401k Plan data: C.L. SERVICES, INC. WELFARE BENEFITS PLAN plan

C.L. SERVICES, INC. WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	C.L. SERVICES, INC. WELFARE BENEFITS PLAN
Plan identification number	501

C.L. SERVICES, 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) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

C.L. SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: C.L. SERVICES, INC.

Employer identification number (EIN): 582273692

NAIC Classification: 484200
NAIC Description: Specialized Freight Trucking

Additional information about C.L. SERVICES, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1995-02-21

Company Identification Number: 183359

Legal Registered Office Address: 400 VILLA STREET

DUBUQUE
United States of America (USA)
52003

More information about C.L. SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C.L. SERVICES, INC. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 WENDY DANIELS 2024-07-15
501 2022-01-01 WENDY DANIELS 2024-04-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	WENDY DANIELS	2024-07-15
501	2022-01-01	WENDY DANIELS	2024-04-03

Form 5500 Responses for C.L. SERVICES, INC. WELFARE BENEFITS PLAN

2023: C.L. SERVICES, INC. WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: C.L. SERVICES, INC. WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

631781

Policy instance

Insurance contract or identification number	631781
Number of Individuals Covered	123
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $7,114
Total amount of fees paid to insurance company	USD $34,732
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Other welfare benefits provided	TELEHEALTH
Welfare Benefit Premiums Paid to Carrier	USD $797,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

L04675

Policy instance

Insurance contract or identification number	L04675
Number of Individuals Covered	97
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,933
Total amount of fees paid to insurance company	USD $284
Other welfare benefits provided	ACCIDENT, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $16,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 )

Policy contract number

GA9591

Policy instance

Insurance contract or identification number	GA9591
Number of Individuals Covered	141
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $9,394
Total amount of fees paid to insurance company	USD $994
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $55,491
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 number

631781

Policy instance

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

L04675

Policy instance

GREATER GEORGIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97217 )

Policy contract number

GA9591

Policy instance

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Company Name:	C.L. SERVICES, INC.
Employer identification number (EIN):	582273692
NAIC Classification:	484200
NAIC Description:	Specialized Freight Trucking

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1995-02-21
Company Identification Number:	183359
Legal Registered Office Address:	400 VILLA STREET DUBUQUE United States of America (USA) 52003