C.W. MATTHEWS CONTRACTING CO., INC. has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022: CWM EMPLOYEE BENEFIT TRUST 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 999 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 1,019 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 1,019 |
| Number of employers contributing to the scheme | 2022-05-01 | 0 |
| 2021: CWM EMPLOYEE BENEFIT TRUST 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 1,098 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 999 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 999 |
| Number of employers contributing to the scheme | 2021-05-01 | 0 |
| 2020: CWM EMPLOYEE BENEFIT TRUST 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 668 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 677 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 677 |
| Number of employers contributing to the scheme | 2020-05-01 | 0 |
| 2019: CWM EMPLOYEE BENEFIT TRUST 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 764 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 802 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 802 |
| Number of employers contributing to the scheme | 2019-05-01 | 0 |
| 2018: CWM EMPLOYEE BENEFIT TRUST 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 840 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 848 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 848 |
| Number of employers contributing to the scheme | 2018-05-01 | 0 |
| 2017: CWM EMPLOYEE BENEFIT TRUST 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 840 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 840 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 840 |
| Number of employers contributing to the scheme | 2017-05-01 | 0 |
| 2016: CWM EMPLOYEE BENEFIT TRUST 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 824 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 806 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 806 |
| 2015: CWM EMPLOYEE BENEFIT TRUST 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 688 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 824 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 824 |
| 2014: CWM EMPLOYEE BENEFIT TRUST 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 1,037 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 1,048 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 0 |
| Total of all active and inactive participants | 2014-05-01 | 1,048 |
| Number of employers contributing to the scheme | 2014-05-01 | 3 |
| 2013: CWM EMPLOYEE BENEFIT TRUST 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 1,035 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 1,073 |
| Total of all active and inactive participants | 2013-05-01 | 1,073 |
| Number of employers contributing to the scheme | 2013-05-01 | 3 |
| 2012: CWM EMPLOYEE BENEFIT TRUST 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 917 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 1,035 |
| Total of all active and inactive participants | 2012-05-01 | 1,035 |
| Number of employers contributing to the scheme | 2012-05-01 | 3 |
| 2011: CWM EMPLOYEE BENEFIT TRUST 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 1,280 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 917 |
| Total of all active and inactive participants | 2011-05-01 | 917 |
| Number of employers contributing to the scheme | 2011-05-01 | 3 |
| 2010: CWM EMPLOYEE BENEFIT TRUST 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-05-01 | 1,299 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-05-01 | 1,280 |
| Total of all active and inactive participants | 2010-05-01 | 1,280 |
| 2009: CWM EMPLOYEE BENEFIT TRUST 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-05-01 | 886 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-05-01 | 1,299 |
| Total of all active and inactive participants | 2009-05-01 | 1,299 |
| Measure | Date | Value |
|---|
| 2023 : CWM EMPLOYEE BENEFIT TRUST 2023 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $272,276 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $180,790 |
| Total income from all sources (including contributions) | 2023-04-30 | $12,925,125 |
| Total of all expenses incurred | 2023-04-30 | $11,400,505 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-04-30 | $10,825,528 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-04-30 | $12,925,125 |
| Value of total assets at end of year | 2023-04-30 | $4,043,246 |
| Value of total assets at beginning of year | 2023-04-30 | $2,427,140 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-04-30 | $574,977 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-04-30 | No |
| Administrative expenses professional fees incurred | 2023-04-30 | $574,977 |
| Was this plan covered by a fidelity bond | 2023-04-30 | Yes |
| Value of fidelity bond cover | 2023-04-30 | $5,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-04-30 | No |
| Contributions received from participants | 2023-04-30 | $5,075,121 |
| Participant contributions at end of year | 2023-04-30 | $188,532 |
| Participant contributions at beginning of year | 2023-04-30 | $175,685 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-04-30 | $1,587,629 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-04-30 | $7,613 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-04-30 | $41,479 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Value of net income/loss | 2023-04-30 | $1,524,620 |
| Value of net assets at end of year (total assets less liabilities) | 2023-04-30 | $3,770,970 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-04-30 | $2,246,350 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-04-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-04-30 | $1,666,110 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-04-30 | $2,251,455 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-04-30 | $2,251,455 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-04-30 | $2,573,102 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-04-30 | No |
| Contributions received in cash from employer | 2023-04-30 | $7,850,004 |
| Employer contributions (assets) at end of year | 2023-04-30 | $600,975 |
| Employer contributions (assets) at beginning of year | 2023-04-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-04-30 | $8,252,426 |
| Liabilities. Value of benefit claims payable at end of year | 2023-04-30 | $264,663 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-04-30 | $139,311 |
| Did the plan have assets held for investment | 2023-04-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-04-30 | Unqualified |
| Accountancy firm name | 2023-04-30 | NICHOLS, CAULEY AND ASSOCIATES |
| Accountancy firm EIN | 2023-04-30 | 582475857 |
| 2022 : CWM EMPLOYEE BENEFIT TRUST 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $180,790 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $124,772 |
| Total income from all sources (including contributions) | 2022-04-30 | $11,280,736 |
| Total of all expenses incurred | 2022-04-30 | $11,789,421 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-04-30 | $11,219,757 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-04-30 | $11,280,736 |
| Value of total assets at end of year | 2022-04-30 | $2,427,140 |
| Value of total assets at beginning of year | 2022-04-30 | $2,879,807 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-04-30 | $569,664 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-04-30 | No |
| Administrative expenses professional fees incurred | 2022-04-30 | $569,664 |
| Was this plan covered by a fidelity bond | 2022-04-30 | Yes |
| Value of fidelity bond cover | 2022-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-04-30 | No |
| Contributions received from participants | 2022-04-30 | $4,839,351 |
| Participant contributions at end of year | 2022-04-30 | $175,685 |
| Participant contributions at beginning of year | 2022-04-30 | $86,232 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-04-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-04-30 | $283,247 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-04-30 | $41,479 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-04-30 | $124,772 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Value of net income/loss | 2022-04-30 | $-508,685 |
| Value of net assets at end of year (total assets less liabilities) | 2022-04-30 | $2,246,350 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-04-30 | $2,755,035 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-04-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-04-30 | $2,251,455 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-04-30 | $2,118,198 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-04-30 | $2,118,198 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-04-30 | $2,536,117 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-04-30 | No |
| Contributions received in cash from employer | 2022-04-30 | $6,441,385 |
| Employer contributions (assets) at end of year | 2022-04-30 | $0 |
| Employer contributions (assets) at beginning of year | 2022-04-30 | $392,130 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-04-30 | $8,683,640 |
| Liabilities. Value of benefit claims payable at end of year | 2022-04-30 | $139,311 |
| Did the plan have assets held for investment | 2022-04-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-04-30 | Unqualified |
| Accountancy firm name | 2022-04-30 | NICHOLS, CAULEY AND ASSOCIATES |
| Accountancy firm EIN | 2022-04-30 | 582475857 |
| 2021 : CWM EMPLOYEE BENEFIT TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $124,772 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $352,585 |
| Total income from all sources (including contributions) | 2021-04-30 | $11,844,379 |
| Total of all expenses incurred | 2021-04-30 | $11,843,354 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-04-30 | $11,339,052 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-04-30 | $11,844,379 |
| Value of total assets at end of year | 2021-04-30 | $2,879,807 |
| Value of total assets at beginning of year | 2021-04-30 | $3,106,595 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-04-30 | $504,302 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-04-30 | No |
| Administrative expenses professional fees incurred | 2021-04-30 | $504,302 |
| Was this plan covered by a fidelity bond | 2021-04-30 | Yes |
| Value of fidelity bond cover | 2021-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-04-30 | No |
| Contributions received from participants | 2021-04-30 | $4,469,633 |
| Participant contributions at end of year | 2021-04-30 | $86,232 |
| Participant contributions at beginning of year | 2021-04-30 | $84,290 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-04-30 | $283,247 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-04-30 | $52,461 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-04-30 | $124,772 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-04-30 | $12,204 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Value of net income/loss | 2021-04-30 | $1,025 |
| Value of net assets at end of year (total assets less liabilities) | 2021-04-30 | $2,755,035 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-04-30 | $2,754,010 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-04-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-04-30 | $2,118,198 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-04-30 | $2,607,948 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-04-30 | $2,607,948 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-04-30 | $2,035,615 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-04-30 | No |
| Contributions received in cash from employer | 2021-04-30 | $7,374,746 |
| Employer contributions (assets) at end of year | 2021-04-30 | $392,130 |
| Employer contributions (assets) at beginning of year | 2021-04-30 | $361,896 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-04-30 | $9,303,437 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-04-30 | $340,381 |
| Did the plan have assets held for investment | 2021-04-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-04-30 | Unqualified |
| Accountancy firm name | 2021-04-30 | NICHOLS, CAULEY AND ASSOCIATES |
| Accountancy firm EIN | 2021-04-30 | 582475857 |
| 2020 : CWM EMPLOYEE BENEFIT TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $352,585 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $557,433 |
| Total income from all sources (including contributions) | 2020-04-30 | $10,462,568 |
| Total of all expenses incurred | 2020-04-30 | $10,468,156 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-04-30 | $9,868,640 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-04-30 | $10,462,568 |
| Value of total assets at end of year | 2020-04-30 | $3,106,595 |
| Value of total assets at beginning of year | 2020-04-30 | $3,317,031 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-04-30 | $599,516 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-04-30 | No |
| Administrative expenses professional fees incurred | 2020-04-30 | $599,516 |
| Was this plan covered by a fidelity bond | 2020-04-30 | Yes |
| Value of fidelity bond cover | 2020-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-04-30 | No |
| Contributions received from participants | 2020-04-30 | $4,539,401 |
| Participant contributions at end of year | 2020-04-30 | $84,290 |
| Participant contributions at beginning of year | 2020-04-30 | $77,369 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-04-30 | $52,461 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-04-30 | $12,204 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-04-30 | $41,245 |
| Liabilities. Value of operating payables at beginning of year | 2020-04-30 | $233,676 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Value of net income/loss | 2020-04-30 | $-5,588 |
| Value of net assets at end of year (total assets less liabilities) | 2020-04-30 | $2,754,010 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-04-30 | $2,759,598 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-04-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-04-30 | $2,607,948 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-04-30 | $3,239,662 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-04-30 | $3,239,662 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-04-30 | $2,066,541 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-04-30 | No |
| Contributions received in cash from employer | 2020-04-30 | $5,923,167 |
| Employer contributions (assets) at end of year | 2020-04-30 | $361,896 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-04-30 | $7,802,099 |
| Liabilities. Value of benefit claims payable at end of year | 2020-04-30 | $340,381 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-04-30 | $282,512 |
| Did the plan have assets held for investment | 2020-04-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-04-30 | Unqualified |
| Accountancy firm name | 2020-04-30 | NICHOLS, CAULEY AND ASSOCIATES |
| Accountancy firm EIN | 2020-04-30 | 582475857 |
| 2019 : CWM EMPLOYEE BENEFIT TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $557,433 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $352,151 |
| Total income from all sources (including contributions) | 2019-04-30 | $10,659,377 |
| Total of all expenses incurred | 2019-04-30 | $9,266,991 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-04-30 | $8,681,005 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-04-30 | $10,651,749 |
| Value of total assets at end of year | 2019-04-30 | $3,317,031 |
| Value of total assets at beginning of year | 2019-04-30 | $1,719,363 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-04-30 | $585,986 |
| Total interest from all sources | 2019-04-30 | $7,628 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-04-30 | No |
| Administrative expenses professional fees incurred | 2019-04-30 | $585,986 |
| Was this plan covered by a fidelity bond | 2019-04-30 | Yes |
| Value of fidelity bond cover | 2019-04-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-04-30 | No |
| Contributions received from participants | 2019-04-30 | $4,053,486 |
| Participant contributions at end of year | 2019-04-30 | $77,369 |
| Participant contributions at beginning of year | 2019-04-30 | $306,776 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-04-30 | $91,197 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-04-30 | $41,245 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-04-30 | $5,071 |
| Liabilities. Value of operating payables at end of year | 2019-04-30 | $233,676 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Value of net income/loss | 2019-04-30 | $1,392,386 |
| Value of net assets at end of year (total assets less liabilities) | 2019-04-30 | $2,759,598 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-04-30 | $1,367,212 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-04-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-04-30 | $3,239,662 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-04-30 | $780,159 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-04-30 | $780,159 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-04-30 | $7,628 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-04-30 | $1,585,756 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-04-30 | No |
| Contributions received in cash from employer | 2019-04-30 | $6,598,263 |
| Employer contributions (assets) at beginning of year | 2019-04-30 | $541,231 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-04-30 | $7,095,249 |
| Liabilities. Value of benefit claims payable at end of year | 2019-04-30 | $282,512 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-04-30 | $347,080 |
| Did the plan have assets held for investment | 2019-04-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-04-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-04-30 | Unqualified |
| Accountancy firm name | 2019-04-30 | NICHOLS, CAULEY AND ASSOCIATES |
| Accountancy firm EIN | 2019-04-30 | 582475857 |
| 2018 : CWM EMPLOYEE BENEFIT TRUST 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2018-04-30 | $0 |
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-04-30 | $0 |
| Total transfer of assets to this plan | 2018-04-30 | $0 |
| Total transfer of assets from this plan | 2018-04-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $352,151 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $286,926 |
| Expenses. Interest paid | 2018-04-30 | $0 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2018-04-30 | $0 |
| Total income from all sources (including contributions) | 2018-04-30 | $7,966,750 |
| Total of all expenses incurred | 2018-04-30 | $8,326,800 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-04-30 | $7,800,725 |
| Expenses. Certain deemed distributions of participant loans | 2018-04-30 | $0 |
| Value of total corrective distributions | 2018-04-30 | $0 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-04-30 | $7,957,896 |
| Value of total assets at end of year | 2018-04-30 | $1,719,363 |
| Value of total assets at beginning of year | 2018-04-30 | $2,014,188 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-04-30 | $526,075 |
| Total income from rents | 2018-04-30 | $0 |
| Total interest from all sources | 2018-04-30 | $8,854 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-04-30 | $0 |
| Administrative expenses professional fees incurred | 2018-04-30 | $526,075 |
| Was this plan covered by a fidelity bond | 2018-04-30 | No |
| If this is an individual account plan, was there a blackout period | 2018-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-04-30 | No |
| Contributions received from participants | 2018-04-30 | $4,147,384 |
| Participant contributions at end of year | 2018-04-30 | $306,776 |
| Participant contributions at beginning of year | 2018-04-30 | $400,225 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-04-30 | $0 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-04-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-04-30 | $91,197 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-04-30 | $155,792 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-04-30 | $5,071 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-04-30 | $36,282 |
| Other income not declared elsewhere | 2018-04-30 | $0 |
| Administrative expenses (other) incurred | 2018-04-30 | $0 |
| Liabilities. Value of operating payables at end of year | 2018-04-30 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2018-04-30 | $0 |
| Total non interest bearing cash at end of year | 2018-04-30 | $0 |
| Total non interest bearing cash at beginning of year | 2018-04-30 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Income. Non cash contributions | 2018-04-30 | $0 |
| Value of net income/loss | 2018-04-30 | $-360,050 |
| Value of net assets at end of year (total assets less liabilities) | 2018-04-30 | $1,367,212 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-04-30 | $1,727,262 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-04-30 | No |
| Investment advisory and management fees | 2018-04-30 | $0 |
| Interest on participant loans | 2018-04-30 | $0 |
| Income. Interest from loans (other than to participants) | 2018-04-30 | $0 |
| Interest earned on other investments | 2018-04-30 | $0 |
| Income. Interest from US Government securities | 2018-04-30 | $0 |
| Income. Interest from corporate debt instruments | 2018-04-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-04-30 | $780,159 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-04-30 | $839,828 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-04-30 | $839,828 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-04-30 | $8,854 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-04-30 | $1,306,291 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-04-30 | $0 |
| Net investment gain/loss from pooled separate accounts | 2018-04-30 | $0 |
| Net investment gain or loss from common/collective trusts | 2018-04-30 | $0 |
| Net gain/loss from 103.12 investment entities | 2018-04-30 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-04-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-04-30 | No |
| Contributions received in cash from employer | 2018-04-30 | $3,810,512 |
| Employer contributions (assets) at end of year | 2018-04-30 | $541,231 |
| Employer contributions (assets) at beginning of year | 2018-04-30 | $618,343 |
| Income. Dividends from preferred stock | 2018-04-30 | $0 |
| Income. Dividends from common stock | 2018-04-30 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-04-30 | $6,494,434 |
| Contract administrator fees | 2018-04-30 | $0 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2018-04-30 | $347,080 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-04-30 | $250,644 |
| Did the plan have assets held for investment | 2018-04-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-04-30 | No |
| Aggregate proceeds on sale of assets | 2018-04-30 | $0 |
| Aggregate carrying amount (costs) on sale of assets | 2018-04-30 | $0 |
| Liabilities. Value of acquisition indebtedness at end of year | 2018-04-30 | $0 |
| Liabilities. Value of acquisition indebtedness at beginning of year | 2018-04-30 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-04-30 | Unqualified |
| Accountancy firm name | 2018-04-30 | NICHOLS, CAULEY AND ASSOCIATES, LLC |
| Accountancy firm EIN | 2018-04-30 | 582475857 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 436453 |
| Policy instance | 3 |
| Insurance contract or identification number | 436453 | | Number of Individuals Covered | 1023 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $91,579 | | Total amount of fees paid to insurance company | USD $3,756 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $552,939 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $60,938 | | Amount paid for insurance broker fees | 3756 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) |
| Policy contract number | 436454 |
| Policy instance | 2 |
| Insurance contract or identification number | 436454 | | Number of Individuals Covered | 796 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $107,627 | | Total amount of fees paid to insurance company | USD $3,659 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $538,134 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $70,915 | | Amount paid for insurance broker fees | 3659 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | 00 |
| Policy instance | 1 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 1019 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,475,275 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 54161 ) |
| Policy contract number | 9450 |
| Policy instance | 1 |
| Insurance contract or identification number | 9450 | | Number of Individuals Covered | 999 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,405,873 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) |
| Policy contract number | 436454 |
| Policy instance | 2 |
| Insurance contract or identification number | 436454 | | Number of Individuals Covered | 733 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $104,341 | | Total amount of fees paid to insurance company | USD $10,434 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $521,703 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $104,341 | | Amount paid for insurance broker fees | 10434 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 436453 |
| Policy instance | 3 |
| Insurance contract or identification number | 436453 | | Number of Individuals Covered | 956 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $89,778 | | Total amount of fees paid to insurance company | USD $10,792 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $539,615 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $89,778 | | Amount paid for insurance broker fees | 10792 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 835385 |
| Policy instance | 3 |
| Insurance contract or identification number | 835385 | | Number of Individuals Covered | 1619 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $75,459 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $471,667 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $75,459 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| STOP LOSS INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 9450 |
| Policy instance | 2 |
| Insurance contract or identification number | 9450 | | Number of Individuals Covered | 677 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,035,980 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 803509G |
| Policy instance | 1 |
| Insurance contract or identification number | 803509G | | Number of Individuals Covered | 707 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $68,817 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $475,643 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,817 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 835385 |
| Policy instance | 3 |
| Insurance contract or identification number | 835385 | | Number of Individuals Covered | 1261 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $97,835 | | Total amount of fees paid to insurance company | USD $20 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $486,013 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $97,835 | | Amount paid for insurance broker fees | 20 | | Additional information about fees paid to insurance broker | INDIRECT COMPENSATION | | Insurance broker organization code? | 3 |
|
| STOP LOSS INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 9450 |
| Policy instance | 2 |
| Insurance contract or identification number | 9450 | | Number of Individuals Covered | 667 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,067,136 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 803509G |
| Policy instance | 1 |
| Insurance contract or identification number | 803509G | | Number of Individuals Covered | 737 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $66,417 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $459,630 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,417 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| STOP LOSS INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 00 |
| Policy instance | 2 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 671 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $639,757 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 835385 |
| Policy instance | 1 |
| Insurance contract or identification number | 835385 | | Number of Individuals Covered | 1313 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $124,676 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $881,863 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $124,676 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| STOP LOSS INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 00 |
| Policy instance | 3 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 840 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $453,176 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00 |
| Policy instance | 2 |
| Insurance contract or identification number | 00 | | Number of Individuals Covered | 840 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $-1,023 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 ) |
| Policy contract number | 835385 |
| Policy instance | 1 |
| Insurance contract or identification number | 835385 | | Number of Individuals Covered | 1281 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $136,795 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $873,863 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | TS05345500 |
| Policy instance | 1 |
| Insurance contract or identification number | TS05345500 | | Number of Individuals Covered | 1699 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $50,403 | | Total amount of fees paid to insurance company | USD $64,004 | | Are there contracts with allocated funds for individual policies? | No | | 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 | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | 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 $601,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $42,212 | | Amount paid for insurance broker fees | 48177 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 | | Insurance broker name | NFP INS SERVICES INC |
|
| THE INTEGRITY BENEFIT NETWORK (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | 2001 |
| Policy instance | 1 |
| Insurance contract or identification number | 2001 | | Number of Individuals Covered | 1048 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $97,100 | | Total amount of fees paid to insurance company | USD $159,807 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $91,464 | | Amount paid for insurance broker fees | 159807 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE FEES | | Insurance broker organization code? | 3 | | Insurance broker name | RONNIE PENNY |
|
| THE INTEGRITY BENEFIT NETWORK (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | 2001 |
| Policy instance | 1 |
| Insurance contract or identification number | 2001 | | Number of Individuals Covered | 1073 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $86,697 | | Total amount of fees paid to insurance company | USD $142,758 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $81,078 | | Amount paid for insurance broker fees | 142758 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE FEES | | Insurance broker organization code? | 3 | | Insurance broker name | RONNIE PENNY |
|
| THE INTEGRITY BENEFIT NETWORK (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | 2001 |
| Policy instance | 1 |
| Insurance contract or identification number | 2001 | | Number of Individuals Covered | 1035 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $78,052 | | Total amount of fees paid to insurance company | USD $127,110 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $73,695 | | Amount paid for insurance broker fees | 127110 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE SERVICE FEES | | Insurance broker organization code? | 3 | | Insurance broker name | RONNIE PENNY |
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| THE INTEGRITY BENEFIT NETWORK (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | 2001 |
| Policy instance | 1 |
| Insurance contract or identification number | 2001 | | Number of Individuals Covered | 917 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $80,460 | | Total amount of fees paid to insurance company | USD $145,337 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE INTEGRITY BENEFIT NETWORK (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | 2001 |
| Policy instance | 1 |
| Insurance contract or identification number | 2001 | | Number of Individuals Covered | 1280 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $89,423 | | Total amount of fees paid to insurance company | USD $141,015 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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