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CIGNA OPEN ACCESS PLUS 401k Plan overview

Plan NameCIGNA OPEN ACCESS PLUS
Plan identification number 503

CIGNA OPEN ACCESS PLUS Benefits

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

401k Sponsoring company profile

KIT CARSON ELECTRIC COOPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name:KIT CARSON ELECTRIC COOPERATIVE, INC.
Employer identification number (EIN):850081882
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CIGNA OPEN ACCESS PLUS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-01-01LYNN GILLEY LYNN GILLEY2019-07-02
5032018-01-01CARMELLA SUAZO2021-10-22 CARMELLA SUAZO2021-10-22

Plan Statistics for CIGNA OPEN ACCESS PLUS

401k plan membership statisitcs for CIGNA OPEN ACCESS PLUS

Measure Date Value
2018: CIGNA OPEN ACCESS PLUS 2018 401k membership
Total participants, beginning-of-year2018-01-01162
Total number of active participants reported on line 7a of the Form 55002018-01-01170
Total of all active and inactive participants2018-01-01170
Total participants2018-01-01170
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010

Form 5500 Responses for CIGNA OPEN ACCESS PLUS

2018: CIGNA OPEN ACCESS PLUS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan 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 number621677
Policy instance 1
Insurance contract or identification number621677
Number of Individuals Covered168
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $44,819
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,119,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees44819

Potentially related plans

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