WHITE HOUSE CUSTOM COLOUR, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan WHITE HOUSE CUSTOM COLOUR HEALTH & WELFARE PLAN
401k plan membership statisitcs for WHITE HOUSE CUSTOM COLOUR HEALTH & WELFARE PLAN
| Measure | Date | Value |
|---|
| 2023: WHITE HOUSE CUSTOM COLOUR HEALTH & WELFARE PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-07-01 | 220 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-07-01 | 179 |
| Number of retired or separated participants receiving benefits | 2023-07-01 | 3 |
| Total of all active and inactive participants | 2023-07-01 | 182 |
| Total participants | 2023-07-01 | 182 |
| 2022: WHITE HOUSE CUSTOM COLOUR HEALTH & WELFARE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-07-01 | 259 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-07-01 | 219 |
| Number of retired or separated participants receiving benefits | 2022-07-01 | 1 |
| Total of all active and inactive participants | 2022-07-01 | 220 |
| Total participants | 2022-07-01 | 220 |
| 2023: WHITE HOUSE CUSTOM COLOUR HEALTH & WELFARE PLAN 2023 form 5500 responses |
|---|
| 2023-07-01 | Type of plan entity | Single employer plan |
| 2023-07-01 | Plan funding arrangement – Insurance | Yes |
| 2023-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: WHITE HOUSE CUSTOM COLOUR HEALTH & WELFARE PLAN 2022 form 5500 responses |
|---|
| 2022-07-01 | Type of plan entity | Single employer plan |
| 2022-07-01 | First time form 5500 has been submitted | Yes |
| 2022-07-01 | Plan funding arrangement – Insurance | Yes |
| 2022-07-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-07-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 ) |
| Policy contract number | 15077 |
| Policy instance | 7 |
| Insurance contract or identification number | 15077 | | Number of Individuals Covered | 117 | | Total amount of commissions paid to insurance broker | USD $34,726 | | Total amount of fees paid to insurance company | USD $8,340 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $752,664 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) |
| Policy contract number | E5505300 |
| Policy instance | 6 |
| Insurance contract or identification number | E5505300 | | Number of Individuals Covered | 4 | | Total amount of commissions paid to insurance broker | USD $180 | | Other welfare benefits provided | MEDICAL BRIDGE | | Welfare Benefit Premiums Paid to Carrier | USD $1,803 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 419017 |
| Policy instance | 5 |
| Insurance contract or identification number | 419017 | | Number of Individuals Covered | 26 | | Total amount of commissions paid to insurance broker | USD $976 | | Total amount of fees paid to insurance company | USD $105 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | LIFESTYLE ADD | | Welfare Benefit Premiums Paid to Carrier | USD $6,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) |
| Policy contract number | E3924685 |
| Policy instance | 4 |
| Insurance contract or identification number | E3924685 | | Number of Individuals Covered | 4 | | Total amount of commissions paid to insurance broker | USD $297 | | Total amount of fees paid to insurance company | USD $32 | | Temporary Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | MEDICAL BRIDGE | | Welfare Benefit Premiums Paid to Carrier | USD $2,993 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30056049 |
| Policy instance | 3 |
| Insurance contract or identification number | 30056049 | | Number of Individuals Covered | 75 | | Total amount of commissions paid to insurance broker | USD $1,169 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,677 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 098033 |
| Policy instance | 2 |
| Insurance contract or identification number | 098033 | | Number of Individuals Covered | 179 | | Total amount of commissions paid to insurance broker | USD $8,036 | | Total amount of fees paid to insurance company | USD $824 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $53,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREFERREDONE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11817 ) |
| Policy contract number | PCH10633 |
| Policy instance | 1 |
| Insurance contract or identification number | PCH10633 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 419017 |
| Policy instance | 5 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 ) |
| Policy contract number | E3924685 |
| Policy instance | 4 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30056049 |
| Policy instance | 3 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 098033 |
| Policy instance | 2 |
| PREFERREDONE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11817 ) |
| Policy contract number | PCH10633 |
| Policy instance | 1 |
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