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COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 401k Plan overview

Plan NameCOUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN
Plan identification number 504

COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

COUGHLAN COMPANIES, INC has sponsored the creation of one or more 401k plans.

Company Name:COUGHLAN COMPANIES, INC
Employer identification number (EIN):411723924
NAIC Classification:212390
NAIC Description: Other Nonmetallic Mineral Mining and Quarrying

Additional information about COUGHLAN COMPANIES, INC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1699772

More information about COUGHLAN COMPANIES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042017-09-01
5042016-09-01MARY JOHNSON MARY JOHNSON2018-03-23
5042015-09-01MARY JOHNSON MARY JOHNSON2017-03-28
5042014-09-01MARY JOHNSON MARY JOHNSON2016-03-28
5042013-09-01MARY JOHNSON MARY JOHNSON2015-03-09
5042012-09-01MARY JOHNSON MARY JOHNSON2014-03-27
5042011-09-01LISA J. HANSON
5042010-09-01LISA J. HANSON
5042009-09-01LISA J. HANSON

Plan Statistics for COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

401k plan membership statisitcs for COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

Measure Date Value
2017: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01246
Total number of active participants reported on line 7a of the Form 55002017-09-01245
Number of retired or separated participants receiving benefits2017-09-014
Total of all active and inactive participants2017-09-01249
2016: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01349
Total number of active participants reported on line 7a of the Form 55002016-09-01246
Number of retired or separated participants receiving benefits2016-09-014
Total of all active and inactive participants2016-09-01250
2015: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01342
Total number of active participants reported on line 7a of the Form 55002015-09-01349
Total of all active and inactive participants2015-09-01349
2014: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01305
Total number of active participants reported on line 7a of the Form 55002014-09-01308
Number of retired or separated participants receiving benefits2014-09-014
Total of all active and inactive participants2014-09-01312
2013: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01269
Total number of active participants reported on line 7a of the Form 55002013-09-01270
Number of retired or separated participants receiving benefits2013-09-017
Total of all active and inactive participants2013-09-01277
2012: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01266
Total number of active participants reported on line 7a of the Form 55002012-09-01269
Number of retired or separated participants receiving benefits2012-09-019
Total of all active and inactive participants2012-09-01278
2011: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01272
Total number of active participants reported on line 7a of the Form 55002011-09-01275
Number of retired or separated participants receiving benefits2011-09-017
Total of all active and inactive participants2011-09-01282
2010: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01280
Total number of active participants reported on line 7a of the Form 55002010-09-01272
Number of retired or separated participants receiving benefits2010-09-015
Number of other retired or separated participants entitled to future benefits2010-09-010
Total of all active and inactive participants2010-09-01277
2009: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01293
Total number of active participants reported on line 7a of the Form 55002009-09-01270
Number of retired or separated participants receiving benefits2009-09-0116
Total of all active and inactive participants2009-09-01286

Form 5500 Responses for COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN

2017: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2010: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan funding arrangement – General assets of the sponsorYes
2010-09-01Plan benefit arrangement – InsuranceYes
2010-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: COUGHLAN COMPANIES COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01This submission is the final filingNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered578
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $18,963
Total amount of fees paid to insurance companyUSD $5,884
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $437,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered817
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $25,263
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $583,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,263
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP, LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered763
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $24,368
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $608,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,368
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP, LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered672
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $21,959
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $446,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,959
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP, LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered267
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $41,279
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $399,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,279
Insurance broker organization code?3
Insurance broker nameTHE KNW GROUP, LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered261
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $20,885
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $436,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberEP288
Policy instance 1
Insurance contract or identification numberEP288
Number of Individuals Covered263
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $20,329
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $386,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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