COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN 401k Plan overview
| Plan Name | COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN |
| Plan identification number | 503 |
COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Vision
|
401k Sponsoring company profile
COMMONWEALTH DAIRY, LLC has sponsored the creation of one or more 401k plans.
Additional information about COMMONWEALTH DAIRY, LLC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 4731495 |
More information about COMMONWEALTH DAIRY, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2018-01-01 | CHRISTOPHER ORRISS | | CHRISTOPHER ORRISS | 2019-07-25 |
Plan Statistics for COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN
401k plan membership statisitcs for COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2018: COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 154 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
Form 5500 Responses for COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN
| 2018: COMMONWEALTH DAIRY, LLC GROUP HEALTH INSURANCE PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | First time form 5500 has been submitted | Yes |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 ) |
| Policy contract number | 29437, 29438 |
| Policy instance | 1 |
| Insurance contract or identification number | 29437, 29438 | | Number of Individuals Covered | 291 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $57,297 | | Total amount of fees paid to insurance company | USD $1,800 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,414,721 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $57,297 | | Amount paid for insurance broker fees | 1800 | | Additional information about fees paid to insurance broker | FEES AND OTHER COMMISSIONS PAID | | Insurance broker organization code? | 3 |
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