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CAO BENEFIT PLAN 401k Plan overview

Plan NameCAO BENEFIT PLAN
Plan identification number 501

CAO BENEFIT PLAN Benefits

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

401k Sponsoring company profile

COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY ACTION ORGANIZATION OF SCIOTO COUNTY, INC.
Employer identification number (EIN):310718622
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAO BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-04-01
5012018-03-01
5012017-03-01
5012016-03-01 CAROLYN POWELL2019-09-19
5012015-03-01
5012014-03-01CAROLYN POWELL
5012014-03-01CAROLYN POWELL
5012013-03-01CAROLYN POWELL
5012012-03-01CAROLYN POWELL
5012011-03-01CAROLYN POWELL
5012010-03-01CAROLYN POWELL
5012009-03-01CAROLYN POWELL

Plan Statistics for CAO BENEFIT PLAN

401k plan membership statisitcs for CAO BENEFIT PLAN

Measure Date Value
2019: CAO BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01121
Total number of active participants reported on line 7a of the Form 55002019-04-01126
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01126
Total participants2019-04-01126
2018: CAO BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01120
Total number of active participants reported on line 7a of the Form 55002018-03-01121
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-03-010
Total participants2018-03-01121
Number of participants with account balances2018-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-03-010
2017: CAO BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01115
Total number of active participants reported on line 7a of the Form 55002017-03-01120
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-03-010
Total participants2017-03-01120
Number of participants with account balances2017-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-03-010
2016: CAO BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01128
Total number of active participants reported on line 7a of the Form 55002016-03-01115
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-03-010
Total participants2016-03-01115
Number of participants with account balances2016-03-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-03-010
2015: CAO BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01141
Total number of active participants reported on line 7a of the Form 55002015-03-01128
Number of retired or separated participants receiving benefits2015-03-0121
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01149
2014: CAO BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01139
Total number of active participants reported on line 7a of the Form 55002014-03-01122
Number of retired or separated participants receiving benefits2014-03-0119
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01141
2013: CAO BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01183
Total number of active participants reported on line 7a of the Form 55002013-03-01122
Number of retired or separated participants receiving benefits2013-03-0117
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-01139
2012: CAO BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01200
Total number of active participants reported on line 7a of the Form 55002012-03-01183
Number of retired or separated participants receiving benefits2012-03-010
Number of other retired or separated participants entitled to future benefits2012-03-010
Total of all active and inactive participants2012-03-01183
2011: CAO BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01157
Total number of active participants reported on line 7a of the Form 55002011-03-01200
Number of retired or separated participants receiving benefits2011-03-010
Number of other retired or separated participants entitled to future benefits2011-03-010
Total of all active and inactive participants2011-03-01200
2010: CAO BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-01140
Total number of active participants reported on line 7a of the Form 55002010-03-01157
Number of retired or separated participants receiving benefits2010-03-010
Number of other retired or separated participants entitled to future benefits2010-03-010
Total of all active and inactive participants2010-03-01157
2009: CAO BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01130
Total number of active participants reported on line 7a of the Form 55002009-03-01140
Number of retired or separated participants receiving benefits2009-03-010
Number of other retired or separated participants entitled to future benefits2009-03-010
Total of all active and inactive participants2009-03-01140

Financial Data on CAO BENEFIT PLAN

Measure Date Value
2016 : CAO BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-02-29$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$307,494
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$124,819
Total income from all sources (including contributions)2016-02-29$2,668,499
Total loss/gain on sale of assets2016-02-29$0
Total of all expenses incurred2016-02-29$2,668,499
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$2,596,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$2,668,383
Value of total assets at end of year2016-02-29$307,494
Value of total assets at beginning of year2016-02-29$124,819
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$72,202
Total interest from all sources2016-02-29$116
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$100,000
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$211,323
Liabilities. Value of operating payables at end of year2016-02-29$195,000
Liabilities. Value of operating payables at beginning of year2016-02-29$0
Total non interest bearing cash at end of year2016-02-29$6,725
Total non interest bearing cash at beginning of year2016-02-29$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$0
Value of net assets at end of year (total assets less liabilities)2016-02-29$0
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$116
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$549,635
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29No
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$2,457,060
Employer contributions (assets) at end of year2016-02-29$300,769
Employer contributions (assets) at beginning of year2016-02-29$124,819
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$2,046,662
Contract administrator fees2016-02-29$72,202
Liabilities. Value of benefit claims payable at end of year2016-02-29$112,494
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$124,819
Did the plan have assets held for investment2016-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29RD CONLEY AND COMPANY
Accountancy firm EIN2016-02-29311705260
2015 : CAO BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$124,819
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$50,000
Total income from all sources (including contributions)2015-02-28$2,609,748
Total loss/gain on sale of assets2015-02-28$0
Total of all expenses incurred2015-02-28$2,567,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$2,496,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$2,609,598
Value of total assets at end of year2015-02-28$124,819
Value of total assets at beginning of year2015-02-28$8,040
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$71,163
Total interest from all sources2015-02-28$150
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$100,000
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$192,390
Liabilities. Value of operating payables at end of year2015-02-28$0
Liabilities. Value of operating payables at beginning of year2015-02-28$50,000
Total non interest bearing cash at end of year2015-02-28$0
Total non interest bearing cash at beginning of year2015-02-28$8,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$41,960
Value of net assets at end of year (total assets less liabilities)2015-02-28$0
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$-41,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$150
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$381,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28No
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$2,417,208
Employer contributions (assets) at end of year2015-02-28$124,819
Employer contributions (assets) at beginning of year2015-02-28$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$2,115,585
Contract administrator fees2015-02-28$71,163
Liabilities. Value of benefit claims payable at end of year2015-02-28$124,819
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$0
Did the plan have assets held for investment2015-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28RD CONLEY AND COMPANY
Accountancy firm EIN2015-02-28311705260
2014 : CAO BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$50,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$0
Total income from all sources (including contributions)2014-02-28$2,423,513
Total loss/gain on sale of assets2014-02-28$0
Total of all expenses incurred2014-02-28$2,485,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$2,411,301
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$2,423,178
Value of total assets at end of year2014-02-28$8,040
Value of total assets at beginning of year2014-02-28$19,608
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$73,780
Total interest from all sources2014-02-28$335
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$100,000
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$220,685
Administrative expenses (other) incurred2014-02-28$27,012
Liabilities. Value of operating payables at end of year2014-02-28$50,000
Liabilities. Value of operating payables at beginning of year2014-02-28$0
Total non interest bearing cash at end of year2014-02-28$8,040
Total non interest bearing cash at beginning of year2014-02-28$16,343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$-61,568
Value of net assets at end of year (total assets less liabilities)2014-02-28$-41,960
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$19,608
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-02-28$335
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$380,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28No
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$2,202,493
Employer contributions (assets) at end of year2014-02-28$0
Employer contributions (assets) at beginning of year2014-02-28$3,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$2,030,601
Contract administrator fees2014-02-28$46,768
Liabilities. Value of benefit claims payable at end of year2014-02-28$0
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$0
Did the plan have assets held for investment2014-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28RD CONLEY AND COMPANY
Accountancy firm EIN2014-02-28311705260
2013 : CAO BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$0
Total income from all sources (including contributions)2013-02-28$2,555,641
Total loss/gain on sale of assets2013-02-28$0
Total of all expenses incurred2013-02-28$2,663,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$2,539,839
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$2,555,394
Value of total assets at end of year2013-02-28$19,608
Value of total assets at beginning of year2013-02-28$127,015
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$123,209
Total interest from all sources2013-02-28$247
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$100,000
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$211,298
Total non interest bearing cash at end of year2013-02-28$16,343
Total non interest bearing cash at beginning of year2013-02-28$127,015
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$-107,407
Value of net assets at end of year (total assets less liabilities)2013-02-28$19,608
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$127,015
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-02-28$247
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$337,156
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28No
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$2,344,096
Employer contributions (assets) at end of year2013-02-28$3,265
Employer contributions (assets) at beginning of year2013-02-28$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$2,202,683
Contract administrator fees2013-02-28$123,209
Liabilities. Value of benefit claims payable at end of year2013-02-28$0
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$0
Did the plan have assets held for investment2013-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28DONALD R GOSSETT & COMPANY LLC
Accountancy firm EIN2013-02-28262520608
2012 : CAO BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-02-29$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$30,546
Total income from all sources (including contributions)2012-02-29$2,262,391
Total loss/gain on sale of assets2012-02-29$0
Total of all expenses incurred2012-02-29$2,259,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$2,182,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$2,261,463
Value of total assets at end of year2012-02-29$127,015
Value of total assets at beginning of year2012-02-29$154,993
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$77,338
Total interest from all sources2012-02-29$928
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Administrative expenses professional fees incurred2012-02-29$77,338
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$100,000
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$293,990
Total non interest bearing cash at end of year2012-02-29$127,015
Total non interest bearing cash at beginning of year2012-02-29$64,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$2,568
Value of net assets at end of year (total assets less liabilities)2012-02-29$127,015
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$124,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-29$928
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$289,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29No
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$1,967,473
Employer contributions (assets) at end of year2012-02-29$0
Employer contributions (assets) at beginning of year2012-02-29$90,034
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$1,893,251
Liabilities. Value of benefit claims payable at end of year2012-02-29$0
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$30,546
Did the plan have assets held for investment2012-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29DONALD R GOSSETT & COMPANY LLC
Accountancy firm EIN2012-02-29262520608
2011 : CAO BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-02-28$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$30,546
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$35,674
Total income from all sources (including contributions)2011-02-28$1,826,787
Total loss/gain on sale of assets2011-02-28$0
Total of all expenses incurred2011-02-28$1,852,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$1,783,325
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$1,825,052
Value of total assets at end of year2011-02-28$154,993
Value of total assets at beginning of year2011-02-28$185,748
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$69,089
Total interest from all sources2011-02-28$1,735
Total dividends received (eg from common stock, registered investment company shares)2011-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Administrative expenses professional fees incurred2011-02-28$69,089
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$100,000
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$240,956
Total non interest bearing cash at end of year2011-02-28$64,959
Total non interest bearing cash at beginning of year2011-02-28$185,748
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$-25,627
Value of net assets at end of year (total assets less liabilities)2011-02-28$124,447
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$150,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$1,735
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$246,331
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28No
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$1,584,096
Employer contributions (assets) at end of year2011-02-28$90,034
Employer contributions (assets) at beginning of year2011-02-28$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$1,536,994
Liabilities. Value of benefit claims payable at end of year2011-02-28$30,546
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$35,674
Did the plan have assets held for investment2011-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28DONALD R GOSSETT & COMPANY LLC
Accountancy firm EIN2011-02-28262520608

Form 5500 Responses for CAO BENEFIT PLAN

2019: CAO BENEFIT PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: CAO BENEFIT PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Submission has been amendedNo
2018-03-01This submission is the final filingNo
2018-03-01This return/report is a short plan year return/report (less than 12 months)No
2018-03-01Plan is a collectively bargained planNo
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: CAO BENEFIT PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Submission has been amendedNo
2017-03-01This submission is the final filingNo
2017-03-01This return/report is a short plan year return/report (less than 12 months)No
2017-03-01Plan is a collectively bargained planNo
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: CAO BENEFIT PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Submission has been amendedNo
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: CAO BENEFIT PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)No
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: CAO BENEFIT PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedYes
2014-03-01This submission is the final filingNo
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: CAO BENEFIT PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planNo
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: CAO BENEFIT PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: CAO BENEFIT PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2010: CAO BENEFIT PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Submission has been amendedYes
2010-03-01This submission is the final filingNo
2010-03-01This return/report is a short plan year return/report (less than 12 months)No
2010-03-01Plan is a collectively bargained planNo
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan funding arrangement – General assets of the sponsorYes
2010-03-01Plan benefit arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: CAO BENEFIT PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144949
Policy instance 1
Insurance contract or identification number144949
Number of Individuals Covered126
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2361
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144949
Policy instance 1
Insurance contract or identification number144949
Number of Individuals Covered121
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
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 BenefitYes
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
Amount paid for insurance broker fees2382
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144949
Policy instance 1
Insurance contract or identification number144949
Number of Individuals Covered120
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of fees paid to insurance companyUSD $2,066
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 BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number99999
Policy instance 2
Insurance contract or identification number99999
Number of Individuals Covered128
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,761
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2761
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?5
Insurance broker nameBENEFIT PLANNERS AND ASSOC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9999
Policy instance 1
Insurance contract or identification number9999
Number of Individuals Covered128
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $48,108
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees37006
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT PLANNERS AND ASSSOC
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number99999
Policy instance 2
Insurance contract or identification number99999
Number of Individuals Covered141
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,867
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2867
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?5
Insurance broker nameBENEFIT PLANNERS AND ASSOC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9999
Policy instance 1
Insurance contract or identification number9999
Number of Individuals Covered141
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $41,555
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees31965
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT PLANNERS AND ASSSOC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9999
Policy instance 1
Insurance contract or identification number9999
Number of Individuals Covered139
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $41,547
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees31959
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT PLANNERS AND ASSSOC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9999
Policy instance 1
Insurance contract or identification number9999
Number of Individuals Covered183
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $38,998
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees29998
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameBENEFIT PLANNERS AND ASSSOC
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9999
Policy instance 1
Insurance contract or identification number9999
Number of Individuals Covered200
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $33,274
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number9999
Policy instance 1
Insurance contract or identification number9999
Number of Individuals Covered157
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $28,339
Total amount of fees paid to insurance companyUSD $11,172
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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