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ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 401k Plan overview

Plan NameASSOCIATED ENERGY GROUP, LLC HEALTH PLAN
Plan identification number 503

ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

ASSOCIATED ENERGY GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name:ASSOCIATED ENERGY GROUP, LLC
Employer identification number (EIN):760250408
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01RALPH ACEVEDO2024-04-30
5032022-01-01
5032021-10-01

Plan Statistics for ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN

401k plan membership statisitcs for ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN

Measure Date Value
2023: ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01198
Total number of active participants reported on line 7a of the Form 55002023-01-01208
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01208
Number of employers contributing to the scheme2023-01-010
2022: ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01131
Total number of active participants reported on line 7a of the Form 55002022-01-01198
Total of all active and inactive participants2022-01-01198
2021: ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01120
Total number of active participants reported on line 7a of the Form 55002021-10-01131
Total of all active and inactive participants2021-10-01131

Form 5500 Responses for ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN

2023: ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: ASSOCIATED ENERGY GROUP, LLC HEALTH PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01First time form 5500 has been submittedYes
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract numberL06923
Policy instance 1
Insurance contract or identification numberL06923
Number of Individuals Covered412
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $104,670
Total amount of fees paid to insurance companyUSD $3,007
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,817,956
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 number00635054
Policy instance 1
Insurance contract or identification number00635054
Number of Individuals Covered260
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,043
Total amount of fees paid to insurance companyUSD $70,290
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $500,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,043
Amount paid for insurance broker fees70290
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0635054
Policy instance 2
Insurance contract or identification number0635054
Number of Individuals Covered181
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract number196127
Policy instance 1
Insurance contract or identification number196127
Number of Individuals Covered283
Insurance policy start date2021-10-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $13,373
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,373
Insurance broker organization code?3

Potentially related plans

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