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SUN MOUTAIN INC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSUN MOUTAIN INC WELFARE BENEFIT PLAN
Plan identification number 501

SUN MOUTAIN INC WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • 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

SUN MOUNTAIN, INC. has sponsored the creation of one or more 401k plans.

Company Name:SUN MOUNTAIN, INC.
Employer identification number (EIN):841446037
NAIC Classification:321900

Additional information about SUN MOUNTAIN, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1998-01-14
Company Identification Number: 19981008740
Legal Registered Office Address: 140 Commerce Rd

Berthoud
United States of America (USA)
80513

More information about SUN MOUNTAIN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUN MOUTAIN INC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01ED WRIGHT2022-06-30
5012020-01-01BARBARA KOWALSKI2021-06-14

Form 5500 Responses for SUN MOUTAIN INC WELFARE BENEFIT PLAN

2021: SUN MOUTAIN INC WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: SUN MOUTAIN INC WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number631502
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00619742
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number631502
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number52180
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number35861
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00619742
Policy instance 3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number97104921001
Policy instance 4

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