401k Plan data: SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN plan

SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN
Plan identification number	501

SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Prepaid legal Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

SKELTON TRUCK LINES INC has sponsored the creation of one or more 401k plans.

Company Name: SKELTON TRUCK LINES INC

Employer identification number (EIN): 522361286

NAIC Classification: 721199
NAIC Description: All Other Traveler Accommodation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 MICHELLE STRUNK
501 2023-09-01
501 2023-09-01 JOSH DURAND

Form 5500 Responses for SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN

2023: SKELTON TRUCKLINES INC. WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-09-01	Type of plan entity	Single employer plan
2023-09-01	First time form 5500 has been submitted	Yes
2023-09-01	Submission has been amended	No
2023-09-01	This submission is the final filing	No
2023-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-09-01	Plan is a collectively bargained plan	No
2023-09-01	Plan funding arrangement – Insurance	Yes
2023-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-09-01	Plan benefit arrangement – Insurance	Yes
2023-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

L02563

Policy instance

Insurance contract or identification number	L02563
Number of Individuals Covered	407
Insurance policy start date	2023-09-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $40,322
Total amount of fees paid to insurance company	USD $2,345
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $1,493,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60049 )

Policy contract number

E5442488

Policy instance

Insurance contract or identification number	E5442488
Number of Individuals Covered	107
Insurance policy start date	2023-09-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $19,387
Total amount of fees paid to insurance company	USD $3,116
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDNETAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $71,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

US LEGAL SERVICES OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 15441 )

Policy contract number

Policy instance

Insurance contract or identification number	0
Number of Individuals Covered	66
Insurance policy start date	2023-09-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,414
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	VOLUNTARY PRE-PAID LEGAL
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $14,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

007835

Policy instance

Insurance contract or identification number	007835
Number of Individuals Covered	199
Insurance policy start date	2023-09-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,303
Total amount of fees paid to insurance company	USD $1,414
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $8,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	SKELTON TRUCK LINES INC
Employer identification number (EIN):	522361286
NAIC Classification:	721199
NAIC Description:	All Other Traveler Accommodation

Plan id#	Filing Submission Date	Name of Administrator
501	2024-01-01	MICHELLE STRUNK
501	2023-09-01
501	2023-09-01	JOSH DURAND