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DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameDENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN
Plan identification number 501

DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

DENVER LOGISTICS, LLC has sponsored the creation of one or more 401k plans.

Company Name:DENVER LOGISTICS, LLC
Employer identification number (EIN):208081389
NAIC Classification:493100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01ANDREW WEISS
5012016-01-01ED HANSEN
5012015-10-01ED HANSEN
5012014-10-01ED HANSEN
5012014-01-01ED HANSEN
5012012-10-01ED HANSEN

Plan Statistics for DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0130
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
2021: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0136
Total number of active participants reported on line 7a of the Form 55002021-01-0130
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0130
2020: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0136
Total number of active participants reported on line 7a of the Form 55002020-01-0136
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0136
2019: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0138
Total number of active participants reported on line 7a of the Form 55002019-01-0136
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0136
2018: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0137
Total number of active participants reported on line 7a of the Form 55002018-01-0136
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0138
2017: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0135
Total number of active participants reported on line 7a of the Form 55002017-01-0137
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0137
2016: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0130
Total number of active participants reported on line 7a of the Form 55002016-01-0135
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0135
2015: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0130
Total number of active participants reported on line 7a of the Form 55002015-10-0130
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-0130
2014: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0171
Total number of active participants reported on line 7a of the Form 55002014-10-0130
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-0130
Total participants, beginning-of-year2014-01-0171
Total number of active participants reported on line 7a of the Form 55002014-01-0171
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0171
2012: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-0171
Total number of active participants reported on line 7a of the Form 55002012-10-0171
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-0171

Financial Data on DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN

Measure Date Value
2022 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$39,084
Total income from all sources2022-12-31$65
Expenses. Total of all expenses incurred2022-12-31$-23,210
Benefits paid (including direct rollovers)2022-12-31$-52,127
Total plan assets at end of year2022-12-31$0
Total plan assets at beginning of year2022-12-31$15,809
Value of fidelity bond covering the plan2022-12-31$200,000
Total contributions received or receivable from participants2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$-1,855
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$65
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$23,275
Net plan assets at end of year (total assets less liabilities)2022-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-23,275
Value of corrective distributions2022-12-31$30,822
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$-50
2021 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$39,084
Total plan liabilities at beginning of year2021-12-31$39,449
Total income from all sources2021-12-31$515,538
Expenses. Total of all expenses incurred2021-12-31$521,801
Benefits paid (including direct rollovers)2021-12-31$324,153
Total plan assets at end of year2021-12-31$15,809
Total plan assets at beginning of year2021-12-31$22,437
Value of fidelity bond covering the plan2021-12-31$200,000
Total contributions received or receivable from participants2021-12-31$150,355
Expenses. Other expenses not covered elsewhere2021-12-31$187,959
Other income received2021-12-31$60
Net income (gross income less expenses)2021-12-31$-6,263
Net plan assets at end of year (total assets less liabilities)2021-12-31$-23,275
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-17,012
Total contributions received or receivable from employer(s)2021-12-31$365,123
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$9,689
2020 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$39,449
Total plan liabilities at beginning of year2020-12-31$57,486
Total income from all sources2020-12-31$533,730
Expenses. Total of all expenses incurred2020-12-31$497,338
Benefits paid (including direct rollovers)2020-12-31$281,676
Total plan assets at end of year2020-12-31$22,437
Total plan assets at beginning of year2020-12-31$4,082
Value of fidelity bond covering the plan2020-12-31$22,824
Total contributions received or receivable from participants2020-12-31$371,221
Expenses. Other expenses not covered elsewhere2020-12-31$185,382
Contributions received from other sources (not participants or employers)2020-12-31$162,405
Other income received2020-12-31$104
Net income (gross income less expenses)2020-12-31$36,392
Net plan assets at end of year (total assets less liabilities)2020-12-31$-17,012
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-53,404
Value of corrective distributions2020-12-31$20,624
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$9,656
2019 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$57,486
Total plan liabilities at beginning of year2019-12-31$40,712
Total income from all sources2019-12-31$568,373
Expenses. Total of all expenses incurred2019-12-31$668,435
Benefits paid (including direct rollovers)2019-12-31$430,312
Total plan assets at end of year2019-12-31$4,082
Total plan assets at beginning of year2019-12-31$87,370
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$148,825
Expenses. Other expenses not covered elsewhere2019-12-31$196,503
Other income received2019-12-31$236
Net income (gross income less expenses)2019-12-31$-100,062
Net plan assets at end of year (total assets less liabilities)2019-12-31$-53,404
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$46,658
Total contributions received or receivable from employer(s)2019-12-31$419,312
Value of corrective distributions2019-12-31$28,873
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$12,747
2018 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$40,712
Total plan liabilities at beginning of year2018-12-31$25,219
Total income from all sources2018-12-31$467,917
Expenses. Total of all expenses incurred2018-12-31$436,436
Benefits paid (including direct rollovers)2018-12-31$199,954
Total plan assets at end of year2018-12-31$87,370
Total plan assets at beginning of year2018-12-31$40,396
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$136,540
Expenses. Other expenses not covered elsewhere2018-12-31$157,038
Contributions received from other sources (not participants or employers)2018-12-31$8,198
Other income received2018-12-31$94
Net income (gross income less expenses)2018-12-31$31,481
Net plan assets at end of year (total assets less liabilities)2018-12-31$46,658
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$15,177
Total contributions received or receivable from employer(s)2018-12-31$323,085
Value of corrective distributions2018-12-31$62,557
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$16,887
2017 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$25,219
Total plan liabilities at beginning of year2017-12-31$15,891
Total income from all sources2017-12-31$358,123
Expenses. Total of all expenses incurred2017-12-31$464,382
Benefits paid (including direct rollovers)2017-12-31$212,597
Total plan assets at end of year2017-12-31$40,396
Total plan assets at beginning of year2017-12-31$137,327
Value of fidelity bond covering the plan2017-12-31$250,000
Total contributions received or receivable from participants2017-12-31$101,815
Expenses. Other expenses not covered elsewhere2017-12-31$126,326
Contributions received from other sources (not participants or employers)2017-12-31$2,956
Other income received2017-12-31$39
Net income (gross income less expenses)2017-12-31$-106,259
Net plan assets at end of year (total assets less liabilities)2017-12-31$15,177
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$121,436
Total contributions received or receivable from employer(s)2017-12-31$253,313
Value of corrective distributions2017-12-31$102,842
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$22,617
2016 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$15,891
Total plan liabilities at beginning of year2016-12-31$16,629
Total income from all sources2016-12-31$351,470
Expenses. Total of all expenses incurred2016-12-31$290,943
Benefits paid (including direct rollovers)2016-12-31$132,458
Total plan assets at end of year2016-12-31$137,327
Total plan assets at beginning of year2016-12-31$77,538
Value of fidelity bond covering the plan2016-12-31$250,000
Total contributions received or receivable from participants2016-12-31$94,240
Expenses. Other expenses not covered elsewhere2016-12-31$116,156
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$184
Net income (gross income less expenses)2016-12-31$60,527
Net plan assets at end of year (total assets less liabilities)2016-12-31$121,436
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$60,909
Total contributions received or receivable from employer(s)2016-12-31$257,046
Value of corrective distributions2016-12-31$21,367
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$20,962
2015 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$16,629
Total plan liabilities at beginning of year2015-12-31$16,735
Total income from all sources2015-12-31$107,592
Expenses. Total of all expenses incurred2015-12-31$87,483
Benefits paid (including direct rollovers)2015-12-31$49,893
Total plan assets at end of year2015-12-31$77,538
Total plan assets at beginning of year2015-12-31$57,535
Value of fidelity bond covering the plan2015-12-31$250,000
Total contributions received or receivable from participants2015-12-31$29,690
Expenses. Other expenses not covered elsewhere2015-12-31$32,951
Other income received2015-12-31$40
Net income (gross income less expenses)2015-12-31$20,109
Net plan assets at end of year (total assets less liabilities)2015-12-31$60,909
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$40,800
Total contributions received or receivable from employer(s)2015-12-31$77,862
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$4,639
Total plan liabilities at end of year2015-09-30$16,735
Total plan liabilities at beginning of year2015-09-30$23,137
Total income from all sources2015-09-30$329,783
Expenses. Total of all expenses incurred2015-09-30$296,487
Benefits paid (including direct rollovers)2015-09-30$189,795
Total plan assets at end of year2015-09-30$57,535
Total plan assets at beginning of year2015-09-30$30,641
Value of fidelity bond covering the plan2015-09-30$250,000
Total contributions received or receivable from participants2015-09-30$90,879
Expenses. Other expenses not covered elsewhere2015-09-30$88,447
Other income received2015-09-30$123
Net income (gross income less expenses)2015-09-30$33,296
Net plan assets at end of year (total assets less liabilities)2015-09-30$40,800
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$7,504
Total contributions received or receivable from employer(s)2015-09-30$238,781
Expenses. Administrative service providers (salaries,fees and commissions)2015-09-30$18,245
2014 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2014 401k financial data
Total plan liabilities at end of year2014-09-30$23,137
Total plan liabilities at beginning of year2014-09-30$0
Total income from all sources2014-09-30$239,065
Expenses. Total of all expenses incurred2014-09-30$231,561
Total plan assets at end of year2014-09-30$30,641
Total plan assets at beginning of year2014-09-30$0
Value of fidelity bond covering the plan2014-09-30$200,000
Total contributions received or receivable from participants2014-09-30$68,355
Expenses. Other expenses not covered elsewhere2014-09-30$159,378
Net income (gross income less expenses)2014-09-30$7,504
Net plan assets at end of year (total assets less liabilities)2014-09-30$7,504
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$0
Total contributions received or receivable from employer(s)2014-09-30$170,710
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$72,183
2013 : DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2013 401k financial data
Total plan liabilities at end of year2013-09-30$25,812
Total plan liabilities at beginning of year2013-09-30$0
Total income from all sources2013-09-30$523,906
Expenses. Total of all expenses incurred2013-09-30$536,616
Benefits paid (including direct rollovers)2013-09-30$344,708
Total plan assets at end of year2013-09-30$13,102
Total plan assets at beginning of year2013-09-30$0
Value of fidelity bond covering the plan2013-09-30$200,000
Total contributions received or receivable from participants2013-09-30$148,760
Expenses. Other expenses not covered elsewhere2013-09-30$10
Noncash contributions received2013-09-30$24
Net income (gross income less expenses)2013-09-30$-12,710
Net plan assets at end of year (total assets less liabilities)2013-09-30$-12,710
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$0
Total contributions received or receivable from employer(s)2013-09-30$375,122
Expenses. Administrative service providers (salaries,fees and commissions)2013-09-30$191,898

Form 5500 Responses for DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN

2022: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: DENVER LOGISTICS, LLC EMPLOYEE BENEFITS PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01First time form 5500 has been submittedYes
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500094
Policy instance 1
Insurance contract or identification number30500094
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $-1,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500094
Policy instance 1
Insurance contract or identification number30500094
Number of Individuals Covered30
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $169,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500094
Policy instance 1
Insurance contract or identification number30500094
Number of Individuals Covered36
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $166,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered33
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $175,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered36
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $137,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered37
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $120,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered30
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 2
Insurance contract or identification numberVERIS
Number of Individuals Covered30
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $57,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered30
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered71
Insurance policy start date2014-01-01
Insurance policy end date2014-09-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $51,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered71
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $115,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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