401k Plan data: C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN plan

C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN 401k Plan overview

Plan Name	C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN
Plan identification number	501

C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN Benefits

401k Plan Type	Welfare 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)

401k Sponsoring company profile

C.H. FENSTERMAKER & ASSOCIATES, LLC has sponsored the creation of one or more 401k plans.

Company Name: C.H. FENSTERMAKER & ASSOCIATES, LLC

Employer identification number (EIN): 720945751

NAIC Classification: 541330
NAIC Description: Engineering Services

Additional information about C.H. FENSTERMAKER & ASSOCIATES, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1999-01-28

Company Identification Number: 0012521206

Legal Registered Office Address: PO BOX 52106

LAFAYETTE
United States of America (USA)
70505

More information about C.H. FENSTERMAKER & ASSOCIATES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-01-01

Plan Statistics for C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN

401k plan membership statisitcs for C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN

Measure Date Value
2017: C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 191
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 191

Measure	Date	Value
2017: C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	191
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	191

Form 5500 Responses for C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN

2017: C. H. FENSTERMAKER & ASSOCIATES WELFARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )

Policy contract number

78B38ERC

Policy instance

Insurance contract or identification number	78B38ERC
Number of Individuals Covered	455
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $61,425
Total amount of fees paid to insurance company	USD $42,369
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $61,425
Amount paid for insurance broker fees	42369
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

1D031251

Policy instance

Insurance contract or identification number	1D031251
Number of Individuals Covered	152
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $14,027
Total amount of fees paid to insurance company	USD $1,067
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $140,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,027
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BONUS
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AYML

Policy instance

Insurance contract or identification number	GLUG0AYML
Number of Individuals Covered	218
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $19,400
Total amount of fees paid to insurance company	USD $5,913
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT,ACCIDENT,CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $129,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,400
Amount paid for insurance broker fees	3517
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

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Company Name:	C.H. FENSTERMAKER & ASSOCIATES, LLC
Employer identification number (EIN):	720945751
NAIC Classification:	541330
NAIC Description:	Engineering Services

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1999-01-28
Company Identification Number:	0012521206
Legal Registered Office Address:	PO BOX 52106 LAFAYETTE United States of America (USA) 70505