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CBH CO-OP WEEKLY INCOME 401k Plan overview

Plan NameCBH CO-OP WEEKLY INCOME
Plan identification number 501

CBH CO-OP WEEKLY INCOME Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CBH CO-OP has sponsored the creation of one or more 401k plans.

Company Name:CBH CO-OP
Employer identification number (EIN):460255064
NAIC Classification:447100
NAIC Description: Gasoline Stations, Gas

Additional information about CBH CO-OP

Jurisdiction of Incorporation: South Dakota Secretary of State
Incorporation Date:
Company Identification Number: FC005399

More information about CBH CO-OP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CBH CO-OP WEEKLY INCOME

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-02-01BERLINE GREENOUGH2021-06-02
5012019-02-01BERLINE GREENOUGH2020-08-14

Plan Statistics for CBH CO-OP WEEKLY INCOME

401k plan membership statisitcs for CBH CO-OP WEEKLY INCOME

Measure Date Value
2020: CBH CO-OP WEEKLY INCOME 2020 401k membership
Total participants, beginning-of-year2020-02-01109
Total number of active participants reported on line 7a of the Form 55002020-02-010
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-010
Number of employers contributing to the scheme2020-02-010
2019: CBH CO-OP WEEKLY INCOME 2019 401k membership
Total participants, beginning-of-year2019-02-01109
Total number of active participants reported on line 7a of the Form 55002019-02-01109
Total of all active and inactive participants2019-02-01109
Total participants2019-02-01109

Form 5500 Responses for CBH CO-OP WEEKLY INCOME

2020: CBH CO-OP WEEKLY INCOME 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01This submission is the final filingYes
2020-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: CBH CO-OP WEEKLY INCOME 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01First time form 5500 has been submittedYes
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10172253
Policy instance 1
Insurance contract or identification number10172253
Number of Individuals Covered112
Insurance policy start date2020-02-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,314
Total amount of fees paid to insurance companyUSD $607
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,314
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010172253 00
Policy instance 1
Insurance contract or identification number000010172253 00
Number of Individuals Covered109
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $1,628
Total amount of fees paid to insurance companyUSD $594
Other welfare benefits providedWEEKLY INCOME
Welfare Benefit Premiums Paid to CarrierUSD $17,418
Commission paid to Insurance BrokerUSD $1,628
Amount paid for insurance broker fees594
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3

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