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CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameCHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN
Plan identification number 501

CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CHURCH COMMUNITY BUILDER, INC. has sponsored the creation of one or more 401k plans.

Company Name:CHURCH COMMUNITY BUILDER, INC.
Employer identification number (EIN):421538063
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Additional information about CHURCH COMMUNITY BUILDER, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2002-04-29
Company Identification Number: 20021111692
Legal Registered Office Address: 10807 New Allegiance Dr.
Ste 300
Colorado Springs
United States of America (USA)
80921

More information about CHURCH COMMUNITY BUILDER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-07-01
5012017-07-01DON HARMS2019-08-12
5012016-07-01

Plan Statistics for CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN

Measure Date Value
2017: CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01119
Total number of active participants reported on line 7a of the Form 55002017-07-01102
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01102
Number of employers contributing to the scheme2017-07-010
2016: CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01104
Total number of active participants reported on line 7a of the Form 55002016-07-0194
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-0194

Form 5500 Responses for CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN

2017: CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01This submission is the final filingYes
2017-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: CHURCH COMMUNITY BUILDER EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01First time form 5500 has been submittedYes
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number803662
Policy instance 1
Insurance contract or identification number803662
Number of Individuals Covered225
Insurance policy start date2017-07-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $39,864
Total amount of fees paid to insurance companyUSD $88
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $795,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $39,864
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker nameHUB INTERNATIONAL INS. SVCES., INC.
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number867513
Policy instance 2
Insurance contract or identification number867513
Number of Individuals Covered82
Insurance policy start date2017-07-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $12,971
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $12,971
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHUB INTERNATIONAL INS. SVCES., INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30048739
Policy instance 3
Insurance contract or identification number30048739
Number of Individuals Covered75
Insurance policy start date2017-07-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $745
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $745
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHUB INTERNATIONAL INS. SVCES., INC.
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number151906
Policy instance 4
Insurance contract or identification number151906
Number of Individuals Covered102
Insurance policy start date2017-07-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $8,541
Total amount of fees paid to insurance companyUSD $1,527
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,541
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker nameHUB INTERNATIONAL INS. SVCES., INC.

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