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CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 401k Plan overview

Plan NameCG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN
Plan identification number 501

CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE 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

401k Sponsoring company profile

CG POWER SYSTEMS USA, INC. has sponsored the creation of one or more 401k plans.

Company Name:CG POWER SYSTEMS USA, INC.
Employer identification number (EIN):431272470
NAIC Classification:335310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-02-01STACY SCHIERMEIER
5012015-02-01STACY SCHIERMEIER
5012014-02-01STACY SCHIERMEIER
5012013-02-01STACY SCHIERMEIER
5012012-02-01STACY SCHIERMEIER
5012011-02-01STACY SCHIERMEIER
5012009-02-01STACY SCHIERMEIER

Plan Statistics for CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN

401k plan membership statisitcs for CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN

Measure Date Value
2016: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01537
Total number of active participants reported on line 7a of the Form 55002016-02-01497
Total of all active and inactive participants2016-02-01497
Total participants2016-02-01497
2015: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01575
Total number of active participants reported on line 7a of the Form 55002015-02-01537
Total of all active and inactive participants2015-02-01537
Total participants2015-02-010
2014: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01579
Total number of active participants reported on line 7a of the Form 55002014-02-01575
Total of all active and inactive participants2014-02-01575
Total participants2014-02-010
2013: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01502
Total number of active participants reported on line 7a of the Form 55002013-02-01583
Total of all active and inactive participants2013-02-01583
Total participants2013-02-010
2012: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01423
Total number of active participants reported on line 7a of the Form 55002012-02-01502
Total of all active and inactive participants2012-02-01502
Total participants2012-02-010
2011: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01351
Total number of active participants reported on line 7a of the Form 55002011-02-01411
Total of all active and inactive participants2011-02-01411
Total participants2011-02-01411
2009: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-02-01327
Total number of active participants reported on line 7a of the Form 55002009-02-01324
Total of all active and inactive participants2009-02-01324
Total participants2009-02-01324

Financial Data on CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN

Measure Date Value
2017 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-01-31$4,824,744
Total of all expenses incurred2017-01-31$4,824,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-31$4,802,268
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-31$4,824,744
Value of total assets at end of year2017-01-31$120,000
Value of total assets at beginning of year2017-01-31$120,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-01-31$22,476
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-31No
Was this plan covered by a fidelity bond2017-01-31No
If this is an individual account plan, was there a blackout period2017-01-31No
Were there any nonexempt tranactions with any party-in-interest2017-01-31No
Contributions received from participants2017-01-31$582,990
Income. Received or receivable in cash from other sources (including rollovers)2017-01-31$298,702
Administrative expenses (other) incurred2017-01-31$22,476
Total non interest bearing cash at end of year2017-01-31$120,000
Total non interest bearing cash at beginning of year2017-01-31$120,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Value of net assets at end of year (total assets less liabilities)2017-01-31$120,000
Value of net assets at beginning of year (total assets less liabilities)2017-01-31$120,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-31No
Were any leases to which the plan was party in default or uncollectible2017-01-31No
Value of interest in common/collective trusts at end of year2017-01-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-31No
Was there a failure to transmit to the plan any participant contributions2017-01-31No
Has the plan failed to provide any benefit when due under the plan2017-01-31No
Contributions received in cash from employer2017-01-31$3,943,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-01-31$4,802,268
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-01-31No
Did the plan have assets held for investment2017-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-01-31No
Opinion of an independent qualified public accountant for this plan2017-01-31Unqualified
Accountancy firm name2017-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2017-01-31430673920
2016 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-01-31$4,846,999
Total of all expenses incurred2016-01-31$4,834,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$4,816,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$4,846,999
Value of total assets at end of year2016-01-31$120,000
Value of total assets at beginning of year2016-01-31$108,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-31$18,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31No
Was this plan covered by a fidelity bond2016-01-31No
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Contributions received from participants2016-01-31$643,083
Income. Received or receivable in cash from other sources (including rollovers)2016-01-31$361,117
Administrative expenses (other) incurred2016-01-31$18,102
Total non interest bearing cash at end of year2016-01-31$120,000
Total non interest bearing cash at beginning of year2016-01-31$108,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$12,000
Value of net assets at end of year (total assets less liabilities)2016-01-31$120,000
Value of net assets at beginning of year (total assets less liabilities)2016-01-31$108,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Value of interest in common/collective trusts at end of year2016-01-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Contributions received in cash from employer2016-01-31$3,842,799
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-01-31$4,816,897
Did the plan have assets held for investment2016-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Unqualified
Accountancy firm name2016-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2016-01-31430673920
2015 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-01-31$4,230,972
Total of all expenses incurred2015-01-31$4,230,972
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$4,174,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$4,230,972
Value of total assets at end of year2015-01-31$108,000
Value of total assets at beginning of year2015-01-31$108,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$56,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Was this plan covered by a fidelity bond2015-01-31No
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$170,717
Income. Received or receivable in cash from other sources (including rollovers)2015-01-31$542,787
Administrative expenses (other) incurred2015-01-31$56,095
Total non interest bearing cash at end of year2015-01-31$108,000
Total non interest bearing cash at beginning of year2015-01-31$108,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net assets at end of year (total assets less liabilities)2015-01-31$108,000
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$108,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Value of interest in common/collective trusts at end of year2015-01-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31No
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$3,517,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$4,174,877
Did the plan have assets held for investment2015-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2015-01-31430673920
2014 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-01-31$4,643,806
Total of all expenses incurred2014-01-31$4,602,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$4,602,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$4,643,806
Value of total assets at end of year2014-01-31$108,000
Value of total assets at beginning of year2014-01-31$67,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Was this plan covered by a fidelity bond2014-01-31No
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Contributions received from participants2014-01-31$502,122
Income. Received or receivable in cash from other sources (including rollovers)2014-01-31$138,664
Total non interest bearing cash at end of year2014-01-31$108,000
Total non interest bearing cash at beginning of year2014-01-31$67,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$41,000
Value of net assets at end of year (total assets less liabilities)2014-01-31$108,000
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$67,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Value of interest in common/collective trusts at end of year2014-01-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31No
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Contributions received in cash from employer2014-01-31$4,003,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-01-31$4,602,806
Did the plan have assets held for investment2014-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31No
Opinion of an independent qualified public accountant for this plan2014-01-31Unqualified
Accountancy firm name2014-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2014-01-31430673920
2013 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-01-31$3,504,267
Total of all expenses incurred2013-01-31$3,480,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$3,473,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$3,504,267
Value of total assets at end of year2013-01-31$67,000
Value of total assets at beginning of year2013-01-31$42,822
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-01-31$6,155
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Was this plan covered by a fidelity bond2013-01-31No
If this is an individual account plan, was there a blackout period2013-01-31No
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Contributions received from participants2013-01-31$457,539
Income. Received or receivable in cash from other sources (including rollovers)2013-01-31$240,607
Total non interest bearing cash at end of year2013-01-31$67,000
Total non interest bearing cash at beginning of year2013-01-31$42,822
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$24,178
Value of net assets at end of year (total assets less liabilities)2013-01-31$67,000
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$42,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Investment advisory and management fees2013-01-31$6,155
Value of interest in common/collective trusts at end of year2013-01-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31No
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Contributions received in cash from employer2013-01-31$2,806,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-01-31$3,473,934
Did the plan have assets held for investment2013-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31No
Opinion of an independent qualified public accountant for this plan2013-01-31Unqualified
Accountancy firm name2013-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2013-01-31430673920
2012 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-01-31$2,409,195
Total of all expenses incurred2012-01-31$2,428,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$2,397,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$2,409,195
Value of total assets at end of year2012-01-31$42,822
Value of total assets at beginning of year2012-01-31$62,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$31,154
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Was this plan covered by a fidelity bond2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$322,494
Income. Received or receivable in cash from other sources (including rollovers)2012-01-31$172,981
Total non interest bearing cash at end of year2012-01-31$42,822
Total non interest bearing cash at beginning of year2012-01-31$62,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$-19,178
Value of net assets at end of year (total assets less liabilities)2012-01-31$42,822
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$62,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31No
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Contributions received in cash from employer2012-01-31$1,913,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$2,397,219
Contract administrator fees2012-01-31$31,154
Did the plan have assets held for investment2012-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2012-01-31430673920
2011 : CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-01-31$1,827,817
Total of all expenses incurred2011-01-31$1,827,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$1,800,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$1,827,817
Value of total assets at end of year2011-01-31$62,000
Value of total assets at beginning of year2011-01-31$62,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$27,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Was this plan covered by a fidelity bond2011-01-31No
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$281,095
Income. Received or receivable in cash from other sources (including rollovers)2011-01-31$170,168
Total non interest bearing cash at end of year2011-01-31$62,000
Total non interest bearing cash at beginning of year2011-01-31$62,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net assets at end of year (total assets less liabilities)2011-01-31$62,000
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$62,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31No
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Contributions received in cash from employer2011-01-31$1,376,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$1,800,596
Contract administrator fees2011-01-31$27,221
Did the plan have assets held for investment2011-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31No
Opinion of an independent qualified public accountant for this plan2011-01-31Unqualified
Accountancy firm name2011-01-31HOCHSCHILD, BLOOM & COMPANY, LLP
Accountancy firm EIN2011-01-31430673920

Form 5500 Responses for CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN

2016: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – TrustYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes
2009: CG POWER SYSTEMS USA, INC. GROUP MEDICAL INSURANCE PLAN 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WD476
Policy instance 1
Insurance contract or identification number000WD476
Number of Individuals Covered527
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $24,969
Total amount of fees paid to insurance companyUSD $11,487
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $262,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,969
Insurance broker organization code?3
Amount paid for insurance broker fees11487
Insurance broker nameCORNERSTONE INSURANCE GROUP LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WD476
Policy instance 2
Insurance contract or identification number000WD476
Number of Individuals Covered44
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $5,289
Total amount of fees paid to insurance companyUSD $3,889
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $53,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,258
Insurance broker organization code?3
Amount paid for insurance broker fees3889
Insurance broker nameDAVID BOYKIN
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WD476
Policy instance 1
Insurance contract or identification number000WD476
Number of Individuals Covered559
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $27,056
Total amount of fees paid to insurance companyUSD $10,099
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $281,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,056
Insurance broker organization code?3
Amount paid for insurance broker fees10099
Insurance broker nameCORNERSTONE INSURANCE GROUP LLC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number716678
Policy instance 1
Insurance contract or identification number716678
Number of Individuals Covered510
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $48,642
Welfare Benefit Premiums Paid to CarrierUSD $404,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,642
Insurance broker organization code?3
Insurance broker nameCORNERSTONE INSURANCE GROUP LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WD476
Policy instance 2
Insurance contract or identification number000WD476
Number of Individuals Covered569
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $33,127
Total amount of fees paid to insurance companyUSD $5,052
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $345,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,127
Insurance broker organization code?3
Amount paid for insurance broker fees5052
Insurance broker nameCORNERSTONE INSURANCE GROUP LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number000WD476
Policy instance 1
Insurance contract or identification number000WD476
Number of Individuals Covered472
Insurance policy start date2012-07-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $13,900
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedSHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $115,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,900
Insurance broker organization code?3
Insurance broker nameSCOTT SCHROEPFER INSURANCE AGENCY
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number716678
Policy instance 2
Insurance contract or identification number716678
Number of Individuals Covered430
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $48,463
Welfare Benefit Premiums Paid to CarrierUSD $360,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,463
Insurance broker organization code?3
Insurance broker nameCORNERSTONE INSURANCE GROUP LLC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number716678
Policy instance 1
Insurance contract or identification number716678
Number of Individuals Covered350
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $56,599
Welfare Benefit Premiums Paid to CarrierUSD $431,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number716678
Policy instance 1
Insurance contract or identification number716678
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $59,159
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $395,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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