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CH MANAGEMENT, LLC WELFARE BENEFITS PLAN 401k Plan overview

Plan NameCH MANAGEMENT, LLC WELFARE BENEFITS PLAN
Plan identification number 501

CH MANAGEMENT, LLC WELFARE BENEFITS 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
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CH MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name:CH MANAGEMENT, LLC
Employer identification number (EIN):871367704
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CH MANAGEMENT, LLC WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01JIM CONE2023-09-14

Plan Statistics for CH MANAGEMENT, LLC WELFARE BENEFITS PLAN

401k plan membership statisitcs for CH MANAGEMENT, LLC WELFARE BENEFITS PLAN

Measure Date Value
2022: CH MANAGEMENT, LLC WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01125
Total number of active participants reported on line 7a of the Form 55002022-03-01142
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01142
Number of employers contributing to the scheme2022-03-010

Form 5500 Responses for CH MANAGEMENT, LLC WELFARE BENEFITS PLAN

2022: CH MANAGEMENT, LLC WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01First time form 5500 has been submittedYes
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number2587852,1587852
Policy instance 1
Insurance contract or identification number2587852,1587852
Number of Individuals Covered102
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $46,942
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,942
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number450034
Policy instance 2
Insurance contract or identification number450034
Number of Individuals Covered117
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $17,863
Total amount of fees paid to insurance companyUSD $3,131
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $131,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,070
Amount paid for insurance broker fees689
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

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