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CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 401k Plan overview

Plan NameCISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN
Plan identification number 501

CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CISCO-EAGLE, INC. has sponsored the creation of one or more 401k plans.

Company Name:CISCO-EAGLE, INC.
Employer identification number (EIN):731256078
NAIC Classification:423800

Additional information about CISCO-EAGLE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1995-03-30
Company Identification Number: 0010427106
Legal Registered Office Address: 10015 E 51ST ST

TULSA
United States of America (USA)
74146

More information about CISCO-EAGLE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012021-01-01
5012020-04-01
5012019-04-01STEVEN RANDELL WILLIAMS2021-01-14
5012018-04-01STEVEN RANDELL WILLIAMS2019-10-11
5012017-04-01
5012016-04-01STEVEN RANDELL WILLIAMS
5012011-04-01STEVEN RANDELL WILLIAMS
5012010-04-01STEVEN RANDELL WILLIAMS
5012009-04-01S. R. WILLIAMS S. R. WILLIAMS2010-10-31

Plan Statistics for CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN

401k plan membership statisitcs for CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN

Measure Date Value
2021: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01106
Total number of active participants reported on line 7a of the Form 55002021-01-01113
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01114
2020: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01106
Total number of active participants reported on line 7a of the Form 55002020-04-01107
Number of retired or separated participants receiving benefits2020-04-011
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-01108
2019: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01113
Total number of active participants reported on line 7a of the Form 55002019-04-01118
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01118
Number of employers contributing to the scheme2019-04-010
2018: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01106
Total number of active participants reported on line 7a of the Form 55002018-04-0167
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-010
Total of all active and inactive participants2018-04-0167
Number of employers contributing to the scheme2018-04-010
2017: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01106
Total number of active participants reported on line 7a of the Form 55002017-04-01106
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01106
2016: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01101
Total number of active participants reported on line 7a of the Form 55002016-04-01106
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-01106
2011: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01101
Total number of active participants reported on line 7a of the Form 55002011-04-0186
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-0186
2010: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01101
Total number of active participants reported on line 7a of the Form 55002010-04-01104
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01104
2009: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01108
Total number of active participants reported on line 7a of the Form 55002009-04-01100
Number of retired or separated participants receiving benefits2009-04-011
Number of other retired or separated participants entitled to future benefits2009-04-010
Total of all active and inactive participants2009-04-01101

Form 5500 Responses for CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN

2021: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – General assets of the sponsorYes
2020-04-01Plan benefit arrangement – General assets of the sponsorYes
2019: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2011: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: CISCO-EAGLE, INC. EMPLOYEE HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number484237
Policy instance 1
Insurance contract or identification number484237
Number of Individuals Covered171
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $37,551
Total amount of fees paid to insurance companyUSD $1,539
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $785,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,087
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number267266
Policy instance 1
Insurance contract or identification number267266
Number of Individuals Covered157
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $36,284
Total amount of fees paid to insurance companyUSD $3,838
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $760,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,284
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number267266
Policy instance 1
Insurance contract or identification number267266
Number of Individuals Covered151
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $34,191
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $422,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,191
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.

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