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FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 401k Plan overview

Plan NameFALLON LOGGING CO, INC. GROUP BENEFITS PLAN
Plan identification number 501

FALLON LOGGING CO, INC. GROUP BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

FALLON LOGGING CO INC has sponsored the creation of one or more 401k plans.

Company Name:FALLON LOGGING CO INC
Employer identification number (EIN):930653758
NAIC Classification:113310
NAIC Description:Logging

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FALLON LOGGING CO, INC. GROUP BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-04-01
5012018-04-01
5012017-04-01JESSICA BAERTLEIN JESSICA BAERTLEIN2018-10-22
5012016-04-01JESSICA BAERTLEIN JESSICA BAERTLEIN2017-10-30
5012015-04-01JESSICA BAERTLEIN JESSICA BAERTLEIN2016-10-25
5012014-04-01JESSICA BAERTLEIN JESSICA BAERTLEIN2015-11-18
5012013-04-01JESSICA BAERTLEIN JESSICA BAERTLEIN2014-10-29
5012012-04-01JESSICA BAERTLEIN JESSICA BAERTLEIN2014-01-10

Plan Statistics for FALLON LOGGING CO, INC. GROUP BENEFITS PLAN

401k plan membership statisitcs for FALLON LOGGING CO, INC. GROUP BENEFITS PLAN

Measure Date Value
2019: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-0190
Total number of active participants reported on line 7a of the Form 55002019-04-0180
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-0180
2018: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-0190
Total number of active participants reported on line 7a of the Form 55002018-04-0190
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-0190
2017: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01101
Total number of active participants reported on line 7a of the Form 55002017-04-0190
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-0190
2016: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01107
Total number of active participants reported on line 7a of the Form 55002016-04-0190
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-0190
2015: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01107
Total number of active participants reported on line 7a of the Form 55002015-04-01101
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-01101
2014: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01112
Total number of active participants reported on line 7a of the Form 55002014-04-01107
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-01107
2013: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01114
Total number of active participants reported on line 7a of the Form 55002013-04-01112
Total of all active and inactive participants2013-04-01112
2012: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01117
Total number of active participants reported on line 7a of the Form 55002012-04-01114
Total of all active and inactive participants2012-04-01114

Form 5500 Responses for FALLON LOGGING CO, INC. GROUP BENEFITS PLAN

2019: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: FALLON LOGGING CO, INC. GROUP BENEFITS PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000370
Policy instance 2
Insurance contract or identification numberWBT000370
Number of Individuals Covered75
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $601
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $601
Insurance broker organization code?3
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10033754
Policy instance 1
Insurance contract or identification number10033754
Number of Individuals Covered174
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $24,050
Total amount of fees paid to insurance companyUSD $1,228
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $672,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,050
Amount paid for insurance broker fees1228
Additional information about fees paid to insurance brokerBONUS NON-MONETARY COMP
Insurance broker organization code?3
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000370
Policy instance 2
Insurance contract or identification numberWBT000370
Number of Individuals Covered92
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $704
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $704
Insurance broker organization code?3
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10033754
Policy instance 1
Insurance contract or identification number10033754
Number of Individuals Covered166
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $24,225
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $708,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,225
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000370
Policy instance 2
Insurance contract or identification numberWBT000370
Number of Individuals Covered92
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $697
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $697
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10033754
Policy instance 1
Insurance contract or identification number10033754
Number of Individuals Covered202
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $31,450
Total amount of fees paid to insurance companyUSD $2,020
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $730,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,450
Amount paid for insurance broker fees2020
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000370
Policy instance 2
Insurance contract or identification numberWBT000370
Number of Individuals Covered96
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $699
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $699
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0021670
Policy instance 1
Insurance contract or identification numberG0021670
Number of Individuals Covered225
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $15,879
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,879
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000370
Policy instance 2
Insurance contract or identification numberWBT000370
Number of Individuals Covered103
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $735
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $735
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0021670
Policy instance 1
Insurance contract or identification numberG0021670
Number of Individuals Covered232
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $17,405
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,331
Insurance broker organization code?3
Insurance broker nameMJI INC
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWBT000370
Policy instance 2
Insurance contract or identification numberWBT000370
Number of Individuals Covered113
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $787
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $787
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0021670
Policy instance 1
Insurance contract or identification numberG0021670
Number of Individuals Covered266
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $16,483
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $827,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,557
Insurance broker organization code?3
Insurance broker nameDAVIDSON BENEFITS PLANNING LLC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-036292
Policy instance 2
Insurance contract or identification number010-036292
Number of Individuals Covered244
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $3,899
Total amount of fees paid to insurance companyUSD $1,395
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,899
Amount paid for insurance broker fees1395
Additional information about fees paid to insurance brokerADDTL COMPENSATION
Insurance broker organization code?3
Insurance broker nameMJI INC
PACIFICSOURCE HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 54976 )
Policy contract numberG0021670
Policy instance 1
Insurance contract or identification numberG0021670
Number of Individuals Covered153
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $15,406
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $762,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,406
Insurance broker organization code?3
Insurance broker nameMJI INC

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