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EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM 401k Plan overview

Plan NameEVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM
Plan identification number 527

EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

EVERSOURCE ENERGY SERVICE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:EVERSOURCE ENERGY SERVICE COMPANY
Employer identification number (EIN):060810627
NAIC Classification:221500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5272020-10-09MICHAEL P. SYNAN2021-07-29

Plan Statistics for EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM

401k plan membership statisitcs for EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM

Measure Date Value
2020: EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM 2020 401k membership
Total participants, beginning-of-year2020-10-09804
Total number of active participants reported on line 7a of the Form 55002020-10-090
Total of all active and inactive participants2020-10-090
Total participants2020-10-090

Form 5500 Responses for EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM

2020: EVERSOURCE GAS COMPANY OF MASSACHUSETTS - CMA WELFARE BENEFITS PROGRAM 2020 form 5500 responses
2020-10-09Type of plan entitySingle employer plan
2020-10-09First time form 5500 has been submittedYes
2020-10-09This submission is the final filingYes
2020-10-09This return/report is a short plan year return/report (less than 12 months)Yes
2020-10-09Plan funding arrangement – InsuranceYes
2020-10-09Plan funding arrangement – General assets of the sponsorYes
2020-10-09Plan benefit arrangement – InsuranceYes
2020-10-09Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number33835
Policy instance 1
Insurance contract or identification number33835
Number of Individuals Covered808
Insurance policy start date2020-10-09
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $674
Total amount of fees paid to insurance companyUSD $1,474
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $674
Amount paid for insurance broker fees1474
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number33835
Policy instance 2
Insurance contract or identification number33835
Number of Individuals Covered1310
Insurance policy start date2020-10-09
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,036
Total amount of fees paid to insurance companyUSD $2,265
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $100,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,036
Amount paid for insurance broker fees2265
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number34142
Policy instance 3
Insurance contract or identification number34142
Number of Individuals Covered177
Insurance policy start date2020-10-09
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $77
Total amount of fees paid to insurance companyUSD $87
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77
Amount paid for insurance broker fees87
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30099528
Policy instance 4
Insurance contract or identification number30099528
Number of Individuals Covered728
Insurance policy start date2020-10-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number09129-09131
Policy instance 5
Insurance contract or identification number09129-09131
Number of Individuals Covered248
Insurance policy start date2020-10-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,396
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $649,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,396
Insurance broker organization code?3
HEALTH NEW ENGLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95673 )
Policy contract number111161
Policy instance 6
Insurance contract or identification number111161
Number of Individuals Covered148
Insurance policy start date2020-10-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,716
Insurance broker organization code?3

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