$85,676
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,936,329
Contract administrator fees	2021-12-31	$207,373
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$3,704
Did the plan have assets held for investment	2021-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2021-12-31	431947695
2020 : SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$660,791
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$891,979
Total income from all sources (including contributions)	2020-12-31	$5,515,548
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$4,828,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,508,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$5,515,548
Value of total assets at end of year	2020-12-31	$4,183,105
Value of total assets at beginning of year	2020-12-31	$3,727,013
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$319,370
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$9,800
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$4,138,917
Participant contributions at end of year	2020-12-31	$86,849
Participant contributions at beginning of year	2020-12-31	$162,259
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$235,451
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$301,766
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$581,482
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$640,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$823,000
Liabilities. Value of operating payables at end of year	2020-12-31	$17,037
Liabilities. Value of operating payables at beginning of year	2020-12-31	$13,491
Total non interest bearing cash at end of year	2020-12-31	$3,708,814
Total non interest bearing cash at beginning of year	2020-12-31	$2,795,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$687,280
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$3,522,314
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$2,835,034
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$1,001,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,141,180
Employer contributions (assets) at end of year	2020-12-31	$85,676
Employer contributions (assets) at beginning of year	2020-12-31	$187,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$3,506,972
Contract administrator fees	2020-12-31	$309,570
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$3,704
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$55,488
Did the plan have assets held for investment	2020-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN	2020-12-31	431947695

Form 5500 Responses for SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN

2022: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: SIERRA-CEDAR COMPANIES, LLC WELFARE BENEFIT 501 PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

948057

Policy instance

Insurance contract or identification number	948057
Number of Individuals Covered	251
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $66,010
Total amount of fees paid to insurance company	USD $33,005
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $720,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $66,010
Amount paid for insurance broker fees	33005
Additional information about fees paid to insurance broker	OVERRIDES
Insurance broker organization code?	3

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-013911-000

Policy instance

Insurance contract or identification number	16-013911-000
Number of Individuals Covered	246
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $66,109
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $944,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $61,635
Insurance broker organization code?	3

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-013911-000

Policy instance

Insurance contract or identification number	16-013911-000
Number of Individuals Covered	275
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $67,434
Total amount of fees paid to insurance company	USD $13,379
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $963,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $67,434
Insurance broker organization code?	3
Amount paid for insurance broker fees	13379
Additional information about fees paid to insurance broker	GROUP VOLUME BONUS

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

700934

Policy instance

Insurance contract or identification number	700934
Number of Individuals Covered	606
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $10,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	SIERRA-CEDAR COMPANIES, LLC
Employer identification number (EIN):	851055558
NAIC Classification:	541511
NAIC Description:	Custom Computer Programming Services