401k Plan data: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO plan

FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 401k Plan overview

Plan Name	FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO
Plan identification number	501

FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover

401k Sponsoring company profile

COLORADO FIRST CONSTRUCTION CO. has sponsored the creation of one or more 401k plans.

Company Name: COLORADO FIRST CONSTRUCTION CO.

Employer identification number (EIN): 840917970

NAIC Classification: 236200

Additional information about COLORADO FIRST CONSTRUCTION CO.

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 1983-08-22

Company Identification Number: 19871534876

Legal Registered Office Address: 14062 Denver West Parkway
Suite 110
Golden
United States of America (USA)
80401

More information about COLORADO FIRST CONSTRUCTION CO.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01
501 2022-01-01

Plan Statistics for FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO

401k plan membership statisitcs for FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO

Measure Date Value
2023: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 2023 401k membership
Total participants, beginning-of-year 2023-01-01 87
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 0
Total of all active and inactive participants 2023-01-01 0
2022: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 2022 401k membership
Total participants, beginning-of-year 2022-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 87
Total of all active and inactive participants 2022-01-01 87

Measure	Date	Value
2023: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 2023 401k membership
Total participants, beginning-of-year	2023-01-01	87
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	0
Total of all active and inactive participants	2023-01-01	0
2022: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 2022 401k membership
Total participants, beginning-of-year	2022-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	87
Total of all active and inactive participants	2022-01-01	87

Form 5500 Responses for FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO

2023: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	This submission is the final filing	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: FLEXIBLE BENEFITS PLAN OF COLORADO FIRST CONSTRUCTION CO 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )

Policy contract number

L04887

Policy instance

Insurance contract or identification number	L04887
Number of Individuals Covered	57
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $24,935
Total amount of fees paid to insurance company	USD $8,232
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $791,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30096588

Policy instance

Insurance contract or identification number	30096588
Number of Individuals Covered	53
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $707
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,301
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

10213169

Policy instance

Insurance contract or identification number	10213169
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,402
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

10213170

Policy instance

Insurance contract or identification number	10213170
Number of Individuals Covered	62
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,950
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $39,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )

Policy contract number

L04887

Policy instance

Insurance contract or identification number	L04887
Number of Individuals Covered	167
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $29,716
Total amount of fees paid to insurance company	USD $9,798
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $953,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $29,716
Insurance broker organization code?	3
Amount paid for insurance broker fees	9798
Additional information about fees paid to insurance broker	SERVICE FEE

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30096588

Policy instance

Insurance contract or identification number	30096588
Number of Individuals Covered	77
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $807
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $807
Insurance broker organization code?	3

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

Policy contract number

10213169

Policy instance

Insurance contract or identification number	10213169
Number of Individuals Covered	87
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,712
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $16,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,712
Insurance broker organization code?	3

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

Policy contract number

10213170

Policy instance

Insurance contract or identification number	10213170
Number of Individuals Covered	85
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $4,513
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,513
Insurance broker organization code?	3

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Company Name:	COLORADO FIRST CONSTRUCTION CO.
Employer identification number (EIN):	840917970
NAIC Classification:	236200

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	1983-08-22
Company Identification Number:	19871534876
Legal Registered Office Address:	14062 Denver West Parkway Suite 110 Golden United States of America (USA) 80401