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CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN 401k Plan overview

Plan NameCARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN
Plan identification number 502

CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

CARROLLTON BANK has sponsored the creation of one or more 401k plans.

Company Name:CARROLLTON BANK
Employer identification number (EIN):370207180
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022018-01-01CHERYL M. BROCK2019-07-30 CHERYL M. BROCK2019-07-30
5022017-01-01

Plan Statistics for CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN

401k plan membership statisitcs for CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN

Measure Date Value
2018: CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01205
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Total of all active and inactive participants2018-01-010
2017: CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01180
Total number of active participants reported on line 7a of the Form 55002017-01-01205
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 participants2017-01-01205

Form 5500 Responses for CARROLLTON BANK EMPLOYEE LIFE INSURANCE PLAN

2018: CARROLLTON BANK EMPLOYEE LIFE INSURANCE 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 filingYes
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 – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CARROLLTON BANK EMPLOYEE LIFE INSURANCE 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number303505
Policy instance 1
Insurance contract or identification number303505
Number of Individuals Covered205
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,805
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,863
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,805
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameILLINOIS BANCSERVICE CORPORATION

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