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CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 401k Plan overview

Plan NameCFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN
Plan identification number 501

CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

CF REAL ESTATE SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:CF REAL ESTATE SERVICES, LLC
Employer identification number (EIN):462247354
NAIC Classification:531310

Additional information about CF REAL ESTATE SERVICES, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1799526

More information about CF REAL ESTATE SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01JIM MAUCK2023-08-14
5012020-11-01JIM MAUCK2022-08-18
5012019-11-01ALAN WALSH2021-08-13
5012018-11-01ALAN WALSH2020-08-14
5012017-11-01ALAN WALSH2019-08-15
5012016-11-01
5012015-11-01JIM MAUCK
5012014-11-01JIM MAUCK
5012013-11-01RHONDA RAMSEY
5012012-11-01ROSEMARY LANDSBERG

Plan Statistics for CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN

401k plan membership statisitcs for CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN

Measure Date Value
2021: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-0199
Total number of active participants reported on line 7a of the Form 55002021-11-010
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-010
Number of employers contributing to the scheme2021-11-010
2020: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-01360
Total number of active participants reported on line 7a of the Form 55002020-11-01356
Number of retired or separated participants receiving benefits2020-11-010
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-01356
Number of employers contributing to the scheme2020-11-010
2019: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01379
Total number of active participants reported on line 7a of the Form 55002019-11-01356
Number of retired or separated participants receiving benefits2019-11-014
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-01360
Number of employers contributing to the scheme2019-11-010
2018: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01395
Total number of active participants reported on line 7a of the Form 55002018-11-01393
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-01393
Number of employers contributing to the scheme2018-11-010
2017: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01331
Total number of active participants reported on line 7a of the Form 55002017-11-01393
Number of retired or separated participants receiving benefits2017-11-012
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-01395
Number of employers contributing to the scheme2017-11-010
2016: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01424
Total number of active participants reported on line 7a of the Form 55002016-11-01490
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01490
2015: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01498
Total number of active participants reported on line 7a of the Form 55002015-11-01424
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01424
2014: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01460
Total number of active participants reported on line 7a of the Form 55002014-11-01516
Total of all active and inactive participants2014-11-01516
Total participants2014-11-010
2013: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01378
Total number of active participants reported on line 7a of the Form 55002013-11-01460
Total of all active and inactive participants2013-11-01460
Total participants2013-11-010
2012: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01284
Total number of active participants reported on line 7a of the Form 55002012-11-01378
Total of all active and inactive participants2012-11-01378
Total participants2012-11-010

Financial Data on CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN

Measure Date Value
2022 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2022 401k financial data
Transfers to/from the plan2022-10-31$-19,536
Total plan liabilities at end of year2022-10-31$0
Total plan liabilities at beginning of year2022-10-31$14,918
Total income from all sources2022-10-31$44
Total plan assets at end of year2022-10-31$0
Total plan assets at beginning of year2022-10-31$34,410
Value of fidelity bond covering the plan2022-10-31$1,000,000
Other income received2022-10-31$44
Net income (gross income less expenses)2022-10-31$44
Net plan assets at end of year (total assets less liabilities)2022-10-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-10-31$19,492
2021 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$14,918
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$216,091
Total income from all sources (including contributions)2021-10-31$1,999,683
Total of all expenses incurred2021-10-31$2,109,591
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$2,109,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$1,937,572
Value of total assets at end of year2021-10-31$34,410
Value of total assets at beginning of year2021-10-31$345,491
Total dividends received (eg from common stock, registered investment company shares)2021-10-31$2,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-10-31$2,859
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$1,000,000
If this is an individual account plan, was there a blackout period2021-10-31No
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Contributions received from participants2021-10-31$806,584
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-10-31$258,676
Liabilities. Value of operating payables at end of year2021-10-31$13,000
Liabilities. Value of operating payables at beginning of year2021-10-31$70,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$-109,908
Value of net assets at end of year (total assets less liabilities)2021-10-31$19,492
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$129,400
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-10-31No
Were any leases to which the plan was party in default or uncollectible2021-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-10-31$303,820
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-10-31$34,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-10-31$41,671
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-10-31$41,671
Expenses. Payments to insurance carriers foe the provision of benefits2021-10-31$417,420
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-10-31$59,252
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31No
Was there a failure to transmit to the plan any participant contributions2021-10-31No
Has the plan failed to provide any benefit when due under the plan2021-10-31No
Contributions received in cash from employer2021-10-31$1,130,988
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-10-31$1,433,495
Liabilities. Value of benefit claims payable at end of year2021-10-31$1,918
Liabilities. Value of benefit claims payable at beginning of year2021-10-31$145,807
Did the plan have assets held for investment2021-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
Opinion of an independent qualified public accountant for this plan2021-10-31Unqualified
Accountancy firm name2021-10-31RAND & CASEY, PC
Accountancy firm EIN2021-10-31581896864
2020 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$216,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$183,843
Total income from all sources (including contributions)2020-10-31$3,192,969
Total of all expenses incurred2020-10-31$3,199,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$3,199,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$3,168,155
Value of total assets at end of year2020-10-31$345,491
Value of total assets at beginning of year2020-10-31$319,562
Total dividends received (eg from common stock, registered investment company shares)2020-10-31$5,918
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-10-31$5,918
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$1,000,000
If this is an individual account plan, was there a blackout period2020-10-31No
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Contributions received from participants2020-10-31$1,287,310
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-10-31$286,993
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-10-31$2,084
Liabilities. Value of operating payables at end of year2020-10-31$70,284
Liabilities. Value of operating payables at beginning of year2020-10-31$44,742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Value of net income/loss2020-10-31$-6,319
Value of net assets at end of year (total assets less liabilities)2020-10-31$129,400
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$135,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-10-31No
Were any leases to which the plan was party in default or uncollectible2020-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-10-31$303,820
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-10-31$284,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-10-31$41,671
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-10-31$32,498
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-10-31$32,498
Expenses. Payments to insurance carriers foe the provision of benefits2020-10-31$607,997
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-10-31$18,896
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31No
Was there a failure to transmit to the plan any participant contributions2020-10-31No
Has the plan failed to provide any benefit when due under the plan2020-10-31No
Contributions received in cash from employer2020-10-31$1,880,845
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-10-31$2,304,298
Liabilities. Value of benefit claims payable at end of year2020-10-31$145,807
Liabilities. Value of benefit claims payable at beginning of year2020-10-31$139,101
Did the plan have assets held for investment2020-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-10-31No
Opinion of an independent qualified public accountant for this plan2020-10-31Unqualified
Accountancy firm name2020-10-31RAND & CASEY, PC
Accountancy firm EIN2020-10-31581896864
2019 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$183,843
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$253,725
Total income from all sources (including contributions)2019-10-31$3,915,363
Total of all expenses incurred2019-10-31$3,812,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$3,812,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$3,881,830
Value of total assets at end of year2019-10-31$319,562
Value of total assets at beginning of year2019-10-31$286,698
Total dividends received (eg from common stock, registered investment company shares)2019-10-31$6,398
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-10-31$6,398
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$1,340,808
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-10-31$272,684
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-10-31$2,084
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-10-31$1,000
Liabilities. Value of operating payables at end of year2019-10-31$44,742
Liabilities. Value of operating payables at beginning of year2019-10-31$42,960
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Value of net income/loss2019-10-31$102,746
Value of net assets at end of year (total assets less liabilities)2019-10-31$135,719
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$32,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-31No
Were any leases to which the plan was party in default or uncollectible2019-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-10-31$284,980
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-10-31$257,880
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-10-31$32,498
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-10-31$27,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-10-31$27,818
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-31$574,100
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-10-31$27,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31No
Was there a failure to transmit to the plan any participant contributions2019-10-31No
Has the plan failed to provide any benefit when due under the plan2019-10-31No
Contributions received in cash from employer2019-10-31$2,541,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-31$2,965,833
Liabilities. Value of benefit claims payable at end of year2019-10-31$139,101
Liabilities. Value of benefit claims payable at beginning of year2019-10-31$210,765
Did the plan have assets held for investment2019-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-31No
Opinion of an independent qualified public accountant for this plan2019-10-31Unqualified
Accountancy firm name2019-10-31RAND & CASEY, PC
Accountancy firm EIN2019-10-31581896864
2018 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$253,725
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$298,026
Total income from all sources (including contributions)2018-10-31$3,351,954
Total of all expenses incurred2018-10-31$3,353,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$3,353,844
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$3,345,426
Value of total assets at end of year2018-10-31$286,698
Value of total assets at beginning of year2018-10-31$332,889
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$6,015
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-10-31$6,015
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$1,332,294
Participant contributions at end of year2018-10-31$0
Participant contributions at beginning of year2018-10-31$52,072
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-10-31$263,640
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$1,000
Liabilities. Value of operating payables at end of year2018-10-31$42,960
Liabilities. Value of operating payables at beginning of year2018-10-31$67,449
Total non interest bearing cash at end of year2018-10-31$0
Total non interest bearing cash at beginning of year2018-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$-1,890
Value of net assets at end of year (total assets less liabilities)2018-10-31$32,973
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$34,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-10-31$257,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-10-31$257,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-10-31$27,818
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-10-31$23,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-10-31$23,450
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$535,694
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-10-31$513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$2,013,132
Employer contributions (assets) at end of year2018-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$2,554,510
Liabilities. Value of benefit claims payable at end of year2018-10-31$210,765
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$230,577
Did the plan have assets held for investment2018-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31RAND & CASEY, PC
Accountancy firm EIN2018-10-31581896864
2017 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$298,026
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$535,628
Total income from all sources (including contributions)2017-10-31$3,564,701
Total loss/gain on sale of assets2017-10-31$0
Total of all expenses incurred2017-10-31$3,378,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$3,378,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$3,528,050
Value of total assets at end of year2017-10-31$332,889
Value of total assets at beginning of year2017-10-31$384,178
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$0
Total interest from all sources2017-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$5,352
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-10-31$5,352
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$1,000,000
If this is an individual account plan, was there a blackout period2017-10-31No
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$1,332,077
Participant contributions at end of year2017-10-31$52,072
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-10-31$2,903,668
Liabilities. Value of operating payables at end of year2017-10-31$67,449
Liabilities. Value of operating payables at beginning of year2017-10-31$215,086
Total non interest bearing cash at end of year2017-10-31$0
Total non interest bearing cash at beginning of year2017-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$186,313
Value of net assets at end of year (total assets less liabilities)2017-10-31$34,863
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$-151,450
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-10-31$257,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-10-31$226,067
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-31$23,450
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$18,217
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$18,217
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$474,720
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-10-31$31,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$2,195,973
Employer contributions (assets) at end of year2017-10-31$0
Employer contributions (assets) at beginning of year2017-10-31$139,894
Liabilities. Value of benefit claims payable at end of year2017-10-31$230,577
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$320,542
Did the plan have assets held for investment2017-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31RAND & CASEY, PC
Accountancy firm EIN2017-10-31581896864
2016 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$535,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$173,981
Total income from all sources (including contributions)2016-10-31$3,469,079
Total loss/gain on sale of assets2016-10-31$0
Total of all expenses incurred2016-10-31$4,051,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$3,543,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$3,460,845
Value of total assets at end of year2016-10-31$384,178
Value of total assets at beginning of year2016-10-31$604,563
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$507,350
Total interest from all sources2016-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$5,702
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-10-31$5,702
Administrative expenses professional fees incurred2016-10-31$360,789
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$1,000,000
If this is an individual account plan, was there a blackout period2016-10-31No
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$1,650,335
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-10-31$2,999,072
Administrative expenses (other) incurred2016-10-31$146,561
Liabilities. Value of operating payables at end of year2016-10-31$215,086
Total non interest bearing cash at end of year2016-10-31$0
Total non interest bearing cash at beginning of year2016-10-31$76,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$-582,032
Value of net assets at end of year (total assets less liabilities)2016-10-31$-151,450
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$430,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-10-31$226,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-10-31$222,986
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$18,217
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$304,827
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$304,827
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$544,689
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-10-31$2,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31Yes
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$1,810,510
Employer contributions (assets) at end of year2016-10-31$139,894
Liabilities. Value of benefit claims payable at end of year2016-10-31$320,542
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$173,981
Did the plan have assets held for investment2016-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31RAND & CASEY, P.C.
Accountancy firm EIN2016-10-31581896864
2015 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$173,981
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$247,768
Total income from all sources (including contributions)2015-10-31$4,469,843
Total of all expenses incurred2015-10-31$4,329,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$4,007,256
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$4,459,378
Value of total assets at end of year2015-10-31$604,563
Value of total assets at beginning of year2015-10-31$538,369
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$322,606
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$6,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-10-31$6,863
Administrative expenses professional fees incurred2015-10-31$8,809
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$1,000,000
If this is an individual account plan, was there a blackout period2015-10-31No
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$1,737,945
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-10-31$3,436,058
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-10-31$100,020
Administrative expenses (other) incurred2015-10-31$11,406
Liabilities. Value of operating payables at beginning of year2015-10-31$6,654
Total non interest bearing cash at end of year2015-10-31$76,750
Total non interest bearing cash at beginning of year2015-10-31$-31,340
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$139,981
Value of net assets at end of year (total assets less liabilities)2015-10-31$430,582
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$290,601
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Investment advisory and management fees2015-10-31$4,309
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-10-31$222,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-10-31$360,596
Value of interest in common/collective trusts at end of year2015-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$304,827
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-10-31$109,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-10-31$109,093
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$571,198
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-10-31$3,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$2,721,433
Contract administrator fees2015-10-31$298,082
Liabilities. Value of benefit claims payable at end of year2015-10-31$173,981
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$241,114
Did the plan have assets held for investment2015-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31RAND & CASEY, P.C.
Accountancy firm EIN2015-10-31581896864
2014 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$247,768
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$188,853
Total income from all sources (including contributions)2014-10-31$3,770,818
Total loss/gain on sale of assets2014-10-31$6,424
Total of all expenses incurred2014-10-31$4,031,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$3,681,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$3,757,300
Value of total assets at end of year2014-10-31$538,369
Value of total assets at beginning of year2014-10-31$740,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$350,273
Total interest from all sources2014-10-31$3,391
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$3,868
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-10-31$3,868
Administrative expenses professional fees incurred2014-10-31$11,791
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$1,000,000
If this is an individual account plan, was there a blackout period2014-10-31No
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$1,596,604
Participant contributions at beginning of year2014-10-31$685
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-10-31$3,172,906
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-10-31$100,020
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-10-31$4,597
Administrative expenses (other) incurred2014-10-31$38,318
Liabilities. Value of operating payables at end of year2014-10-31$6,654
Liabilities. Value of operating payables at beginning of year2014-10-31$23,919
Total non interest bearing cash at end of year2014-10-31$-31,340
Total non interest bearing cash at beginning of year2014-10-31$63,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$-260,788
Value of net assets at end of year (total assets less liabilities)2014-10-31$290,601
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$551,389
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Investment advisory and management fees2014-10-31$6,744
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-10-31$360,596
Income. Interest from US Government securities2014-10-31$1,356
Income. Interest from corporate debt instruments2014-10-31$2,033
Value of interest in common/collective trusts at end of year2014-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$109,093
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$170,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$170,382
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-10-31$2
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$508,427
Asset value of US Government securities at beginning of year2014-10-31$252,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-10-31$-165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$2,160,696
Asset. Corporate debt instrument debt (other) at beginning of year2014-10-31$249,071
Contract administrator fees2014-10-31$293,420
Liabilities. Value of benefit claims payable at end of year2014-10-31$241,114
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$164,934
Did the plan have assets held for investment2014-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Aggregate proceeds on sale of assets2014-10-31$660,541
Aggregate carrying amount (costs) on sale of assets2014-10-31$654,117
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31RAND & CASEY, P.C.
Accountancy firm EIN2014-10-31581896864
2013 : CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-10-31$-3,803
Total unrealized appreciation/depreciation of assets2013-10-31$-3,803
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$188,853
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$192,660
Total income from all sources (including contributions)2013-10-31$2,566,751
Total of all expenses incurred2013-10-31$2,908,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$2,639,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$2,562,560
Value of total assets at end of year2013-10-31$740,242
Value of total assets at beginning of year2013-10-31$1,085,915
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$269,488
Total interest from all sources2013-10-31$7,994
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$1,181,386
Participant contributions at end of year2013-10-31$685
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$2,273,505
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-10-31$4,597
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-10-31$12,014
Administrative expenses (other) incurred2013-10-31$50,811
Liabilities. Value of operating payables at end of year2013-10-31$23,919
Liabilities. Value of operating payables at beginning of year2013-10-31$26,522
Total non interest bearing cash at end of year2013-10-31$63,034
Total non interest bearing cash at beginning of year2013-10-31$91,171
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$-341,866
Value of net assets at end of year (total assets less liabilities)2013-10-31$551,389
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$893,255
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Investment advisory and management fees2013-10-31$4,532
Income. Interest from US Government securities2013-10-31$3,008
Income. Interest from corporate debt instruments2013-10-31$4,493
Value of interest in common/collective trusts at end of year2013-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$170,382
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$507,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$507,154
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-10-31$493
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$365,624
Asset value of US Government securities at end of year2013-10-31$252,473
Asset value of US Government securities at beginning of year2013-10-31$234,360
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$1,381,174
Asset. Corporate debt instrument debt (other) at end of year2013-10-31$249,071
Asset. Corporate debt instrument debt (other) at beginning of year2013-10-31$241,216
Contract administrator fees2013-10-31$214,145
Liabilities. Value of benefit claims payable at end of year2013-10-31$164,934
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$166,138
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Aggregate proceeds on sale of assets2013-10-31$125,000
Aggregate carrying amount (costs) on sale of assets2013-10-31$125,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31RAND & CASEY, P.C.
Accountancy firm EIN2013-10-31581896864

Form 5500 Responses for CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN

2021: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01This submission is the final filingYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement - TrustYes
2020: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2020-11-01Plan benefit arrangement – General assets of the sponsorYes
2019: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan funding arrangement – General assets of the sponsorYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2019-11-01Plan benefit arrangement – General assets of the sponsorYes
2018: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan funding arrangement – General assets of the sponsorYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2018-11-01Plan benefit arrangement – General assets of the sponsorYes
2017: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2015-11-01Plan benefit arrangement – General assets of the sponsorYes
2014: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: CFLANE, LLC EMPLOYEE HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered475
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $68,726
Total amount of fees paid to insurance companyUSD $27,059
Welfare Benefit Premiums Paid to CarrierUSD $577,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $68,726
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSERVICE/GEN. AGENT FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered477
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $58,826
Total amount of fees paid to insurance companyUSD $23,213
Welfare Benefit Premiums Paid to CarrierUSD $544,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,826
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT PAYMENTS
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered495
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $62,490
Total amount of fees paid to insurance companyUSD $24,628
Welfare Benefit Premiums Paid to CarrierUSD $570,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $57,551
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSERVICE/GENERAL AGENT FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered560
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $45,138
Total amount of fees paid to insurance companyUSD $16,427
Welfare Benefit Premiums Paid to CarrierUSD $434,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered647
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $44,040
Dental Insurance Welfare BenefitYes
Other welfare benefits providedPREPAID DENTAL
Welfare Benefit Premiums Paid to CarrierUSD $554,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,291
Insurance broker organization code?3
Insurance broker nameMERCER HEALTH & BENEFITS LLC
CIGNA DENTAL HEALTH OF VIRGINIA, INC. (National Association of Insurance Commissioners NAIC id number: 52617 )
Policy contract number3186580
Policy instance 9
Insurance contract or identification number3186580
Number of Individuals Covered2
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF OHIO, INC. (National Association of Insurance Commissioners NAIC id number: 47805 )
Policy contract number3186580
Policy instance 8
Insurance contract or identification number3186580
Number of Individuals Covered2
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH PLAN OF COLORADO, INC. (National Association of Insurance Commissioners NAIC id number: 11175 )
Policy contract number3186580
Policy instance 7
Insurance contract or identification number3186580
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF MISSOURI, INC. (National Association of Insurance Commissioners NAIC id number: 11160 )
Policy contract number3186580
Policy instance 6
Insurance contract or identification number3186580
Number of Individuals Covered2
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF KENTUCKY, INC. (National Association of Insurance Commissioners NAIC id number: 52108 )
Policy contract number3186580
Policy instance 5
Insurance contract or identification number3186580
Number of Individuals Covered10
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95179 )
Policy contract number3186580
Policy instance 4
Insurance contract or identification number3186580
Number of Individuals Covered2
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95037 )
Policy contract number3186580
Policy instance 3
Insurance contract or identification number3186580
Number of Individuals Covered28
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 )
Policy contract number3186580
Policy instance 2
Insurance contract or identification number3186580
Number of Individuals Covered23
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered418
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of fees paid to insurance companyUSD $56,992
Welfare Benefit Premiums Paid to CarrierUSD $485,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees56992
Insurance broker organization code?3
Insurance broker nameMCGRIFF SEIBELS & WILLIAMS INC.
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3186580
Policy instance 5
Insurance contract or identification number3186580
Number of Individuals Covered260
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $34,317
Welfare Benefit Premiums Paid to CarrierUSD $311,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,317
Insurance broker organization code?3
Insurance broker nameMCGRIFF SEIBELS & WILLIAMS INC.
CIGNA DENTAL HEALTH OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95037 )
Policy contract number3186580
Policy instance 3
Insurance contract or identification number3186580
Number of Individuals Covered21
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF FLORIDA, INC. (National Association of Insurance Commissioners NAIC id number: 52021 )
Policy contract number3186580
Policy instance 4
Insurance contract or identification number3186580
Number of Individuals Covered8
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. (National Association of Insurance Commissioners NAIC id number: 95179 )
Policy contract number3186580
Policy instance 2
Insurance contract or identification number3186580
Number of Individuals Covered5
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA DENTAL HEALTH OF KENTUCKY, INC. (National Association of Insurance Commissioners NAIC id number: 52108 )
Policy contract number3186580
Policy instance 1
Insurance contract or identification number3186580
Number of Individuals Covered2
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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