401k Plan data: MARIGOLD GROUP, INC. HEALTH & WELFARE PLAN plan

MARIGOLD GROUP, INC. HEALTH & WELFARE PLAN 401k Plan overview

Plan Name	MARIGOLD GROUP, INC. HEALTH & WELFARE PLAN
Plan identification number	501

MARIGOLD GROUP, INC. HEALTH & WELFARE 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

CM ACQUISITIONS HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CM ACQUISITIONS HOLDINGS, INC.

Employer identification number (EIN): 822867962

NAIC Classification: 541519
NAIC Description: Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARIGOLD GROUP, INC. HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 SUSAN ADAMS 2024-08-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	SUSAN ADAMS	2024-08-22

Form 5500 Responses for MARIGOLD GROUP, INC. HEALTH & WELFARE PLAN

2023: MARIGOLD GROUP, INC. HEALTH & WELFARE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	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

3344736

Policy instance

Insurance contract or identification number	3344736
Number of Individuals Covered	924
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,522
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $66,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

DELTA DENTAL OF TENNESSEE (National Association of Insurance Commissioners NAIC id number: 54526 )

Policy contract number

7688

Policy instance

Insurance contract or identification number	7688
Number of Individuals Covered	982
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $41,078
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

71336

Policy instance

Insurance contract or identification number	71336
Number of Individuals Covered	526
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $30,068
Total amount of fees paid to insurance company	USD $2,667
Life 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 $185,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CM ACQUISITIONS HOLDINGS, INC.
Employer identification number (EIN):	822867962
NAIC Classification:	541519
NAIC Description:	Other Computer Related Services