401k Plan data: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN plan

CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	502

CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT 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) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CAREER EMPLOYMENT PROFESSIONALS has sponsored the creation of one or more 401k plans.

Company Name: CAREER EMPLOYMENT PROFESSIONALS

Employer identification number (EIN): 581292180

NAIC Classification: 561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-05-01 SCOTT ROTH
502 2015-05-01 PAM GRIMES

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2016-05-01	SCOTT ROTH
502	2015-05-01	PAM GRIMES

Plan Statistics for CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2016: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-05-01 167
Total number of active participants reported on line 7a of the Form 5500 2016-05-01 0
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 0
2015: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-05-01 140
Total number of active participants reported on line 7a of the Form 5500 2015-05-01 116
Number of retired or separated participants receiving benefits 2015-05-01 1
Number of other retired or separated participants entitled to future benefits 2015-05-01 0
Total of all active and inactive participants 2015-05-01 117

Measure	Date	Value
2016: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	167
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	0
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	0
2015: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	140
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	116
Number of retired or separated participants receiving benefits	2015-05-01	1
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	117

Form 5500 Responses for CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN

2016: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-05-01	Type of plan entity	Single employer plan
2016-05-01	Submission has been amended	No
2016-05-01	This submission is the final filing	Yes
2016-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-05-01	Plan is a collectively bargained plan	No
2016-05-01	Plan funding arrangement – Insurance	Yes
2016-05-01	Plan benefit arrangement – Insurance	Yes
2015: CAREER EMPLOYMENT PROFESSIONALS HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-05-01	Type of plan entity	Single employer plan
2015-05-01	First time form 5500 has been submitted	Yes
2015-05-01	Submission has been amended	No
2015-05-01	This submission is the final filing	No
2015-05-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-05-01	Plan is a collectively bargained plan	No
2015-05-01	Plan funding arrangement – Insurance	Yes
2015-05-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITED HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95378 )

Policy contract number

0ZW8-XPXA-XW88

Policy instance

Insurance contract or identification number	0ZW8-XPXA-XW88
Number of Individuals Covered	195
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $31,224
Total amount of fees paid to insurance company	USD $1,901
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	Yes
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
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 $657,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,541
Insurance broker organization code?	3
Amount paid for insurance broker fees	1901
Additional information about fees paid to insurance broker	BONUS
Insurance broker name	ASSURANCE AGENCY LTD

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TS05359569

Policy instance

Insurance contract or identification number	TS05359569
Number of Individuals Covered	237
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $8,984
Total amount of fees paid to insurance company	USD $9,431
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	AD&D
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 $54,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,984
Amount paid for insurance broker fees	2730
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	5
Insurance broker name	ASSURANCE AGENCY LTD

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E7560485

Policy instance

Insurance contract or identification number	E7560485
Number of Individuals Covered	24
Insurance policy start date	2015-05-01
Insurance policy end date	2016-04-30
Total amount of commissions paid to insurance broker	USD $6,182
Total amount of fees paid to insurance company	USD $1,302
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	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	CANCER, HOSPITALIZATION, ACCIDENT, LIFE, CRITICAL ILLNESS
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 $25,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,182
Amount paid for insurance broker fees	1302
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	3
Insurance broker name	COLONIAL LIFE - SEE ATTACHED LIST

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Company Name:	CAREER EMPLOYMENT PROFESSIONALS
Employer identification number (EIN):	581292180
NAIC Classification:	561300